From status indicator (SI) adjustments to new vaccine codes and skin substitute product classifications, the changes highlight CMS’s ongoing efforts to align payment policy with clinical and regulatory developments.
For billing professionals, coders, and compliance leaders, this isn’t just a policy issue—it’s a practical one with real consequences in documentation, audits, and reimbursement integrity.
Documentation errors, whether undercoding or overcoding, can make you a target for payers who are becoming more proactive in spotting inconsistencies and recouping payments. A single bad audit can lead to more extensive investigations.
Prepare to brief your billing teams, sync with EHR vendors, and enhance compliance protocols—CMS has announced important Medicare Part B policy updates for 2025.
In this article, we’ll cover the most recent HIPAA reminders, discuss updates to the HIPAA Privacy Rule, and highlight key strategies to keep your practice compliant.