Your CDI Program Isn’t the Problem If clinical denial rates are still climbing despite your Clinical Documentation ...
As payers deploy advanced tech to scrutinize claims, health systems like Mercyhealth and WellStar are fighting back with stricter contracts and predictive AI. Over the past several years, the uphill ...
The MarketWatch News Department was not involved in the creation of this content. AUSTIN, Texas, Nov. 18, 2025 /PRNewswire/ -- Dastify Solutions, a leading U.S. medical billing and revenue cycle ...
Insurers’ growing use of AI in coverage decisions has faced scrutiny from some lawmakers concerned that the technology could deny care unfairly, especially in the MA program. UnitedHealth and Humana ...
The healthcare industry's first platform to fully replace manual eligibility interpretation while automating insurance ...
Counterforce is trying to flip the script, using AI not to block coverage but to help patients win it back. For Neal Shah, the breaking point came during his wife's cancer treatment. He remembers ...
As health insurers increasingly rely on artificial intelligence to process claims, denials have been on the rise. In 2023, about 73 million Americans on Affordable Care Act plans had their claims for ...
Patients in the US are using AI to fight the AI bots that health insurers use to deny care. Amid states’ attempts to curb health insurers’ use of artificial intelligence, patients and doctors are ...
Taking a page from the private insurance industry’s playbook, the Trump administration will launch a program next year to find out how much money an artificial intelligence algorithm could save the ...
Virginia Beach, Virginia-based The Therapy Network's five outpatient rehab clinics were bogged down by highly manual workflows in documentation, prior authorizations and scheduling. Physical ...
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