As AI reshapes medical coding, patients and employers may end up paying more without receiving the right level of care.

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle ...

Healthcare providers are heading into 2026 facing increased scrutiny around documentation and billing processes. As payer ...

UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

Anthropic is pushing into the healthcare market as it launches artificial intelligence tools and resources purpose-built for ...

ASC leaders say prior authorization has become the most damaging pain point in payer relationships, delaying care even after clinical decisions are made and surgeries are scheduled. Four ASC leaders ...

OBHG's pilot with Commure's AI autonomous coding reduced clinicians' coding time by 83%, automating over 85% of charges. The ...

Hospital administration might not get much spotlight, but it quietly shapes every step of a patient’s experience. From check-in to follow-up, accuracy is the backbone that keeps care running smoothly.

Artificial intelligence models that are trained to behave badly on a narrow task may generalize this behavior across ...

Earley Law Group reports how ICD-10 codes are used to classify slip-and-fall injuries for treatment, insurance, and liability ...