In May 2022, a California doctor was sentenced to nearly eight years in prison for his involvement in a $12 million Medicare fraud scheme. His crime: performing unnecessary vein ablation procedures on ...

I just celebrated a big milestone I hope you never reach: I hit my health insurance plan’s $10,150 out-of-pocket maximum less than five months into 2026, thanks mostly to two major eye surgeries. That ...

A Midtown-based health startup aiming to reduce medical coding errors and payment denials to hospitals and health care providers launched out of stealth with $3.1 million in funding on Thursday.

Medical coding requires a deep understanding of medical terminology and procedures, as well as the ability to make judgment calls when necessary. Human coders are better equipped to handle these tasks ...

Artificial intelligence (AI)-enabled tools such as natural language processing (NLP) have been integrated into a wide range of applications, including risk adjustment coding tools, for greater ...

Gastroenterology is one of highest volume ambulatory surgery center specialties. Praveen Suthrum, president and co-founder of NextServices, explains five common GI/endoscopy coding and billing ...

Jessica Edmiston, coding manager, and Tamara Wagner, coding audit manager, with National Medical Billing Services, discuss eight common coding errors that create compliance problems and decrease ...

In today’s tech-driven healthcare landscape, artificial intelligence (AI) is transforming how healthcare organizations process data, manage workflows and optimize outcomes. Among the most promising ...