Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until at least May 1, the insurer confirmed to Becker’s March 31. The ...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing it undermines clinical judgment and creates an unfair ...

In the U.S. healthcare industry, claim denials are a significant issue, costing healthcare providers billions of dollars every year. it’s estimated that denied claims amount to astounding $250 billion ...

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 ...

Please provide your email address to receive an email when new articles are posted on . In 2024, 83% of APPs in nephrology were white and 89% were women; 18% were aged 50 years of older. Average ...

E.M.S. Week is a time to thank our E.M.S. providers for all that they do for the community. Several awards were given out at the Holiday Inn Express in North Platte to show appreciation for all of ...

Although Recovery Audit Contractors (RACs) are not currently evaluating facility evaluation and management (E&M) services, it may not be long before they do. In the 2010 final rule for the hospital ...