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 ...

LYME borreliosis guidelines map the full spectrum of clinical manifestations from erythema migrans to neuroborreliosis. Developed using European data, the recommendations describe how this tick-borne ...

Blue Cross Blue Shield of Massachusetts is expanding its claims review process to address what it is describing as potential overcoding among physicians who routinely bill for high-complexity visits.

Prefer Newsweek on Google to see more of our trusted coverage when you search. Artiticifial intelligence technology company Suki announced an expansion for its assisted revenue cycle capabilities ...

Suki, an ambient AI healthcare company, is expanding its assisted revenue cycle capabilities to provide more specific automation and generate additional codes, including CPT and E/M codes. Suki, which ...

Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden, who joined Cigna ...

In a contentious move that has raised rare bipartisan concern from Congress, the Trump administration last week removed Centers for Disease Control (CDC) Director Susan Monarez, PhD, from her post, ...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing it undermines clinical judgment and creates an unfair ...

The California and Texas medical associations are urging Cigna to rescind a new policy they say will increase administrative burdens and create a barrier to appropriate reimbursement. Beginning Oct. 1 ...

In the U.S. healthcare industry, claim denials are a significant issue, costing healthcare providers billions of dollars every year. it’s estimated that denied claims amount to astounding $250 billion ...