The practice of medicine, as a business, is a challenging model. You have minimal control over your prices, no ability to negotiate with your biggest payers (the governmental ones, that is), and ...

Amber Nigam is CEO and co-founder of basys.ai, a Harvard-based company streamlining prior authorization for health plans with generative AI. Findings from a U.S. Senate investigation released in ...

An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect ...

Professional reimbursement to neonatal providers is based on the level of Current Procedural Terminology (CPT®) coding in the NICU, newborn nursery and other areas where neonatal care is provided.

DALLAS--(BUSINESS WIRE)--IKS Health, a global leader in care enablement solutions across the patient journey, is proud to announce the launch of its AI-driven revenue cycle management (RCM) ...

Bill Gilbert, vice president of marketing, and Brice Voithofer, vice president of ASC and anesthesia services, for AdvantEdge Healthcare Solutions, discuss the dangers of not regularly auditing ...