Last year, Tim Chevalier received the first of many coverage denials from his insurance company for the hair removal procedure he needed as part of a phalloplasty, the creation of a penis.

Medical coding is the foundation of how healthcare systems understand themselves. There is a code for being struck by a duck ...

The recent debate over expanding federal subsidies to lower commercial health insurance premiums is a symptom of the inability of insurers and regulators to control the underlying cost of health care ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...

WASHINGTON -- If things are a bit tense in your doctor's office come Oct. 1, some behind-the-scenes red tape could be to blame. That's the day when the nation's physicians and hospitals must start ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

BOSTON--(BUSINESS WIRE)--Avant-garde Health, the leading provider of solutions for improving perioperative quality and profitability, is helping Nebraska Methodist Health System enhance the accuracy ...

As of 2023, nearly half of U.S. hospital and health systems have at least one partnership, affiliation, or ownership interest in ASCs. Reports from industry publications indicate ASCs are becoming ...