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 ...

Austin, Texas-based Advanced Pain Care and its founder Mark Malone, MD, have agreed to pay $13.6 million to resolve allegations of submitting false claims to federal and state healthcare programs for ...

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, ...

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 ...

Stifel said the sudden removal of CPT code 64568 by Medicare contractors Noridian and CGS disrupted the favorable ...

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

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 ...

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, ...

The senator is asking stakeholders with relevant experience and knowledge of CPT coding contracts to respond to a questionnaire.

Several insurers are automatically downcoding -- and, therefore, paying less for -- claims for non-procedural office visits, ...

The Growing Trend of OBGYN Clinics Partnering With Specialized Billing Services There is much that is involved in running an ...