At the core of every AI coding agent is a technology called a large language model (LLM), which is a type of neural network ...

Cleveland Clinic said it is using generative artificial intelligence to automate routine medical coding tasks while improving revenue cycle ...

CMS is the single largest payer for healthcare in the United States, with Medicare responsible for approximately 21% of total healthcare ...

Endoscopic spine surgery is reaching a pivotal moment in adoption in the U.S., and it’s well-suited for ASCs. However reimbursement remains a key hurdle for growth. Multiple hospitals and practices ...

Two U.S. Medicare administrative contractors (MACs) have removed CPT code 6468 from their group 1 CPT codes, a move that may cut rates for implant of Inspire Medical Inc.'s flagship product, the ...

Currently, no FDA-approved drug therapies exist for pediatric patients with abdominal pain related to functional dyspepsia, a significant unmet medical need. In the absence of approved options, ...

When CMS quietly updated the Medically Unlikely Edit (MUE) for CPT 64772 from two to six units for 2026, it didn’t make headlines, but it should have. This change isn’t simply a coding adjustment. It ...

Stifel said the sudden removal of CPT code 64568 by Medicare contractors Noridian and CGS disrupted the favorable ...

For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, ...

Inspire Medical (INSP) stock falls as the firm faces potential Medicare reimbursement cuts for its Gen 5 sleep apnea device ...

The No Surprises Act was designed to ensure fairness in out-of-network payment disputes. Instead, the statutory benchmark--calculated unilaterally by insurers and shielded from rigorous review--has ...

For years, debate around endoscopic spine surgery centered on whether the technique was ready for broad adoption. Questions about safety, durability, and outcomes dominated discussions among surgeons, ...