With the red tape of health insurance already causing frustration for millions of Americans, doctors are helping to shed light on a common industry practice: downcoding. This occurs when insurance ...

In programs with three leading value-based care organizations, including Homeward Health, Zus used AI for both suspecting and recapture to uncover hidden clinical complexity and close risk adjustment ...

Private Medicare Advantage can include more types of coverage than traditional plans, but it doesn't necessarily deliver more ...

After four years, federal price transparency rules have revealed a meaningful number of prices. But they’ve revealed ...

California lawmakers require insurers to keep more accurate provider directories, but state rules aren’t complete, and "ghost networks" fail patients without much penalty.

Use lifestyle interventions to show no signs of type 2 diabetes for at least three months? There's a code for that: E11.A.

Massachusetts’ certificate-of-need law is allegedly forcing referrers to recommend patients cross state lines to access affordable radiology services, Radiology Business reported Oct. 13. Amy Boutwell ...

nginx-asg-sync is an agent process that runs on the same instance as NGINX Plus. It polls for changes to the backend instance groups via the Cloud Provider API. When it sees that a scaling event has ...

In today’s healthcare landscape, medical practices work hard to deliver excellent patient care while also ensuring smooth ...

Doctors say that insurers are automatically downgrading their claims and paying less. Fighting back takes time and money — ...