Enables standardized inpatient hospital billing for QUELIMMUNE® (SCD-PED) therapy Universal code paves the way for billing of ...
New category-level framework replaces broad vendor scorecards with workflow-specific, provider-validated RCM rankings for ...
The Centers for Medicare and Medicaid Services added 573 procedures to the ASC covered procedures list for 2026 — 302 newly approved codes and 271 coming off the inpatient-only list. For the ...
Behavioral health utilization rose 62.6% since 2018 and dominates telehealth; timely outpatient linkage reduces behavioral health ED visits and admissions, yielding about $27.63 PMPM total medical ...
Layla Ellis and Kyrstin Waychoff are at very different places in their educational careers. Yet, both are benefiting from the ...
New resources give CDI, coding, and revenue integrity professionals the pediatric-specific training needed to improve documentation accuracy and ensure accurate reimbursement ...
A recent False Claims Act (FCA) ruling out of Tennessee offers a pointed reminder for hospitals and health systems: physician contracts that ...
Below is Alston & Bird’s Health Care Week in Review, which provides a synopsis of the latest news in health care regulations, notices, and ...
Nationally, roughly 1% of U.S. physicians have opted out of Medicare entirely, according to 2025 data from KFF. While 1% appears to be a marginal number upon first glance, a closer look at where those ...
While there have been efforts to revamp private health insurance in Malaysia, they do not appear to be enough.
To avoid losing funding, many states are pursuing proven cost-saving strategies like downsizing inpatient care rather than ...
Beyond dashboard most damaging denials reveal hidden revenue losses from DRG downgrades and short payments hospitals must address now.
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