New York, United States — May 8, 2026 — RAAPID INC launched a unified Risk Adjustment Platform designed to integrate clinical documentation, coding, quality assurance, audit management, and evidence ...
Cold-related illnesses (CRIs) are preventable yet often deadly. Using twenty-five years of data from the National Inpatient ...
WASHINGTON — For decades, politicians have blamed the country’s biggest doctor lobby for some of the health care systems ...
Elevance senior executive fights DOJ deposition bid in Medicare Advantage fraud case tied to diagnosis code submissions from 2012 to 2015.
Judge Shields Anthem Deposition Prep Talks in Medicare Fraud Case, Denies Government Request NEW YORK, NY — A federal judge ...
Before implementing additional fee schedule changes to increase primary care reimbursement, policy makers should evaluate the ...
Providers regularly make four coding mistakes that draw scrutiny from regulators and auditors, a long-time compliance expert warned Wednesday.
The Centers for Medicare & Medicaid Services (“CMS”) recently published its proposed payment rules for general acute care ...
Plus Therapeutics, Inc. (Nasdaq: PSTV) ("Plus" or the "Company"), a healthcare company developing and commercializing precision diagnostics and radiopharmaceuticals ...
Bigger payment boost: CMS finalized a 5.06% Medicare Advantage payment increase for 2026, up from 2.23% in the proposal, totaling over $25 billion. New risk model: The V28 risk adjustment model takes ...
Evidence suggests that adoption of oncology biosimilars in Medicare value-based payment models has produced substantial cost ...
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ICD-10 coding updates every medical coder needs
ICD-10 coding is evolving again for FY 2026, bringing new codes, updated guidelines, and compliance requirements that every healthcare provider and coder must follow. These changes affect ...
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