The case of one Maine woman shows how prior authorization rules can block coverage for even simple, medically necessary care.

Integrating Nym AI requires a clear plan that looks at both the technology and the people involved. By assessing current ...

A former Gonzaba nurse says she quit after three months over “concerns regarding fraud” in its billing practices. The ...

Medical coding can be a real headache, right? It’s complicated, time-consuming, and honestly, prone to errors when ...

Amir Javidan, CEO of WELLSTAR, commented, "The past twelve months have been transformational for WELLSTAR as we have firmly established ourselves as Canada's premier digital health platform for ...

Oregon health care providers who review every case in which a mother died during or soon after pregnancy have found that mental health conditions and substance use were the leading cause. Most of ...

Opening South County Hospital's spreadsheet, the hernia code is easier to find, as there's only one entry instead of an entry ...

When doctors analyze a medical scan of an organ or area in the body, each part of the image has to be assigned an anatomical label. If the brain is under scrutiny, for instance, its different parts ...

HOUSTON – (Oct. 14, 2025) – When doctors analyze a medical scan of an organ or area in the body, each part of the image has to be assigned an anatomical label. If the brain is under scrutiny for ...

Receiving a surprise medical bill can be a distressing experience, but with expert advice, you can learn how to push back against these unexpected charges. Robert Holbird, a 22-year Army veteran, ...

CHICAGO, IL – A suburban Chicago physician has been sentenced to ten years in federal prison for orchestrating a multi-year scheme to defraud Medicaid and private insurers. She was also ordered to pay ...