Tag: coding

CMS delays start dates for ASC prior authorization demonstration

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has delayed the start date for the ambulatory surgery center (ASC) prior authorization demonstration that affects ten states. This delay shifts the date previously set for December 15, 2025, and sets two different phases across affected states into 2026, according…

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By: Carina Stanton
December 2, 2025
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AMA 2026 CPT code set expands with AI, remote monitoring, leg revascularization updates

Editor's Note The American Medical Association (AMA) has released the 2026 Current Procedural Terminology (CPT) code set, introducing 288 new codes that capture emerging technologies and modern care delivery models, the association announced on September 11. In total, the update includes 418 changes: 84 deletions, 46 revisions, and the newly…

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By: Tarsilla Moura
September 18, 2025
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2026 ICD-10 updates bring hundreds of new codes, new complexity

Editor's Note Healthcare providers, payers, and analytics teams face sweeping ICD-10 changes this fall, with the 2026 code updates taking effect October 1, 2025, Wolters Kluwer July 14 reports. The release includes 614 new codes, 12 invalidations, 642 billability changes, 88 terminology revisions, and the creation of an entirely new…

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By: Tarsilla Moura
August 21, 2025
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5 costly mistakes to avoid when building an ASC

Editor's Note Poor planning and rushed decisions derail too many ambulatory surgery centers (ASCs) before they open their doors. In a recent blog post, ASC consultant Emily Spooner outlined the top five errors commonly made during ASC development, offering targeted guidance on how to avoid them. According to the post,…

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By: Tarsilla Moura
August 12, 2025
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