UroGen Pharma (URGN) announced that the Centers for Medicare and Medicaid Services, CMS, has assigned a permanent Healthcare Common Procedure Coding System, HCPCS, Level II J Code, J9282, for ZUSDURI ...

AlphaCoding supports healthcare organisations in informed coding decisions, with Benny as an AI assistant minimising manual ...

Two years ago, I would have told you that autonomous AI coding was too risky for risk adjustment. Today, I'm implementing it—but only after finding an approach that met my compliance requirements.

New CPT code changes for invasive cardiology and interventional radiology will take effect on January 1, 2026, impacting a significant portion of hospital net revenue and threatening to exacerbate ...

Healthcare, as an industry, is shaped by the convergence of a wide array of factors, including policy, labor and technology, to name a few. As the industry grows, ASCs have gained prominence as a way ...

Gastrointestinal procedures continue to dominate the ASC landscape in 2025, driven by increased screening demand, younger-onset colorectal cancer and ongoing migration of cases out of hospitals. All ...

“Guilty until proven innocent.” That’s how one practice owner described downcoding policies being implemented by large insurers on local independent physicians. After reviewing billing statements, ...

Little is publicly known about coverage denials for medical services that do not meet medical necessity criteria. We characterized the extent of these denials and their key features, using Medicare ...

As AI coding tools flood enterprises with functional but flawed software, researchers urge embedding security checks directly into the AI workflow. AI-generated code – vibe coding – is an exciting ...