Healthcare coding has fundamentally transformed from volume-driven revenue capture to compliance-first, defensible documentation standards.

A single ICD-10 code, a missing modifier or a misclassified procedure intent can shift a colonoscopy from a fully covered preventive service to a medically necessary diagnostic one, which could change ...

Changes will go into effect Jan. 1, 2027, and aim to improve care delivery and data for maternal health outcomes.

Last year, Unum partnered with Amazon Web Services and Pegasystems, which provides a low-code platform to Fortune 500 companies to automate their business processes, in a project to re-engineer Unum’s ...

New study finds nearly 10% of internal medicine residents report a disability; the American Medical Association updates maternity care billing codes; and Texas joins autism trial network.

Does AI hold up in retrospective risk adjustment once real customers put it to work? KLAS Research went and asked. RAAPID was ...

A five-grade imaging classification system and diagnostic therapeutic algorithm may reduce the risk for primary periphyseal ...

CMS floats Medicare payment for AI diagnostic software, proposing a new category to standardize reimbursement for algorithm-driven clinical tools.

June 22 (Reuters) - Micron Technology said on Monday it has signed an agreement with Anthropic that includes supply of memory and storage products, and a strategic investment in the IPO-bound AI ...

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