AIDS Healthcare Foundation, a Los Angeles-based nonprofit, has agreed to pay $1.44 million to resolve allegations that it violated the False Claims Act by submitting or failing to delete false or ...

Physicians largely still hold their patients’ confidence in the exam room. About 87% rate patient trust in their clinical judgment as high, according to Medscape’s 2026 Patient Relationships Index.

BCBS claims that bump coding has become more widespread because hospitals are using AI tools to identify secondary diagnoses. Automated tools can skim a patient’s chart and prompt physicians to ...

Most sites undercharge on research-paid items because no one reconciles the sponsor budget against the charge master. Here is ...

If it is concern about how the MBS is interpreted causing worry, software vendors say, the department should look closer to home.

A Houston doctor is accused of submitting millions of dollars in claims tied to COVID testing sites — including locations at ...

St. Luke's University Health Network (SLUHN) is switching to paperless billing later this month. A notification sent to patients indicated the change would happen on March 20. "This means you will no ...

Inspire Medical Systems (NYSE:INSP) demonstrates strong core gross economics with a 85.5% gross margin, $415.2 million in ...

Most people assume that once they’ve paid a medical bill, the transaction is final. The money is gone, the account is closed, and life moves on. What very few patients realize is that a quiet credit ...

A Kansas resident shares her struggle with surprise medical bills and why new legislation could bring real transparency.

Anthropic is pushing Claude into prior authorization, medical records, drug discovery and global health. A physician explains ...

Survey of 412 clinicians and practice leaders: 78% of prior authorizations still go by fax, phone or portal, and 41% ...