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 ...

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

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

One family’s story shows how the 2020 tax can work as promised, even as the overall homeless count continues climbing across ...

Despite years of progress, trust remains one of the biggest barriers to AI adoption in healthcare. Patient privacy is their ...

More educators are bringing AI into their university classrooms, setting clear parameters for and encouraging students to ...

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

Don J. Wagoner, 89, permanently surrendered his medical license in 2013 in connection with a state criminal investigation of ...