Daniel Siegel, MD, discusses a loophole he looks out for in ICD-10 coding and billing.
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
Denials, audits and delayed payments are accelerating across ASC, and leaders say payer behavior has become more aggressive, ...
Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...
Administration comprises 25% of all healthcare costs, making it a key target for automation. Organizations are using AI to ...
Stark law enforcement is intensifying as the Justice Department recovered a record $6.8 billion under the False Claims Act and regulators continue refining key exceptions that shape how physicians ...
On January 16, 2026, the U.S. Department of Justice (DOJ) released its annual False Claims Act (FCA) enforcement statistics, announcing that FCA settlements and judgments exceeded $6.8 billion in the ...
On December 1, 2025, the First Circuit Court of Appeals delivered a decision that should bring welcome relief to clinical ...
Straight Arrow News on MSN
Why more doctors are billing their patients like it's the 1920s
Cash-based clinics, or direct primary care, are becoming more popular as health care spending skyrockets and quality of care ...
The expansion of Claude for Life Sciences focuses on enhancing the clinical trial operations and regulatory stages of drug development. New integrations with platforms such as Medidata and ...
Medical Device Network on MSN
JPM26: Anthropic advances healthcare presence with new AI toolkit
Anthropic’s Claude for Healthcare connects the company’s AI model to the likes of the CMS’s coverage database to streamline efficiencies for providers and payors.
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