Billing Management

Lawsuit Aims to End AMA Monopoly on Medical Billing Codes
Infrastructure & Management Lawsuit Aims to End AMA Monopoly on Medical Billing Codes

The American Medical Association's decades-long control over the "lingua franca" of the U.S. medical system is being tested by a lawsuit that could eliminate mandatory licensing fees. Filed by the non-profit organization PatientRightsAdvocate.org, this legal action targets the Current Procedural

Who Really Owns America’s Medical Billing Codes?
Digital Health Who Really Owns America’s Medical Billing Codes?

The legal principle that no one can own the law serves as the foundation for a new judicial effort to strip the American Medical Association of its long-held copyright on procedural codes. Since the mid-twentieth century, the Current Procedural Terminology, or CPT, has functioned as the universal

Cedar Launches Kora AI to Simplify Patient Medical Billing
Infrastructure & Management Cedar Launches Kora AI to Simplify Patient Medical Billing

Transforming the Patient Financial Experience Through Agentic AI The traditional headache of deciphering complex medical invoices is finally meeting its match as autonomous agents begin to overhaul the once-static landscape of healthcare revenue cycles. For most patients, the anxiety associated

Craneware Cyberattack Disrupts US Healthcare Supply Chain
Regulatory & Compliance Craneware Cyberattack Disrupts US Healthcare Supply Chain

The delicate equilibrium of the American medical infrastructure has been severely shaken following a massive data breach at Craneware, a prominent software provider responsible for the financial health of thousands of healthcare facilities. This sophisticated cyberattack, which originated from an

Trump Administration Investigates AMA Medical Coding Monopoly
Infrastructure & Management Trump Administration Investigates AMA Medical Coding Monopoly

The current federal scrutiny of the American Medical Association’s exclusive grip on medical coding represents a pivotal moment for a healthcare system that has long struggled with rising administrative costs and bureaucratic complexity. As the Centers for Medicare and Medicaid Services launches a

Prior Authorization Becomes a Strategic Revenue Imperative
Infrastructure & Management Prior Authorization Becomes a Strategic Revenue Imperative

Healthcare systems are currently facing a liquidity crisis where the difference between a surplus and a deficit often hinges on the efficiency of the revenue cycle. Health systems across the country are currently grappling with an environment where nearly one-quarter of all claims denials are

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