In the beginning of the year, Dr. Terry Wagner’s office manager came to him and said “something weird is going on.” For weeks, the office manager told him, Wagner had been quietly underpaid by the ...

U.S. physicians routinely are seeing their higher-cost claims downcoded by insurers, a strategy a family physician in Cincinnati called a revenue grab, according to Medscape. Will Sawyer, MD, said ...

Add Yahoo as a preferred source to see more of our stories on Google. SPRINGFIELD, Ill. (WMBD) — State lawmakers are taking down a new insurance scheme that’s used to short-change doctors. It’s called ...

The ISMS-backed bill would prohibit health insurance companies from automatically coding a health service at a level ...

Several federal agencies issued a set of final rules based on the No Surprises Act aimed at making it easier for providers to contest payer decisions. During the IDR process, an arbiter is directed to ...

“Guilty until proven innocent.” That’s how one practice owner described downcoding policies being implemented by large insurers on local independent physicians. After reviewing billing statements, ...