Local doctors are unhappy with an attempt by Blue Cross Blue Shield of Massachusetts to identify physicians who are billing ...

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...

The Centers for Medicare & Medicaid Services (CMS) finalized the 2026 Outpatient Prospective Payment System (OPPS) rule with a wide range of policy updates that extend beyond core payment changes. A ...

The average amounts of a hospital’s denied inpatient and outpatient claims have increased by 12% and 14%, respectively, with greater denial volumes also accompanying an uptick in payer’s audits, ...

The outpatient center nears completion as MetroHealth faces ongoing financial challenges, including reporting $1 million in daily losses from charity care. However, investing in the health system ...

Beginning Jan. 1, 2026, ASCs will receive separate Medicare reimbursement for two electronic infusion pumps used in ...

Healthcare Administrative Partners (HAP), a leading provider of outsourced billing, coding, and practice management solutions for radiology practices, today announces the addition of Summit Radiology ...

On the policy front, the White House released an executive order 6 in February 2025 calling for the strengthening of price transparency initiatives in health care. In May 2025, the departments of HHS, ...

Spine surgeons are bracing for a shift after Democratic proposal and a Republican alternative addressing ACA subsidies recently failed to pass a Senate vote. Senate Democrats advocated for a ...