Billing Management

Will BCBSM’s Billing Shift Harm Michigan Mental Health?
Infrastructure & Management Will BCBSM’s Billing Shift Harm Michigan Mental Health?

The decision by Blue Cross Blue Shield of Michigan to end 'incident-to' billing threatens to disrupt the therapeutic relationships of thousands of patients currently in treatment. This sudden administrative shift has sent shockwaves through the local healthcare landscape, forcing clinicians and

Cyber Resilience Key to Water and Healthcare Credit Ratings
Regulatory & Compliance Cyber Resilience Key to Water and Healthcare Credit Ratings

Financial stability in the wake of a hack depends largely on an organization's ability to absorb sudden, high costs without affecting debt service. In the current economic landscape, credit rating agencies have elevated cybersecurity from a technical footnote to a primary pillar of institutional

Should Medical Billing Codes Be in the Public Domain?
Infrastructure & Management Should Medical Billing Codes Be in the Public Domain?

The financial scale of the medical billing system is immense, with licensing fees from hospitals and insurance companies contributing to hundreds of millions in revenue for a single non-profit. This economic reality sits at the center of a pivotal legal challenge filed by PatientRightsAdvocate.org

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

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