The 2026 ICD-10-CM and CPT updates bring hundreds of new, revised, and deleted codes, plus tighter rules for modifier use. These changes impact reimbursement, compliance, and claim accuracy, making ...

Pregnancy-related medical coding can feel overwhelming, but understanding ICD-10 Chapter 15, trimester rules, and CPT pairings makes it manageable. From high-risk pregnancy documentation to bundled ...

The postponement of Blue Cross Blue Shield of Michigan’s (BCBSM) proposed reimbursement policy affecting evaluation and management (E/M) services billed with modifier 25 marks a critical step in ...

Clinical denials not human scale strain hospital resources as payers shift to complex back-end reviews, increasing financial and administrative burdens.

Learning to code used to start with a blank file or by piecing together bits of sample code from tutorials. Now, with Microsoft Copilot, you can start coding with a conversation. Copilot helps you ...

White Plume, the company behind STAR² Ai, reports that most AI and automation solutions are pointed at the wrong financial layer, addressing less than 15% of ambulatory economic opportunity while ...

Ribosome production depends on precise processing of precursor RNAs. Here, the authors present NanoRibolyzer, a nanopore-based method that maps rRNA processing and modifications at single-nucleotide ...

CMS may have improperly paid $2.26M for virtual services, per HHS OIG audit recommending system edits and clearer billing guidance.