CMS released its proposed CY 2027 Medicare Physician Fee Schedule July 14, setting up another cycle of physician pay cuts at the same time the companion CY 2027 OPPS/ASC proposed rule moves facility ...

A Houston-based laboratory, its former CEO and a Florida businessman have agreed to pay a combined $36.4 million to resolve False Claims Act allegations of paying kickbacks and billing Medicare and ...

Procode Inc., an AI-powered medical billing, or revenue cycle management (RCM) company, serving private practice surgeons, today announced a $10 million Series A led by Health Velocity Capital. The ...

Prior authorization has been consistently identified by clinicians and administrators alike as a significant burden to surgical care and ASC workflows. Ninety-three percent of physicians reported that ...

KNACK RCM highlighted its AI-native anesthesia platform, backed by five decades of anesthesia revenue cycle expertise.

Medicare beneficiaries in ten states will soon be participating in a new prior authorization program. The Centers for Medicare & Medicaid Services (CMS) is implementing a five-year demonstration ...

CMS is proposing to create a new payment pathway for algorithm-driven diagnostic software, including AI tools, as part of its 2027 Hospital Outpatient Prospective Payment System and Ambulatory Surgery ...

Omaha, Neb.-based Sequel Ortho is treating AI less as a technology project and more as an access and capacity strategy, according to John Bring, the organization’s vice president of clinical ...

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized its annual physician fee schedule for 2026, giving doctors treating Medicare patients a 3.77% pay bump if participating in ...

The expanded Leapfrog ASC Public Reporting Program, first unveiled in April, reports safety and quality information for ...