By Wynda Clayton,Director of Risk Adjustment Coding & Compliance, RAAPID INC | Autonomous coding seemed too risky. But with regulatory uncertainty ahead, MA Plans need technology they can defend. Here ...

The hype is loud and the money is flowing. But inside healthcare, clinicians wonder if the tech is just a larger-scale rehash ...

Republicans challenge the AMA’s control of the medical coding system that influences doctor pay and costs, raising the ...

These new coding capabilities will address some of the most common sources of claim denials and revenue loss, Suki said. By ...

Doctors say insurers are automatically downgrading their claims and paying less. Insurers say it’s their duty to prevent ...

ORLANDO, Fla. – We’ve hit the downward descent of the calendar year. From here on out, we’ve got lots of plans, festivities and holidays coming right at us. I, for one, believe we’re into the best ...

Opening South County Hospital's spreadsheet, the hernia code is easier to find, as there's only one entry instead of an entry ...

RALEIGH, N.C. (WNCN) — It’s October, which is supposed to mean your favorite fall things, including checking out fall foliage! Here are some views from the mountains, where there’s a little more color ...

Patients, doctors and lawmakers are proving that collective action can transform healthcare by turning personal battles into powerful policy breakthroughs.

CLEVELAND, Ohio — The Browns shocked the NFL world on Tuesday when they traded Joe Flacco and a sixth-round pick to the Bengals in exchange for a fifth-round pick. Flacco was recently displaced as the ...

Measuring financial returns from AI can be challenging, experts said at the HLTH conference last week. But other metrics, ...

During Sam Presti's tenure as Oklahoma City's general manager, the Thunder have made a habit of finding solid players in the second round of the NBA Draft. In recent years, the group has added Jaylin ...