Favorable Decision for ACR Members in “TMA III” NSA Case
Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.
Read moreThe Centers for Medicare and Medicaid Services (CMS) released quarterly National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP), Medically Unlikely Edits (MUE) and Add-on Code (AOC) edits that take effect July 1. The American College of Radiology® (ACR®) urges practices to review the NCCI edits relevant to radiology and make any necessary updates to their system.
CMS developed NCCI to promote national correct coding methodologies and to control improper coding that leads to inappropriate payment in Medicare Part B claims. This update includes all previous edits and changes from Jan. 1, 1996 to the present.
For more information, refer to the CMS Transmittal 13127, CMS NCCI webpage and the ACR Bulletin or contact Maria Tran, ACR Director of Economic Policy.
Favorable Decision for ACR Members in “TMA III” NSA Case
Fifth Circuit ruling on No Surprises Act QPA calculations supports fair physician reimbursement and stronger insurer accountability.
Read moreRAPID Pathway for Device Coverage
RAPID pathway could streamline Medicare coverage decisions for eligible breakthrough devices through earlier review alignment.
Read moreDetailed Summary of FY2027 IPPS Final Rule
CMS finalized FY 2027 hospital payment updates, including a 2.3% increase, new technology payments and AI-related policy changes.
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