Beginning January 1, 2022, all state licensed or certified health care facilities and providers must follow extensive rules for providing a "good faith estimate" of health care charges to uninsured ...

Clerical documentation burdens for physicians expanded during the past decade in part due to increased regulatory requirements and the corresponding proliferation of EHRs — one 2017 study found ...

The 2026 updates from CMS and AMA introduce sweeping CPT, HCPCS, and regulatory changes that directly affect reimbursement, compliance, and operational planning. Key shifts include a dual conversion ...

In its final MACRA rule, CMS added a new track, MSSP Track 1+ ACO, which aims to expand participation for providers, according to Lexology. 1. The track will work to limit downside risk and add more ...

Accurate ICD-10 coding is essential for clean claims, timely reimbursements, and audit readiness. Mistakes like outdated codes, vague diagnoses, or mismatched documentation can lead to denials and ...

To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...