With hospitals facing ongoing financial pressures, including rising costs and declining reimbursement rates, they’re looking for tools that not only improve efficiency — but also increase revenue.

Staff spent significant time checking claim status, navigating payer portals and reacting to denials after the fact rather than preventing them up front. This reactive approach increased the cost to ...

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) reviewed Medicare Part B payments to podiatrists for "routine foot care" (RFC) associated with systemic conditions ...

Cleveland Clinic said it is using generative artificial intelligence to automate routine medical coding tasks while improving revenue cycle efficiency. The health system partnered with Akasa to deploy ...

In my previous article, I explored why early implementations of AI coding showed that speed alone isn’t enough. The real ROI comes when organizations pair automation with structure and clarity. If ...

COLLEGE STATION, Texas (KBTX) - Texas A&M held its second annual training for rural healthcare workers in medical coding and billing. On Tuesday, the Texas A&M Rural and Community Health Institute ...

Suggested Citation: "Appendix B: Coding: Payment Infrastructure for Biomarker Tests for Molecularly Targeted Therapies." National Academies of Sciences, Engineering, and Medicine. 2016. Biomarker ...

PRINCETON, N.J., Oct. 27, 2025 (GLOBE NEWSWIRE) -- UroGen Pharma Ltd. (Nasdaq: URGN), a biotech company dedicated to developing and commercializing innovative solutions that treat urothelial and ...

The Centers for Medicare & Medicaid Services (CMS) have issued a permanent Healthcare Common Procedure Coding System (HCPCS) Level II J Code for mitomycin for intravesical solution (Zusduri) for ...

How a strong collaboration between clinical and billing teams can simplify J-code decoding, paving the way for improved patient access to innovative treatments. It’s an all-too-common story. A patient ...

UPMC and Trinity Health System, a three-hospital entity owned by CommonSpirit Health, have signed a nonbinding letter of intent to pursue an integration. The tentative plans were announced Wednesday, ...