On October 24th, the American Medical Association (AMA) and the Illinois State Medical Society (ISMS), filed a lawsuit in federal court in Chicago, seeking injunctive relief against what they termed, “a multilateral price-fixing conspiracy” with the nation’s largest...
CMS has published the final rule for the CY2025 Medicare Physician Fee Schedule (MPFS). As we knew from the proposed rule, there are no major changes in the payment for Cellular Tissue Products (CTPs) / skin substitutes in 2025 — although CMS stated they the...
Every year, a new ICD-10 Clinical Modification (ICD-10-CM) code set is released which takes effect on October 1. There were 252 new codes added, 36 code deletions, and 13 code revisions effective October 1, 2024. Some of these changes involved ICD-10-CM coding for...
CMS has released the CY 2025 Final Rule for the Hospital Outpatient Prospective Payment System (OPPS). Find details here: Department of Health & Human Services CMS Notice There were no big surprises in the final rule. The payment methodology for CTPs/skin subs...
