Vanessa Vance said she is thinking about her family as she navigates her cancer risks. (Courtesy Vanessa Vance) AUSTIN (KXAN) — Vanessa Vance watched her mother and then aunt battle cancer. She often ...

Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical ...

Prior to the pandemic, Medicaid program coverage of audio-only telehealth services was limited. During the early stages of the pandemic, Medicaid beneficiaries were significantly less likely to ...

A new American Health Information Management Association study aimed at finding a better understanding of the operational realities of how social determinants of health data is used in real-world ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

Grady Health System's director of physician revenue cycle shares a framework for creating effective physician coding education programs that improve compliance and performance against quality metrics.

Michael Connelly is the former CEO of Cincinnati-based Mercy Health, serving in that role between 1995 and 2017. The author of “The Journey’s End,” which highlights his frustration with billing issues ...

Healthcare organization CFOs are facing a perfect storm of challenges around medical coding. With few workers entering a field dominated by older Gen X-ers and Baby Boomers, there’s a growing gap in ...