Insurers must either pay a claim, deny it with a stated reason, or request additional information,” MedChi CEO Gene Ransom ...

Inspector General Isabel Cumming said the fraud cost taxpayers "thousands of dollars" and she referred her team's findings to law enforcement.

For Grant Nerren, 2025 was a busy year, full of highs and lows that likely contributed to a certain level of stress. Life was eventful enough that Nerren figured some of the symptoms about which he’d ...

Transforming healthcare underpayment detec AI in 2026 improves revenue recovery for U.S. hospitals facing $130 billion in annual losses.

Kentucky-based Addiction Recovery Care is under fire in a civil lawsuit for allegedly fraudulently billing Medicaid for a ...

Kentucky-based Addiction Recovery Care is under fire in a civil lawsuit for allegedly fraudulently billing Medicaid for a service. A federal database shows ARC made up 20% of all payments for that ...

April Health reports that the Collaborative Care Model effectively addresses the mental health gap in rural America by integrating behavioral health into primary care.

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Medical service providers are responsible for billing insurance companies for their patients’ services and procedures. To do so, they must file medical claims as part of the medical billing process.