Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...

CMS has published online most of the edits utilized in its Medically Unlikely Edit (MUE) program to improve the accuracy of claims payments for Medicare Part B services. These edits, applied during ...

The American Academy of Family Physicians spoke out in opposition to recent current procedural terminology code edits from the National Correct Coding Initiative, saying the edits may affect patients’ ...

The need to deploy AI coding tools with greater accuracy and security has prompted a wave of innovation led by start-ups such ...