Many make federal reimbursement plans into an issue about high-paid specialists complaining about pay cuts, but these fees also compensate nurses, technicians, support staff and administrators. Payment keeps the doors of brick-and-mortar medical practices open, MGMA warns.

The organization is under fire after the patient’s wife charged that it could have prevented her husband’s untimely death. 

Effective Feb. 1, Blue Cross Blue Shield of North Carolina is no longer issuing separate payment for 3D rendering of imaging services (covered by CPT codes 76376 and 76377). 

Jonathan R. Medverd, MD, emphasized the valuable role such professionals play on physician-led teams, but emphasized they do not have the skills to interpret medical images. 

If three sticking points aren’t unstuck soon, older Americans won’t benefit much by the 1,000+ medical devices that, as of 2025, are both equipped with AI and cleared by the FDA. 

The insurance giant is charging the new board committee with monitoring company policies related to prior authorizations, claims adjudication and AI. The group is scheduled to meet four times a year.

In patients with treatment-resistant hypertension, the procedure has the potential to produce sustained blood pressure reductions for 36 months or longer. 

That number includes $285 million in damages. CVS Health’s PBM was found to have committed fraud when it pressured insurers to overbill Medicare Advantage plans for patient care services.