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 ...

Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...

ASCs will continue to receive separate Medicare reimbursement for certain non-opioid pain management devices in 2026 under the NOPAIN Act. As part of the ruling, CMS confirmed the Game Ready Pro 2.1 ...

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Anthropic announced a new suite of health care and life sciences features Sunday, enabling users of its Claude artificial intelligence platform to share access to their health records to better ...

For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, not a strategic one to be solved. That era is over. Denials have quietly ...

Aetna and Cigna's TIC data generally matched or exceeded their reported provider counts, while UnitedHealthcare listed fewer providers. Physician and hospital outpatient data were more complete than ...

A physician-turned-prominent senator has put the American Medical Association (AMA) on notice again, demanding an accounting of the profits it earns from its “monopoly” over the coding system used for ...