Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...
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Ottawa ankle rules explained: clinical decision guidelines for determining x-ray necessity
Reporter's notebook: House exodus threatens Johnson's grip on power as over 40 members head for exit IRS issues Christmas warning to millions of Americans Employers have cut 1.1 million jobs this year ...
Doher Drizzle Pablo was drowning in travel receipts. After her company transferred her to Sweden from the Philippines last year, she’d started visiting clients in at least two countries a month, and ...
Bill Arneson of Moffitt Cancer Center explains how an AI tool for medical necessity appeals cut the cost to work a claim from $50 to $5, helping his team recover $500,000 in claims that would have ...
Why is vibe coding is called vibe coding? Vibe coding is a methodology in software development where the traditional act of writing code gives way to conversational instructions and collaboration with ...
Most hospital leaders understand the financial risk of prior authorization breakdowns. But another source of revenue leakage is gaining attention: claim denials tied to medical necessity. These ...
Insurers may ask if something is “medically necessary” before approving a claim. These companies may also deny coverage if something isn’t deemed so. Here’s what this means and what you can do about ...
Credit: Getty Images As of 2025, MAID is authorized in Oregon, Washington, Montana, Vermont, California, Colorado, Hawaii, New Jersey, Maine, New Mexico, Delaware, and the District of Columbia, ...
If you have a bacterial infection, you need to take antibiotics. If health care providers need to determine that you have a broken bone, you’ll need to have an X-ray. Those are some examples of ...
This story is free to read because readers choose to support LAist. If you find value in independent local reporting, make a donation to power our newsroom today. Breaking with national public health ...
Breaking with national public health policy, California officials are recommending that children 6 months to 2 years old, as well as people who are pregnant and lactating, should get vaccinated ...
The California and Texas medical associations are urging Cigna to rescind a new policy they say will increase administrative burdens and create a barrier to appropriate reimbursement. Beginning Oct. 1 ...
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