The proposed rule aims to improve prior authorization for prescription drugs by establishing and requiring electronic prior ...

Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert warned Wednesday.

The 2026 ICD-10-CM update brings over 1,200 new codes, refined sequencing rules, and expanded guidance for conditions like COVID-19 and social determinants of health. These changes will significantly ...

The CMS-1500 form is the lifeline for providers seeking timely reimbursements from Medicare, Medicaid, and commercial insurers. In 2026, stricter compliance checks, AI-powered claim scrubbing, and ...

The Trump administration is testing out a new 10-year program for value-based chronic condition management that leans heavily ...