Search
AI is accelerating the volume of transactions without increasing efficiency, report finds.
HHS is proposing to adopt certain HL7 FHIR standards and implement specifications for transactions related to prior authorizations.
Close to 60% of providers who responded to an HFMA survey say they have yet to implement AI or automation in the revenue cycle.
Insurers denied more claims on clinical grounds in 2025 compared with 2024, says new report.
Hospitals are on the receiving end of patients coming through the door who don't have the funds to cover services, says Seth Cohen, president of Cedar.
The non-binding committee will make recommendations on, among other issues, ways to modernize MA risk adjustment and quality measurement.
A whistleblower, a former Aetna risk-adjustment coding auditor, will receive $2 million.
Using real-time data and AI, core processes are becoming faster and more transparent, Optum says.
The agency gave Elevance a deadline of March 30 to submit data corrections to avoid the enrollment freeze.
The intelligent automation will deliver more timely decisions that reduce delays and improve access to care, Optum says.
