A CMS pilot program will require providers in six states to submit select Medicare services for AI-enabled prior authorization or post-service medical review.

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For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, ...

The senator is asking stakeholders with relevant experience and knowledge of CPT coding contracts to respond to a questionnaire.

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.