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 ...

The Houston-based healthcare management company attributes the reduction to AI-assisted billing workflows, proactive denial management, and tighter front-end eligibility checks across its supported ...

I'm Larry Biegelsen, the Medical Device Analyst at Wells Fargo. Welcome to the final call in our 2026 MedTech Innovation Spotlight Series. I'm pleased to be joined by Inspire Medical's management team ...

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 ...

(Nasdaq: CCLD) (“CareCloud” or the “Company”), a leader in AI-powered healthcare technology and revenue cycle management solutions, today announced that its compliance business, Empower Healthcare and ...

Before completing the code change application to propose a new or updated Current Procedural Terminology (CPT®) code, first become familiar with the CPT code set. Review the index of the CPT® ...

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

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.