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 ...
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) ...
The American College of Medical Genetics and Genomics (ACMG) has published a new clinical practice resource, "Management of ...
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 ...
The US FDA has expanded the arsenal of aesthetic dermatology treatments with another approved indication for a hyaluronic ...
The U.S. health care reimbursement system was built for a different era — one that prioritized high-stakes “cure” interventions over “care” interventions we need now.
Healthcare isn’t the first sector to embrace modularity. Fintech firms have long used plug-and-play systems to scale services ...
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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