A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change ...
Billing management sits at the center of how healthcare organizations sustain themselves financially. It's not the most visible part of running a practice, but it's one of the most consequential. A ...
On June 23, 2026, the Department of Justice announced the 2026 National Health Care Fraud Takedown, which it described as the ...
The Trump administration is closing a loophole that drugmakers could use to avoid negotiations when they add active ...
A law meant to end surprise medical billing has led to large paydays for some surgical assistants, who can earn far more than ...
A new CMS proposed rule would reduce the burden of prior authorizations by further shortening payer decision timeframes and ...
The mid-revenue cycle is where medicine, documentation, and coding converge to produce the record that determines reimbursement, risk adjustment metrics, and quality scores. Physicians make the ...
An analysis of the June 2026 final rulemaking that updated the federal independent dispute resolution (IDR) process, the ...
Nebraska Methodist CFO Jeff Francis details the biggest shifts in revenue cycle, focusing on denials, AI use, and documentation improvements.
The Centers for Medicare & Medicaid Services July 2 issued a proposed rule that would increase Medicare hospital outpatient ...
In late 2023, Scripps Health notified more than 30,000 seniors across San Diego, California, that it was terminating its ...
Millions of Medicare enrollees will gain their first-ever coverage for drugs for weight loss under a temporary pilot program ...
Some results have been hidden because they may be inaccessible to you
Show inaccessible results