Health care prices are on the rise, and patients are flummoxed that even insurance companies aren’t doing more to control ...

The doctors’ association is blowing up the U.S.’ decades-old coding system for recording pregnancy services and starting fresh next year, bowing to calls from OB-GYNs and other maternity specialists.

A new study published in JAMA found that a new Medicare add-on billing code boosted pay significantly for specialists. The study analyzed Medicare claims data from 2024, the first year that the G22111 ...

Lawmakers have extended the Acute Hospital Care at Home waiver through 2030, which will grant waivers to individual hospitals who provide Medicare patients with inpatient-level home care.

New resource shows the full impact of the 2026 Physician Fee Schedule changes and how dermatology practices can protect ...

Procode Inc., an AI-powered revenue cycle management (RCM) company, launches with $4 million in funding and the acquisition of The Auctus Group, the leading U.S. biller for plastic surgeons and a ...

Spalding University Launches Three New Health Care Programs to Address Regional Workforce Needs LOUISVILLE, Ky., March, 2nd. 2026 — Spalding University will launch three new health care programs in ...

Downcoding occurs when an insurer reduces a billing code submitted by a provider. It will be part of a public hearing before Connecticut lawmakers on March 3.

A new JAMA study shows that a new Medicare billing code may have benefited specialists more than the primary care physicians it was designed to help most.

Surging Administrative Complexity, Government Mandates for Electronic Claims Standards, and Growing Payer-Provider Demand for Automated Adjudication Solutions Accelerate Market Expansion.Austin, ...

A man used a $20/month AI tool to find illegal charges on a $195,000 hospital bill and negotiated it down to $33,000. Here’s ...

The Centers for Medicare and Medicaid Services is freezing enrollment in Elevance Health’s Medicare Advantage-Prescription Drug Plans for alleged noncompliance with risk adjustment and data submission ...