Healthcare coding has fundamentally transformed from volume-driven revenue capture to compliance-first, defensible documentation standards.
The Trump administration is closing a loophole that drugmakers could use to avoid negotiations when they add active ...
The Centers for Medicare & Medicaid Services July 2 issued a proposed rule that would increase Medicare hospital outpatient ...
CMS plans to cut what Medicare pays hospitals for drugs bought through the 340B program and push site-neutral payment into a new category of outpatient services, two proposals that together would pull ...
The rule, released Thursday, builds on Trump administration’s priorities, including cutting Medicare reimbursement for drugs ...
In late 2023, Scripps Health notified more than 30,000 seniors across San Diego, California, that it was terminating its ...
A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change ...
National health spending is projected to have reached $5.7 trillion in 2025, up 7.3% from 2024, according to an analysis by the Centers for Medicare & Medicaid Services published yesterday by Health ...
The Charlotte-Mecklenburg Board of Education settled a lawsuit over the district’s handling of a tribute to political activist Charlie Kirk painted on a high school spirit rock, the board announced ...
You have the legal right to appeal a denial from Medicare or a Medicare Advantage plan. Receiving a denial from Medicare or ...
If you’re new to Medicare or considering making changes to your plan in the future, you may be wondering about specific coverage areas. For instance, can Medicare help with eye health, namely cataract ...