Industry News

United Healthcare initiated a national project as of September 1, 2018 in which all qualifying lab codes billed (with the QW modifier) are subject to

2019 represents the first year of MIPS payment adjustments (which tie back to 2017 performance data). Practices may see a positive or negative adjustment on

CMS has proposed changes to the 2018 Quality Payment Program (QPP) intended to reduce data entry and paperwork and increase the focus on patient care.

The new Medicare cards using the Medicare Beneficiary Identifier numbers have been active since April 2018 and all 60 million active beneficiaries will have the

Telehealth is experiencing explosive growth. The virtual healthcare market is expected to reach revenues of more than $3.5 billion by 2022, according to Verify Markets, as reported

CMS has announced a proposed rule to “relieve the burden on healthcare providers by removing unnecessary, obsolete or excessively burdensome Medicare compliance requirements…” As stated

Indiana became the second state to win federal approval to add a work requirement for adult Medicaid recipients who gained coverage under the Affordable Care

As part of the Patients over Paperwork initiative, CMS has proposed a 2019 change in reimbursement methodology for the 10 new and established patient visit

A couple of private Medicare insurers in Illinois—including the largest insurance company in the state—have some work to do when it comes to star ratings.