As AI reshapes medical coding, patients and employers may end up paying more without receiving the right level of care.
Earley Law Group reports how ICD-10 codes are used to classify slip-and-fall injuries for treatment, insurance, and liability ...
ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...
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.
On January 1, 2021, new evaluation and management (E&M) coding guidelines for clinical office visits go into effect across the US. These guidelines, which reflect the most significant change in E&M ...
A transformation is underway in medical coding as automation permeates medical billing. It raises many questions, such as what kind of skill sets will be needed for this new generation of coding? Will ...
Many trans patients have trouble getting their insurers to cover gender-affirming care. One reason is transphobia within the U.S. health care system, but another involves how medical diagnoses and ...
The healthcare industry has seen rapid advances in artificial intelligence (AI) and machine learning capabilities in recent years—from virtual health assistants and drug discovery to development and ...
In this week's BMJ, Nigel Hawkes, freelance journalist and Director of Straight Statistics, a campaign for the better use of statistical data, investigates how the way that patients are allocated ...
Send a note to Doug Wintemute, Kara Coleman Fields and our other editors. We read every email. By submitting this form, you agree to allow us to collect, store, and potentially publish your provided ...
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.