In recent days, Inspire Medical Systems has been hit by Medicare contractors Noridian and CGS unexpectedly removing CPT code 64568 for hypoglossal nerve stimulation, forcing providers toward an ...
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 ...
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, ...
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Two MACs remove CPT code 64568 for HGNS, says Piper Sandler
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 ...
For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, ...
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Big Surprise for The No Surprises Act: Study Shows Insurer Benchmark Dangerously Lower Than In-Network Rate
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 ...
Currently, no FDA-approved drug therapies exist for pediatric patients with abdominal pain related to functional dyspepsia, a significant unmet medical need. In the absence of approved options, ...
Austin pain specialist Dr. Mark Malone and his practice, Advanced Pain Care, have agreed to shell out $13.6 million to resolve federal and state allegations that the clinic billed Medicare, TRICARE, ...
Following the expanded FDA indication, case-by-case compassionate-use approvals and hospital IRB reviews previously required ...
Discover the top 10 surprising virtual assistant services to outsource in 2025, redefining the way you manage tasks smoothly.
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