CMS released its 2027 proposed payment rule for outpatient hospital departments and ASCs on July 2, 2026, projecting reimbursement cuts for four of the most common spine pain management procedures in ...

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 ...

Of the roughly 1 million disputes taken through the law's arbitration process in Q2 2025, around 129,000 were for lab codes, with payments for basic tests averaging hundreds of dollars.

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

New MCP integration bridges diseases, medications, procedures, laboratory tests, outcomes, and eligibility criteria in plain ...

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

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 ...

The Trauma Code is louder than The Pitt, but its explosive approach proves there’s more than one winning medical drama ...

The American Medical Association has approved a restructuring of maternity care services codes in its Current Procedural Terminology code set for 2027, effective Jan. 1, 2027, according to a June 12 ...

Enables standardized inpatient hospital billing for QUELIMMUNE® (SCD-PED) therapyUniversal code paves the way for billing of future potential ...

Medicare had previously eschewed the practice — also known as prior authorization — which requires patients or someone on ...

SINGAPORE – Six employees of Hyundai Engineering & Construction were charged in court on June 12 over allegations that they accepted or attempted to obtain bribes concerning unsafe work acts. The ...