AAPC Knowledge Center

On July 16, 2026, the Centers for Medicare & Medicaid Services (CMS) published its calendar year (CY) 2027 Medicare Physician Fee Schedule (MPFS) proposed rule in the Federal Register. Among the 716 pages are significant proposed changes to remote patient monitoring policies. Revenue Cycle Insider examined the remote monitoring policy changes CMS is proposing for […]

Aug. 18, the Centers for Medicare & Medicaid Services (CMS) posted a quarterly update to the HCPCS Level II code set. The changes are effective Oct. 1. The October 2026 update includes: HCPCS Level II codes are used primarily to identify products, supplies, and services not included in the American Medical Association’s CPT® code set. […]

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A final rule published in the Aug. 18 Federal Register by the Centers for Medicare & Medicaid Services (CMS) officially ends federal funding for gender-affirming procedures for children and adolescents. In accordance with an executive order President Trump signed on Jan. 28, 2025, CMS issued the proposed rule “Prohibiting Sex-Rejecting Procedures for Children” on Dec. […]...

Clinical documentation integrity (CDI) specialists and other caretakers of patient health information gathered Aug. 11-12 for DOCUCON — a boutique conference hosted virtually by AAPC. The goal of this conference: Gain practical strategies to improve providers’ documentation and, in turn, strengthen compliance and protect revenue integrity. On the agenda, sessions ranged from ...

Those that demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization are eligible for a 12-month exemption. Hospital outpatient departments (OPDs) that demonstrate compliance with Medicare coverage, coding, and payment rules related to prior authorization may be eligible for exemption. Exemptions are assessed yearly and remain in ...