Part B News | Part B News

Looming form changes mark a good time to review ABN rules

04/27/2026

The deadline for a switch to new advance beneficiary notice forms (ABN) is coming. It’s a good time to review the do’s and don’ts for these often-misunderstood forms.

Protect revenue, ensure patient eligibility access update in HETS

04/27/2026

by: Julia Kyles, CPC

If your practice relies on software, a billing company or other third-party vendor to perform patient eligibility checks, you’ll hit a revenue roadblock if you don’t enroll those vendors in the HIPAA Eligibility Transaction System (HETS) by May 11, experts warn.

First entrants in ACCESS tech-assist program announced

04/27/2026

by: Roy Edroso

Just three months after announcing its Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model, designed to pair tech-enabled partners with Medicare providers and pay them based on medical outcomes, CMS has revealed the first 150 partners accepted to participate.

Broad expansion proposed for sepsis ICD-10-CM coding

04/27/2026

by: HCPro staff

At the public ICD-10-CM Coordination and Maintenance Committee Meeting held March 17-18, CDC’s National Center for Health Statistics (NCHS) discussed a draft proposal involving a broad expansion of sepsis diagnosis coding.

ICD-10-CM updates: How to code for patients with diabetes in remission

04/27/2026

by: HCPro staff

Question: Can you explain when it is appropriate to use the recently added ICD-10-CM code for diabetes in remission?

Kidney procedure leaps to top of modifier 78 list

04/27/2026

by: Roy Edroso

After a period of decline, use of the modifier 78 (Unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period) rose in 2023. It jumped again in 2024 — led by a previously absent code.

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