BCBS study hospital billing reveals AI-driven coding boosts maternity costs by billions, impacting insurers and employers ...

Grady Health System's director of physician revenue cycle shares a framework for creating effective physician coding education programs that improve compliance and performance against quality metrics.

A new American Health Information Management Association study aimed at finding a better understanding of the operational realities of how social determinants of health data is used in real-world ...

Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...

Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a ...

CHICAGO - Much of remote digital health depends on the Current Procedural Terminology, or the CPT code set, which opened the door to payment for remote patient monitoring and remote therapeutic ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

Veronica Beagle is the managing editor for Education at Forbes Advisor. She completed her master’s in English at the University of Hawai‘i at Mānoa. Before coming to Forbes Advisor she worked on ...

Vanessa Vance said she is thinking about her family as she navigates her cancer risks. (Courtesy Vanessa Vance) AUSTIN (KXAN) — Vanessa Vance watched her mother and then aunt battle cancer. She often ...

The American Medical Association’s (AMA's) CPT Editorial Panel, which is responsible for creating medical billing codes, again forfeited an opportunity to move forward with remote patient monitoring ...

Streamline Health Solutions, Inc. has announced a contract with Deaconess Health System to implement its eValuator solution, aiming to enhance pre-bill coding accuracy and financial outcomes.

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...