Medicare overpaid for optometry services to nursing homes, the Office of Inspector General’s (OIG) audit report released Thursday found. In OIG's sample, ...

Objective: To assess the correlates of changes in emergency department (ED) prices for self-pay patients from 2021 to 2023. Study Design: Retrospective longitudinal analysis of self-pay prices for ED ...

Medicare overpaid just 15 optometrists serving nursing home residents an estimated $3 million over three years for low-level ...

Effective January 1, 2026, Hospital Outpatient Department (HOPD) reimbursement for CPT 64568 will increase to approximately ...

The healthcare industry in Texas continues to expand. As the population ages, the need for medical services grows. Increasing medical services means higher demand for medical billers and coders who ...

Last Friday (November 21), the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2026 Outpatient Prospective Payment ...

On Nov. 21, 2025, the Centers for Medicare & Medicaid Services (CMS or Agency) released the calendar year (CY) 2026 Hospital Outpatient ...

Senate Health, Education, Labor and Pensions (HELP) Committee Chair Bill Cassidy, M.D., is doubling down on his scrutiny of the American Medical Association's (AMA's) handling of billing and claims ...

CMS previously established a payment determination, effective January 1, 2025, for the Category 1 CPT code 81195 at $1263.53 based on a crosswalk to an existing code. A request for reconsideration and ...

The new Category III code, CPT 1019T Lymphovenous bypass, including robotic assistance, when performed, per extremity, will become effective in the U.S. on January 1, 2026.

Medical Microinstruments (MMI) announced today that it won reimbursement for its surgical lymphovenous bypass (LVB) surgery ...

The SWE-Bench Verified evaluation is basically a test of AI processing accuracy. It measures how well the AI solves a set of coding problems. According to OpenAI, GPT-5.1-Codex-Max "reaches the same ...