For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...

Two Medicare Administrative Contractors, Noridian and CGS, have removed the use of CPT code 64568 from their billing/coding page for Hypoglossal ...

Inspire Medical (INSP) stock falls as the firm faces potential Medicare reimbursement cuts for its Gen 5 sleep apnea device ...

Stifel says Inspire Medical’s (INSP) reimbursement CPT code “merry-go-round took a turn for the worse this morning” as two Medicare Administrative Contractors – CGS and Noridian – pulled CPT code ...

When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

Two U.S. Medicare administrative contractors (MACs) have removed CPT code 6468 from their group 1 CPT codes, a move that may cut rates for implant of Inspire Medical Inc.'s flagship product, the ...

For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, ...

Currently, no FDA-approved drug therapies exist for pediatric patients with abdominal pain related to functional dyspepsia, a significant unmet medical need. In the absence of approved options, ...

The $300 CLFS payment rate provides a foundation for negotiations with private insurers. CMS is the single largest payer for healthcare in the United States, with Medicare responsible for ...

The No Surprises Act was designed to ensure fairness in out-of-network payment disputes. Instead, the statutory benchmark--calculated unilaterally by insurers and shielded from rigorous review--has ...

Wilson Encourages Investors Who Suffered Losses in Inspire Medical to Contact Him Directly to Discuss Their OptionsIf you purchased or ...