Ever wondered about the unsung heroes of the healthcare system? The ones who make sure your medical bills are accurate, ...

Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...

In the beginning of the year, Dr. Terry Wagner’s office manager came to him and said “something weird is going on.” For weeks, the office manager told him, Wagner had been quietly underpaid by the ...

With health insurance, people (theoretically) obtain a cheaper and more convenient way to get their ailments treated. “Medicare is a government national health insurance program in the United States, ...

Claims denials by insurers are a major source of revenue loss for healthcare providers. Nearly 20% of all claims for medical practices are denied, and alarmingly, up to 60% of these are never ...

Consolidation among health insurers has damaging effects on independent physician practices and their patients, according to the American Medical Association’s new report, “Competition in Health ...

Insurance verification expansion helps healthcare practices address eligibility challenges before patient visits.

AI and machine learning are transforming healthcare at a breakneck pace—but progress isn’t all smooth sailing. As systems get smarter, the need for a smarter workforce grows too. According to a recent ...