Category: Latest news

Spinal neurostimulator implantations

CMS Prior Authorization for Spinal Neurostimulator Procedures

Prior Authorization for Spinal Neurostimulator Implantations: The Centers for Medicare & Medicaid Services (CMS) implemented a prior authorization requirement for spinal neurostimulator implantations surgeries on July 1, 2021. This policy change took effect after the Office of Inspector General (OIG) had concluded its field work but before the release of its investigation report. CMS specifically […]
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Healthcare Debate

The Future of the Affordable Care Act (ACA) in the 2024 Healthcare Debate

During the Healthcare debate between Vice President Kamala Harris and former President Donald Trump, healthcare—especially the Affordable Care Act (ACA)—became a central focus in the final stages of the discussion. Moderated by journalists Linsey Davis and David Muir, the Healthcare debate showcased starkly different perspectives on the future of the ACA. Trump’s Unclear Healthcare Plan: […]
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Medicare changes in 2025

Major Medicare Changes Coming in 2025: A Summary

Medicare changes in 2025 marks a significant year for Medicare beneficiaries as the program undergoes its most substantial changes in decades. The Inflation Reduction Act has introduced several key reforms aimed at lowering prescription drug costs and improving overall coverage. 1. Out-of-Pocket Drug Costs Capped at $2,000 A major highlight of the Medicare changes in […]
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Medicare payment cut

Medicare Payment Cuts Hit Physicians: 2.93% Reduction in 2025

Medicare payment cut: The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule for the 2025 Medicare Physician Fee Schedule (MPFS), which includes a 2.93% average payment rate reduction for physicians. This comes despite the agency’s stated commitment to advancing health equity and supporting whole-person care through initiatives like strengthening primary care […]
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Key-Steps-For-Successful-Medical-Billing-Process

Key steps for successful Medical Billing Process

The medical billing process is a complex system that requires various steps to ensure accuracy and efficiency. Medical billing services work hard to make sure that medical bills are processed quickly and accurately, allowing for timely payments from insurance companies. 1. Patient Registration The medical billing process begins with patient registration, where the patient’s demographic […]
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HIPAA violations

How to prevent HIPAA violations in healthcare

HIPAA violations happen when a healthcare organization fails to follow the Health Insurance Portability and Accountability Act (HIPAA) rules. HIPAA is a law that protects patients’ privacy by setting standards for securing and sharing their medical information. There are different ways a HIPAA violation can occur, but they often involve a patient’s protected health information […]
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CPT® 2024 Update: New Codes and Guidelines

Table of Contents Evaluation and Management Surgery: Musculoskeletal System Surgery: Respiratory System Surgery: Cardiovascular System Surgery: Urinary System Surgery: Female Genital System Surgery: Nervous System Radiology Pathology and Laboratory Medicine Category III Codes 2024 CPT Coding updates:  Take a look at the updates in CPT coding and guidelines for professional services. Every year, on January […]
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