Hospitals and clinics are preparing for a high-stakes 2026 as CMS coding updates, payer-specific rules, and AI-powered audits converge to increase compliance risks. New telehealth, chronic condition, ...

Healthcare organizations are increasingly replacing manual billing processes with automation-driven workflows to improve accuracy, reduce claim denials, and accelerate reimbursements. Industry trends ...

CMS will require all states to audit healthcare providers participating in Medicaid in an effort to address alleged fraud, Politico reported April 21. Administrator Mehmet Oz, MD, unveiled the plan at ...

Discover 10 high-paying jobs you can train for in under a year, with short programs, strong salaries, and fast paths into ...

Students enrolled in the Medical Billing and Coding program at Garrett College are approaching the final phase of their ...

The percentage of Medicaid beneficiaries diagnosed with OUD decreased from 4.2% (n = 738,060) in 2019 to 3.6% (n = 1,046,075) ...

Polaris Career Center will host an adult open house on April 30 to showcase hands-on career training programs and enrollment ...

Claims advocacy is a service that does not get enough attention during benefits evaluation, but it can meaningfully affect employee outcomes and plan costs.” — Sam Newland, CFP — Founder, PEO4YOU ...