From sweeping CPT and ICD-10-CM code updates to new Medicare reimbursement rules, 2026 will redefine how medical coders, billers, and providers work. AI-assisted workflows, efficiency adjustments, and ...

Glaukos has received a permanent U.S. reimbursement code for its incision-free keratoconus therapy Epioxa, effective July 1, 2026. The J-code is expected to streamline billing, expand insurance ...

This guide breaks down what separates enterprise-grade HME/DME billing platforms from glorified spreadsheets, which features actually move the needle on reimbursement rates, and how to evaluate ...

Anyone can code using AI. But it might come with a hidden cost. Subscribe to read this story ad-free Get unlimited access to ad-free articles and exclusive content. Over the past year, AI systems have ...

A retrospective study of outpatient visits found that use of the Centers for Medicare & Medicaid Services (CMS) G2211 add-on code has grown steadily since inception in 2024 but remains well below ...

Recently, the Centers for Medicare & Medicaid Services released its Advance Rate Notice for Medicare Advantage. On paper, it may not look like much — and that’s because it’s not. The proposed payment ...

AI coding tools boost code output; top adopters see nearly double the pull requests weekly. 63% of companies now use AI tools for most coding, per Jellyfish's study of 700 firms. Code quality remains ...

Aetna has agreed to pay $117.7 million to resolve allegations that it violated the False Claims Act by submitting or failing to withdraw inaccurate diagnosis codes for its Medicare Advantage enrollees ...

AI coding agents have become one of the fastest-growing categories in enterprise software. In the span of just a few years, these development tools have evolved from simple autocomplete assistants ...

APCM vs. CCM: what every primary care practice needs to know before switching; rates, rules, revenue impact, and who actually benefits from the new codes. For practices entering care management for ...

The Advanced Primary Care Management program introduced three new HCPCS G-codes effective January 1, 2025, under the final 2025 Medicare Physician Fee Schedule. These codes represent CMS's most ...