Inpatient encounters for Medicare patients 65 years and older are associated with higher coding intensity compared with commercially insured, Medicaid, or self-pay hospitalizations for those same ...

Ambience Healthcare rolled out an ICD-10 clinical document integrity assistant for inpatient care, aiming to help hospitalists document more accurate clinical notes and reduce billing and coding ...

CINCINNATI, Ohio, and St. Paul, Minn., (May 20, 2025) – Ensemble, an industry leading revenue cycle management company, announced a strategic partnership today with Solventum, a market leader and ...

A Prospective Reimbursement, more widely known as the Prospective Payment System (PPS), is a payment procedure installed in 1983 by the US government. Under PPS, healthcare agencies that are a part of ...

NEW YORK--(BUSINESS WIRE)--Nym, a leader in autonomous medical coding, today announced that it has added new capabilities to its revenue cycle management (RCM) solution, enabling hospitals and health ...

Major U.S. insurers are introducing significant reimbursement policy changes and aligning with the 2026 CPT code set, affecting coverage for remote monitoring, inpatient approvals, and high-level ...

After pushback from prominent provider organizations, Aetna is easing a controversial "downcoding" policy for inpatient Medicare Advantage claims. The insurer said in an updated notice late last week ...

Critical Access Hospitals (CAHs) are different - well, at least for Medicare. Prospective payment systems like APCs and MS-DRGs are not used by CAHs. So does this mean that the RACs will not be ...

With this expansion, chart-aware intelligence now covers every step of the hospital stay, from admission through discharge, synthesizing prior notes, labs, imaging, medications, vitals, and orders ...

There are currently around 1,740 procedures on CMS’ inpatient only list, which is reviewed and updated annually. However, CMS proposed eliminating the inpatient only list in 2021 after years of ...