Ever wondered about the unsung heroes of the healthcare system? The ones who make sure your medical bills are accurate, ...

Consolidation among health insurers has damaging effects on independent physician practices and their patients, according to ...

The probe began after STAT and others reported on UnitedHealth's strategies to boost profits in Medicare Advantage.

Difference in spending attributed to "coding intensity" and "favorable selection" ...

Denials, audits and delayed payments are accelerating across ASC, and leaders say payer behavior has become more aggressive, ...

This week in cybersecurity: AI coding agents with exploitable vulnerabilities, cybercrime rings operating like professional ...

As much as hospital executives would like to bill their patients quickly, healthcare’s billing processes are complicated and ...

Insurance verification expansion helps healthcare practices address eligibility challenges before patient visits.

In a groundbreaking initiative, Insurance Regulatory Commission of Sri Lanka (IRCSL), announced an ambitious mission aimed at ...

Patients and doctors are bypassing insurance for faster, simpler care — a trend highlighting a desire for relief from ...

For example, the No UPCODE Act, introduced by Senators Bill Cassidy (R-LA) and Jeff Merkley (D-OR), would eliminate the use of health risk assessments used to boost coding intensity and utilize two ...

In modern software teams, complexity has outgrown what any single engineer can track alone. Systems stretch across vehicles, ...