Emergency medicine (EM) has always been subject to payer scrutiny, but today’s reimbursement pressure is different: it is ...

In 2026, medical coding saw two defining changes: the addition of 288 CPT/HCPCS codes that formalize billing for emerging AI and digital health services, and an April ICD-10-CM update that overhauled ...

ENT billing and coding is a high-stakes game where precision means the difference between smooth reimbursements and costly denials. With stricter 2026 rules, modifiers, bundling edits, and payer ...

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 ...

Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

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Blue Cross Blue Shield of Massachusetts is expanding its claims review process to address what it is describing as potential overcoding among physicians who routinely bill for high-complexity visits.

If you’re bummed out that you’ve been singing the wrong lyrics to R.E.M.’s “It’s the End of the World As We Know It” for 38 years, here’s some news that might cheer you up. Super fans Michael Shannon ...

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 ...