Mark Synovec, MD, chairs the CPT Editorial Panel, which is responsible for maintaining what is sometimes called “the language of medicine,” the Current Procedural Terminology (CPT^®) code set. The Editorial Panel, he said, has moved nimbly to adapt to the fast-moving challenges of the pandemic, digital health and more.

The World Health Organization (WHO) began developing the International Classification of Diseases, Eleventh Version (ICD-11), in 2007, and first released a preliminary version for evaluation and testing in 2016 – ironically, just one year after the U.S. finally adopted a clinical modification of the WHO’s ICD-10 (i.e. ICD-10-CM).

The American Hospital Association (AHA) and the American Medical Association (AMA) have filed a joint lawsuit against the federal government, challenging the Biden administration's implementation of the No Surprises Act.

The Centers for Medicare & Medicaid Services (CMS) issued three comprehensive final rules on the same day last week, heralding changes to the Medicare Physician Fee Schedule (MPFS), the Outpatient Prospective Payment System (OPPS) as it pertains to Ambulatory Surgical Centers (ASCs), and the Home Health Prospective Payment System (HHPPS).

The New York State Department of Financial Services wants health insurers to pay any extra bills when their out-of-date provider directories send patients to out-of-network doctors and hospitals.

In the year and a half following the Affordable Care Act’s first marketplace open enrollment period, the number of families who had trouble paying medical bills decreased by nearly 10 million. Certain factors such as low...