Rising national health expenditures and high administrative overhead create a compelling but not definitive business case for AI-enabled automation across billing, claims, and compliance functions.

SPRINGFIELD, Ill. (WAND) — A bill in Springfield could prohibit health insurance companies from using artificial intelligence to code a health service lower than what is actually provided to patients.

Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

MILAN — This time there was only Malinin magic. It was only an exhibition, mind you, not competition with medals and legacy at stake. But Ilia Malinin delivered. Like only a showman on ice skates can.

Congress finally hauled the nation’s insurance giants to Capitol Hill to explain why their profits have skyrocketed at taxpayer expense while their approval ratings with the American people have ...

The Indiana Hospital Association is aiming to “to expose abusive insurer practices” through its Access Denied campaign, a Feb. 17 news release said. The initiative includes a web portal addressing ...

A Republican voting overhaul is back on Capitol Hill — with an added photo identification provision and an altered name — as President Trump seeks to upend elections in a midterm year. Opponents say ...

Sampson traces his path from commercial litigation to representing healthcare practices on HIPAA/privacy and reimbursement matters, then moving in-house at a network of plastic surgery centers, where ...

As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.” — Moghis Uddin, CEO of AlethianAI ...

For more than two decades, debates about why US health care spending is so high have been shaped by the insight articulated by Gerard Anderson, Uwe Reinhardt and Peter Hussey: that the United States ...