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09/29/2025
Take note of the new coding edits that will go into effect for your Medicare claims Oct. 1, the same day you’ll flip the switch on the FY2026 ICD-10-CM update. You’ll find 1,821 new bundling edits, including those that feature codes that went into effect this year, in the final National Correct Coding Initiative (NCCI) update of the year.
09/29/2025
After five years, most — but not all — of Medicare’s telehealth expansions are scheduled to end at midnight, Oct. 1. Even though one quarter of eligible Medicare patients continue to take advantage of the broader telehealth benefit, it seems unlikely that Congress will pass another last-minute extension or a permanent upgrade to Medicare telehealth law to keep the popular policies in place.
09/29/2025
Barring last-minute congressional intervention, the 2026 budget bill will cause a steep rise in Affordable Care Act (ACA) plan premiums. Practices with a lot of those beneficiaries as patients should plan for reduced visits and revenues.
09/29/2025
Medicare coverage of mental health services has expanded significantly in recent years. Along with authorizing payment for additional services and telehealth options, CMS has established several new provider types.
09/29/2025
The top new service of 2024 was an E/M add-on code that paid approximately $23 when it was introduced. Analysis of the latest available Medicare Part B data shows that pelvic examination code 99459 topped the list of CPT service codes that went into effect Jan. 1, 2024. The code also ranked in the top five for submitted charges.

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