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Health Policy Affairs

SIR summary: Hospital Prospective Payment System Proposed Rule for 2027

On July 2, 2026, the Centers for Medicare and Medicaid Services (CMS) issued the proposed rule for the Hospital Outpatient Prospective Payment System (HOPPS) for calendar year (CY) 2027.
Economics
Guidewire

PAD Coalition cheers inclusion of screening language in appropriations bills

SIR joined the PAD Coalition in thanking the House Appropriations Committee for including report language on peripheral artery disease education, screening and amputation prevention in the FY 2027 Labor-HHS-Education appropriations report.
Healthcare policy Advocacy
Guidewire

SIR supports bill to keep prior authorization out of Medicare Advantage

The Improving Seniors' Timely Access to Care Act reached 290 House cosponsors, allowing a motion to place the bipartisan Medicare Advantage prior authorization reform bill on the House consensus calendar for a floor vote.
Advocacy Healthcare policy
Guidewire

CMS releases new ICD-10-CM codes

CMS released the 2027 ICD-10-CM diagnosis code files, including 190 new, 30 deleted and 4 revised codes that will apply to patient encounters beginning Oct. 1, 2026.
Economics Coding, billing and reimbursement Featured
Guidewire

New CPT® adviser appointments for SIR

Julie C. Bulman, MD, and Alexandra Fairchild, MD, FSIR, were appointed to the AMA CPT® Advisory Committee, where they will represent interventional radiology and help shape the CPT® code development process.
Economics
Guidewire

House committee votes to nix WISeR Model

The House Appropriations Committee approved a proposal to defund CMS' WISeR prior authorization model and prohibit prior authorization in traditional Medicare following widespread concerns that the pilot delayed patient care and hindered access to medically necessary services.
Advocacy Economics
Guidewire

Make your voice heard: Complete the WISeR model member survey!

SIR launched a member survey to collect real-world experiences with the WISeR Model and strengthen advocacy efforts to protect patient access to appropriate, life-improving care.
Healthcare policy
Guidewire

SIR asks CMS to support BTX injection coverage

SIR and American College of Radiology (ACR) submitted joint comments to CMS contractors urging the inclusion of image-guided preoperative abdominal wall botulinum toxin (BTX) injection as a covered indication to facilitate large ventral hernia repair.
Economics
Guidewire

SIR attends AMA’s CPT and RUC meetings

View the details for the Editorial Summary of Panel Actions and the RUC recommendations, minutes, and votes discussed at the recent AMA's CPT and RUC meetings.
Economics
Health Policy Affairs

SIR submits comment letters advocating for increased botulinum toxin injections coverage

SIR and ACR submitted joint comment letters on May 4, 2026 to the Centers for Medicare and Medicaid Services (CMS). Read the comment letters.
Economics Advocacy
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