On July 14, the Centers for Medicare & Medicaid Services (CMS) announced it plans to assess potential reforms to overhaul the American ...

The Trump administration is now scrutinizing the American Medical Association over the "influence" its medical billing codes have on healthcare nationwide. Current Procedural Terminology (CPT) codes ...

WASHINGTON – If things are a bit tense in your doctor’s office come Oct. 1, some behind-the-scenes red tape could be to blame. That’s the day when the nation’s physicians and hospitals must start ...

The American Medical Association is overhauling how U.S. doctors report and bill for pregnancy services, bulldozing the current system of bundled payments and replacing it with more granular, itemized ...

In the complicated world of hospital billing, there’s a fine line between maximizing reimbursement and gaming the system. A new study shows a troubling trend as hospitals increasingly code for “sicker ...

When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

mCoder surpasses all known prior peer-reviewed results across both the 1K-constrained and full-label MDACE settings, demonstrating state-of-the-art performance in evidence-grounded autonomous medical ...

CLEVELAND, Ohio — The Cleveland Clinic is turning to generative AI to review medical coding in a fraction of the time that it takes humans take to do the same task, the health system announced Tuesday ...

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 ...