Little is publicly known about coverage denials for medical services that do not meet medical necessity criteria. We characterized the extent of these denials and their key features, using Medicare ...
Risk stratification of patients with chest pain has traditionally focused on identifying obstructive coronary artery disease (CAD). Using this traditional approach, many symptomatic individuals are ...
Hospitals are racing to meet a January 1 deadline to adjust to billing code changes that affect invasive cardiology (IC) and ...
Aetna is once again trying to require adherence codes G8851, G8854 and G8855 for reimbursement for CPAP devices or supplies, the Midwest Association for Medical Equipment Services & Suppliers (MAMES) ...
New York City became the first city in the country to allow supervised drug use sites where people can use illegal drugs without threat of arrest, under the watch of trained staff, Mayor Bill de ...
Lawmakers argue the CMS innovation center pilot, which will implement AI-backed prior authorization for some services in six ...
Two analyses presented at the National Society of Genetic Counselors' annual meeting indicate the CPT code change has led to an increase in billable hours.
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