Ever wondered about the unsung heroes of the healthcare system? The ones who make sure your medical bills are accurate, ...

Cheelcare has received Pricing, Data Analysis and Coding (PDAC) verification for its Companion power assist device, confirming reimbursement eligibility for Medicare and Medicaid under HCPCS code E098 ...

To ensure that no patient is left behind in receiving this potentially life-saving therapy, Mesoblast has established a patient access hub termed MyMesoblast™, where Ryoncil ® is available for ...

U.S. Medicare and Medicaid reimbursement eligibility achieved:The Company has received Pricing, Data Analysis, and Coding ("PDAC") verification, enabling U.S. Medicare and Medicaid reimbursement for ...

The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for calendar year 2027, which the agency ...

The CMS has proposed several key changes for 2027, to make sure Medicare "works better for the people it serves." ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...

Difference in spending attributed to "coding intensity" and "favorable selection" ...

The increased use of AI agents, advancements in robotic surgery and the rise of orthopedic and spine ASCs are among the most important trends this ASC administrator is following. Nearly 300 CPT codes ...

Cardiology has been shifting to the outpatient setting for years — a transition recently accelerated by technology and payer incentive alignment toward ASCs. In its 2026 final rule published Nov. 21, ...

For example, the No UPCODE Act, introduced by Senators Bill Cassidy (R-LA) and Jeff Merkley (D-OR), would eliminate the use of health risk assessments used to boost coding intensity and utilize two ...

As a health care leader, it is your job to navigate resource allocation and reduce administrative burden. Canada’s strict ICD ...