As artificial intelligence in revenue cycle management quickly gains ground, a new startup, Procode AI, launched out of ...

Billing and insurance–related costs are a significant source of wasteful health care spending in Organization for Economic Cooperation and Development nations, but these administrative burdens vary ...

Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...

Medical billing errors are more common than you might think, but do you look closely enough at your bills to spot them?

Medical billing and medical coding are crucial aspects of the medical revenue landscape. Both jobs ensure health care providers get paid for their services. Medical coders read the providers’ ...

A new study published in JAMA found that a new Medicare add-on billing code boosted pay significantly for specialists. The study analyzed Medicare claims data from 2024, the first year that the G22111 ...

The doctors’ association is blowing up the U.S.’ decades-old coding system for recording pregnancy services and starting fresh next year, bowing to calls from OB-GYNs and other maternity specialists.

A new JAMA study shows that a new Medicare billing code may have benefited specialists more than the primary care physicians it was designed to help most.

The overwhelm problem patient billing causes rising bad debt and staff burnout; smarter communication improves revenue cycle performance.

Care Qventus launches gap and coding automation suite to improve patient care and increase reimbursement accuracy in real time.