CMS says Medicare Advantage overpayment recoveries will begin soon, prioritizing audits from 2018 to 2024 and expanding medical coder support.

Hospitals are facing a steady rise in payment disputes over their assignment of a Diagnosis Related Group (DRG). These disputes fall into two ...

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

To help reduce the misuse and misunderstanding of current science, scientific research needs to be explained in language the ...

Next-generation EMR platform recognized for helping specialty practices deliver efficient, personalized patient care ...

Today’s launch is the Corti Agentic Framework, a foundation for building AI agents that can handle the work in healthcare and ...

A recent episode of HBO's "The Pitt" tackles generative AI in medicine, getting some things right, some wrong and leaving out ...

An analysis by amNewYork and the Bronx Times found that on multiple ranking systems, the quality and safety of most Bronx ...

OpenAI Group PBC today introduced a platform called Frontier that companies can use to build and manage artificial ...

When Jeannine Urban went in for a checkup in November, she had her doctor's full attention. Instead of typing on her computer ...

For the sake of our children, let’s establish these protections. Sen. Clay Yarborough represents Nassau and parts of Duval ...

Administration comprises 25% of all healthcare costs, making it a key target for automation. Organizations are using AI to ...