Federal enforcement of the False Claims Act (FCA) against healthcare and pharmaceutical companies—especially based on alleged ...

Medicare claims use specific codes for billing. Only healthcare professionals and facilities use these codes. Read more.

On behalf of the nearly 5,000 member hospitals, health systems and other health care organizations, and our clinician partners — including more than 270,000 affiliated physicians, 2 million nurses and ...

For the third time in about 2 1/2 years, hospitals or other providers that are part of Dartmouth-Hitchcock Health, a large health system in New Hampshire, have settled a case with the HHS Office of ...

Medical billing and medical coding are crucial aspects of the medical revenue landscape. Both jobs ensure health care providers get paid for their services. Medical coders read the providers’ ...

CMS has updated its 1500 Claim Form to prepare for the ICD-10 code set. The new CMS-1500 form version 02/12 will replace the version 08/05 and give providers the choice of using ICD-9 or 10 diagnosis ...