Filling out the CMS-1500 form accurately is key to faster reimbursements and fewer denials for outpatient medical providers. From patient intake to coding and submission, every detail matters in ...

In this episode, Ray Cochrane unpacks Anthropic's Mythos model and the Treasury's emergency meetings with Wall Street, then ...

The CDC and CMS have issued updated ICD-10-CM guidelines effective April 1, 2026, reinforcing accurate documentation and collaboration between providers and coders. The revisions, approved by the ...

The Family and Social Services Administration launched the reviews after attendant-care spending spiked by more than $150 ...

Several states have either approved or proposed legislation to expand Medicaid dental coverage for residents or increase reimbursements for dental providers. Four updates: 1. Louisiana legislators ...

There is something magical about Keeneland in the spring that never, ever gets old. The rhythm of the crowd, the quiet energy ...

CMS Deputy Administrator and Director of Medicare Chris Klomp and Deputy Administrator and Chief of Staff Stephanie Carlton talked with AHA Board Chair Marc Boom, M.D., president and CEO, Houston ...

A retrospective study of outpatient visits found that use of the Centers for Medicare & Medicaid Services (CMS) G2211 add-on code has grown steadily since inception in 2024 but remains well below ...

Inpatient encounters for Medicare patients 65 years and older are associated with higher coding intensity compared with commercially insured, Medicaid, or self-pay hospitalizations for those same ...

The Centers for Medicare & Medicaid Services has proposed a 2.4% Medicare pay hike for fiscal 2027 and is developing ways to eliminate payment “creep” under the Patient Driven Payment Model. The 2027 ...

Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate diagnosis codes for its Medicare Advantage enrollees ...

Federal officials sent out email alerts last week about the prevalence of Medicare scams, warning about fraudsters calling out of the blue and asking if you are on the federal health insurance system ...