Inspector General Isabel Cumming said the fraud cost taxpayers "thousands of dollars" and she referred her team's findings to ...

For Grant Nerren, 2025 was a busy year, full of highs and lows that likely contributed to a certain level of stress. Life was ...

Transforming healthcare underpayment detec AI in 2026 improves revenue recovery for U.S. hospitals facing $130 billion in annual losses.

Kentucky-based Addiction Recovery Care is under fire in a civil lawsuit for allegedly fraudulently billing Medicaid for a ...

Kentucky-based Addiction Recovery Care is under fire in a civil lawsuit for allegedly fraudulently billing Medicaid for a service. A federal database shows ARC made up 20% of all payments for that ...

April Health reports that the Collaborative Care Model effectively addresses the mental health gap in rural America by integrating behavioral health into primary care.

Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.

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Proprietary Laboratory Analyses (PLA) Codes are an addition to the CPT® code set approved by the AMA CPT® Editorial Panel. They are alpha-numeric CPT lab codes with a corresponding descriptor for labs ...

On Nov. 1, 2019, the Centers for Medicare and Medicaid Services (CMS) finalized a historic provision in the 2020 Medicare Physician Fee Schedule Final Rule. This provision includes revisions to the ...