reimbursement

Aetna is following Cigna's lead with a new payment policy that will initially pay inpatient claims at a lower observation...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing...

See how AI and predictive analytics streamline Moffitt?s revenue cycle strategy.

For CFOs, the report is both a spotlight on improved performance and cautious reminder of where challenges still lie.

A new CMS final rule increases IPPS payment rates by 2.6% for 2026 and finalizes several key policy changes, including...

The proposed rule for the 2026 Physician Fee Schedule seeks suggestions to replace the AMA committee that assesses the resources...

After years of saying it?s not as good as in-person care, CMS is now proposing to allow the Medicare Diabetes...

See these tips from the CFO of a health plan and the CFO of a health system on Medicare...

For finance executives, items like cost-to-collect, FTE optimization, and patient satisfaction must all be part of the ROI equation.

See what the CFO of a health plan and the CFO of a health system think is the solution to...

As rural hospitals struggle with mounting financial pressures, some of the biggest urban hospitals are tapping into rural Medicare benefits.

CMS is proposing expanding coverage of digital health devices used in some behavioral health treatment programs and asking for comments...