True efficiency is not just speed; it is clarity and simplicity. AI reduces steps, errors, and last-minute stress across GST ...

Phare Audit Uses Proprietary Agentic AI to Maximize Earned Reimbursement, Enhancing R1’s Industry-Leading DRG-V with Full ...

The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 ...

Affiliates of Kaiser Permanente have agreed to pay $556 million to resolve allegations that they improperly boosted Medicare ...

Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution on Snowflake Marketplace. The ...

Failing revenue cycle fix requires clinical AI that embeds medical logic to reduce rework, risk, and revenue leakage in health systems.

Precise Word Matching AI Solutions Align with Needs to Modernize and Strengthen Rural Healthcare Cavo Health's POC ...

RAAPID Inc. is proud to announce that the company was recognized by Modern Healthcare as one of the Best in Business of 2025 in the Healthcare IT category. This recognition celebrates RAAPID's Novel ...

Health insurer UnitedHealth Group used aggressive risk-adjustment coding tactics to increase U.S. government reimbursement ...

Readers didn’t hold back in their responses. Here are their insights about what’s coming in 2026 and must-read books.

MDaudit, an award-winning cloud-based continuous risk monitoring platform for healthcare revenue cycle management, is honored ...