Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

A new American Health Information Management Association study aimed at finding a better understanding of the operational realities of how social determinants of health data is used in real-world ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

Healthcare organization CFOs are facing a perfect storm of challenges around medical coding. With few workers entering a field dominated by older Gen X-ers and Baby Boomers, there’s a growing gap in ...

When reviewing job growth and salary information, it’s important to remember that actual numbers can vary due to many different factors—like years of experience in the role, industry of employment, ...

A Long Island health system is using AI to document conversations between patients and doctors in the exam room as a way to save time for physicians and help with medical billing. Rockville ...

Claims data, which form the foundation of risk adjustment in payment for health care services, may reflect efforts to capture more—or more severe—clinical conditions rather than true changes in health ...

Acupuncture is one modality within a much larger medical framework of TCM and related East Asian systems. In daily practice, ...

MURRAY, Utah, Oct. 14, 2025 (GLOBE NEWSWIRE) -- R1 (“R1” or the “Company”), an industry leader in managing and intelligently automating healthcare revenue management, today announced that it has ...

LOUISVILLE, Ky. (WDRB) -- About 40 medical coding layoffs are coming to Baptist Health. The hospital confirms 15 of those medical coding position layoffs will be at Baptist Health Louisville and ...