Several insurers are automatically downcoding -- and, therefore, paying less for -- claims for non-procedural office visits, a practice that provider groups said is unfair and may be anticompetitive.

CMS’ final 2026 Medicare physician fee schedule is set to take effect Jan. 1, posing valuation risk for complex spine surgery, according to the International Society for the Advancement of Spine ...

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 ...

Doher Drizzle Pablo was drowning in travel receipts. After her company transferred her to Sweden from the Philippines last year, she’d started visiting clients in at least two countries a month, and ...

The 2026 update of the American Medical Association (AMA)’s Current Procedural Terminology (CPT) code set introduces new billing options for remote patient monitoring and artificial intelligence ...

The American Medical Association has released new medical codes for 2026 amid a growing debate about whether the medical group may have too much influence over the healthcare coding system. The AMA ...

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1. The 2026 CPT code set includes 418 total changes: 288 new codes, 84 deletions and 46 revisions. 2. Proprietary laboratory analyses and Category III CPT codes for emerging medical services each make ...

As companies like Amazon and Microsoft lay off workers and embrace A.I. coding tools, computer science graduates say they’re struggling to land tech jobs. Manasi Mishra recently graduated from Purdue ...

AMA resources on the CPT code set help build coding proficiency, provide guidance and facilitate reliable communication for patient care. Even the most experienced medical coders can have ...

Value-focused patient care is transforming medical practice. As rising healthcare costs in the United States challenge the widely used fee-for-service architecture, innovative, patient-centered care ...