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 ...

The Locked Gate in Arc Raiders is a temporary event and map modifier for The Blue Gate, one that works similarly to the Arc ...

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 ...

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

Endoscopic spine surgery is reaching a pivotal moment in adoption in the U.S., and it’s well-suited for ASCs. However reimbursement remains a key hurdle for growth. Multiple hospitals and practices ...

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

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 ...

After securing Medicare reimbursement for its pacemaker-like heart failure (HF) implant, Impulse Dynamics has raised more ...

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 ...