Many readers ask me about medical billing from home, so today I've done the research to help you understand exactly what ...

The delay in ­implementing the long-anticipated Diagnosis-Related Group (DRG) payment system for private healthcare services ...

A new AI approach to diagnostic coding boosts accuracy, reduces errors, and could even outperform human physicians.

The top senator on healthcare policy is taking a hard look at the American Medical Association’s “anti-patient and ...

Most hospital leaders understand the financial risk of prior authorization breakdowns. But another source of revenue leakage is gaining attention: ...

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 ...

Doctors say insurers are automatically downgrading their claims and paying less. Insurers say it’s their duty to prevent ...

The Providence Journal used that pricing data to analyze 19 billing codes at 10 of the state’s acute-care hospitals.

While the CFPB ruling that would remove all medical debt from credit reports was struck down, there are still protections you ...

A QHIN and interoperability pro explains what clean, standardized and interoperable data enables with AI. He also details ...

The federal shutdown reached its third week as Democrats and Republicans continued a stalemate over how to fund the government. In an Oct. 10 podcast, Bill Prentice, CEO of the Ambulatory Surgery ...