The American Medical Association is overhauling how U.S. doctors report and bill for pregnancy services, bulldozing the current system of bundled payments and replacing it with more granular, itemized ...
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 ...
ASCs will continue to receive separate Medicare reimbursement for certain non-opioid pain management devices in 2026 under the NOPAIN Act. As part of the ruling, CMS confirmed the Game Ready Pro 2.1 ...
For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, not a strategic one to be solved. That era is over. Denials have quietly ...
A physician-turned-prominent senator has put the American Medical Association (AMA) on notice again, demanding an accounting of the profits it earns from its “monopoly” over the coding system used for ...
The field of theranostics is experiencing rapid growth, driven by the expanding pipeline of radiopharmaceutical therapies and increasing clinical demand. This paper provides a comprehensive overview ...
PRINCETON, N.J., Oct. 27, 2025 (GLOBE NEWSWIRE) -- UroGen Pharma Ltd. (URGN), a biotech company dedicated to developing and commercializing innovative solutions that treat urothelial and specialty ...
“Guilty until proven innocent.” That’s how one practice owner described downcoding policies being implemented by large insurers on local independent physicians. After reviewing billing statements, ...
This article is the latest in the Health Affairs Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider ...
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