Many hospitals finalise utilisation reviews after patients leave the facility. Payers deny claims when admission status and documentation do not match the reviewer's findings, which creates ...

For leaders preparing for 2026, a critical step is to map where processes should remain human or become automated. Audit your ...

CMS has formally established the Office of Rural Health Transformation within the Center for Medicaid and CHIP Services, creating a permanent home for the federal government’s $50 billion Rural Health ...

Healthcare CFOs making underpayment analysis a top priority use AI tools to recover millions amid rising Medicare and commercial claim denials.