Medical coding no longer lives quietly behind the scenes. Today, it sits at the crossroads of money, compliance, and patient trust. Every number entered and modifier applied can shape what happens ...

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle ...

Explore 2025 managed care enforcement trends under the Trump administration. Learn about Department of Justice (DOJ) and ...

As a health care leader, it is your job to navigate resource allocation and reduce administrative burden. Canada’s strict ICD ...

The Department of Justice (DOJ) is pairing aggressive health care fraud enforcement with a mandate for restraint. Former US Attorney Erek L.

The tumour had begun as a dull ache. Nothing serious – just a nagging throb at the back of his head. But month after month, the pain grew sharper, heavier, unrelenting. One afternoon, when the cattle ...

Healthcare professionals entered the medical field to help patients, not to drown in paperwork. Yet administrative tasks now ...

Denials, audits and delayed payments are accelerating across ASC, and leaders say payer behavior has become more aggressive, ...

A University of Queensland food waste researcher says Australia's hospitals and aged care facilities could save money and ...

JotPsych, creator of the leading AI scribe for behavioral health, today announced the launch of JotAudit, an audit-intelligence platform that fundamentally rewrites how behavioral-health clinics ...

Vara Imandi is a technology leader and Director of Partner Product Success at Salesforce, known for bridging legacy healthcare systems with modern AI through MuleSoft and Agentforce. His work focuses ...

Learn how gatekeepers in healthcare manage patient access to treatments, reduce costs, and function in health insurance and ...