As healthcare provider groups fought back against the Department of Health and Human Services warning about upcoding, they contested that more coding does is not the same as coding fraud, according to ...

WASHINGTON — For decades, politicians have blamed the country’s biggest doctor lobby for some of the health care systems ...

2. Phantom billing. Healthcare companies commit phantom billing fraud when submitting claims for services not actually performed. 3. Inflated hospital bills. Inflated bills occur when patients are ...

A small Austin medical supply business that appeared to be little more than a mailroom is at the center of an alleged Medicare billing scheme that prosecutors say moved quickly and funneled millions ...

MINNEAPOLIS - An indictment was unsealed today alleging that Gabriel Langford and Elizabeth Brown, a Minnesota couple, engaged in a $15 million scheme to defraud Medicare, Medicaid, and other insurers ...

A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of ...

Healthcare systems are rapidly adopting AI-driven medical coding and documentation tools in 2026, aiming to cut administrative burdens, improve billing accuracy, and enhance patient care. Experts ...

AI-driven medical coding systems are rapidly reshaping healthcare revenue cycle management in 2026, reducing coding time by 40% and achieving accuracy rates above 95%. These tools, powered by natural ...