CMS has spent the past three years systematically expanding colorectal cancer screening coverage — adding new modalities, eliminating patient cost-sharing and lowering the eligible age. For ...

The cost pressures bearing down on ASCs are not uniform. What is squeezing a GI center is different from what is compressing an orthopedic program or a cardiology ASC, and the mix of pressures matters ...

On June 23, 2026, the Department of Justice announced the 2026 National Health Care Fraud Takedown, which it described as the ...

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

Changes will go into effect Jan. 1, 2027, and aim to improve care delivery and data for maternal health outcomes.

Provider credentialing was built to protect patient safety by ensuring that every clinician is properly trained, licensed and ...

New study finds nearly 10% of internal medicine residents report a disability; the American Medical Association updates maternity care billing codes; and Texas joins autism trial network.

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 ...

Administrative friction between hospitals and insurers remains a costly reality across US healthcare. According to the ...

A team of researchers at the University of Warwick and Monash University has solved a puzzle that has stumped drug developers ...