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 ...

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 ...

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, ...

The ISMS-backed bill would prohibit health insurance companies from automatically coding a health service at a level lower than what patients received. This bill is another example of how Illinois ...

SPRINGFIELD, Ill. (WAND) — The Illinois Senate Insurance Committee unanimously approved a bill to prohibit insurance companies from using artificial intelligence to code a health service lower than ...

SPRINGFIELD, Ill. (WAND) — The Illinois Senate unanimously passed a bill Thursday to ban insurance companies from automatically coding a health service lower than what is actually provided to patients ...