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 ...

Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...

First solution—Malnutrition Care Automation—generates $1.4M in annualized reimbursement for southern academic medical center by identifying missed diagnoses, orchestrating timely care and completing ...

New CPT code changes for invasive cardiology and interventional radiology will take effect on January 1, 2026, impacting a significant portion of hospital net revenue and threatening to exacerbate ...

Please provide your email address to receive an email when new articles are posted on . AMA released its 2026 CPT code set, which will go into effect Jan. 1, 2026. The update includes new codes for ...

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 ...

The AMA and ACOG have collaborated to revise billing codes for maternity care service, which will better reflect modern obstetric practice.

The healthcare industry has seen rapid advances in artificial intelligence (AI) and machine learning capabilities in recent years—from virtual health assistants and drug discovery to development and ...

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 ...

For many years, primary care providers had no direct or explicit mechanism to be reimbursed for services specifically provided to Medicare and Medicaid beneficiaries under the collaborative care model ...