Learn how gatekeepers in healthcare manage patient access to treatments, reduce costs, and function in health insurance and ...

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 ...

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

Trinity Health is cutting 10.5% of its revenue cycle department and outsourcing jobs to an unnamed external partner.

Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...

This partnership is a perfect synergy of billing expertise and transformative technology. Together, we are building an ...

Administration comprises 25% of all healthcare costs, making it a key target for automation. Organizations are using AI to ...

Providers are in favor of the clinical notetaking AI software Nabla — which uses unidentifiable patient data — but experts ...

Financial penalties for Medicare readmissions have hit some hospitals harder than they should, for a seemingly unrelated reason: They happen to serve higher percentages of older adults who have chosen ...

For more than a decade, hospitals have worked to help older adults avoid repeated inpatient stays, incentivized by a federal ...

Resalis Therapeutics, a biotechnology company pioneering microRNA-targeted therapies, today announced the appointment of ...