The idea behind it seems reasonable: Insurers want to ensure treatments are medically necessary before they pay for them. But in practice, it often means delayed appointments, stalled medication ...

Transcure announced the introduction of a structured lineup of AI medical billing agents designed to address distinct functions across the revenue cycle management process. The announcement outlines a ...

The Centers for Medicare & Medicaid Services will soon require all Medicare Advantage plans to submit data on initial coverage decisions and appeals they process.

President Donald Trump signed the Fiscal Year 2026 National Defense Authorization Act last week. At more than 3000 pages, the ...

Although the Centers for Medicare & Medicaid Services (CMS) issued a final rule on prior authorization, there is more that can be done to ease clinician burdens in this area, according to Rep. Suzan ...

Next year, Texas will be one of six states participating in a Medicare pilot program that uses artificial intelligence to review certain patient service requests to reduce fraud, waste and abuse.

The legislation would prohibit the federal government from implementing the Medicare pilot, which is expected to go into ...

The medical billing process can be complicated. Follow this step-by-step process to ensure you do it correctly.

Botox first became a household name for its ability to turn back the clock on facial aging. However, if you are considering Botox for cosmetic reasons and expecting Medicare coverage, you' ...

The Centers for Medicare & Medicaid Services (CMS) claims that WISeR, using AI technology, "will help ensure people with ...