Cardiology coding in 2026 is undergoing sweeping changes, with new ICD-10 and CPT updates transforming how services are documented, billed, and justified. These shifts span from E/M reporting changes ...

BCBS Illinois has plans to bolster its claims editing and review procedure, the insurer said March 16. The process will change July 1 for office, inpatient and outpatient evaluation and management ...

In part 2 of this article, we describe the growing importance of artificial intelligence tools in evaluation and management (E&M) services. We emphasize the importance of physicians proactively ...

Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

An upcoming policy from Cigna Healthcare will focus on codes for office visits, but the move is concerning one spine surgeon. Effective Oct. 1, Cigna’s new Evaluation and Management Coding Accuracy ...

On May 27, 2025, HHS Office of Inspector General (OIG) issued a report outlining its finding that Medicare payments for evaluation management (E&M) services provided on the same day as eye injections ...

STAMFORD — A Connecticut physiatrist and her Stamford-based practice paid hundreds of thousands of dollars to resolve accusations that they submitted false claims to the Medicare program and received ...

"For telephone-only (audio only) visits, Medicare has officially stated that such a visit would be considered the same as an in-person visit, with a few qualifications," write Jonathan Rubenstein, MD, ...

Join Brian Zimmerman as he chats with Andrew Lockhart, CEO of Fathom, and Nick Rogers, Head of Revenue Cycle for Amazon Health Services, about their partnership. The conversation explores how ...