New research from the Blue Cross Blue Shield Association is offering what the organization describes as the first publicly available data linking hospitals’ use of AI to rising healthcare costs, ...

A new data analysis from Blue Cross Blue Shield shows how AI coding may be driving up the cost of health care.

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 ...

Anthropic says it is on pace to bring in a pace to bring in $5 billion over the course of a year as its revenue has surged along with the value of the San Francisco ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

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Medical coding is a complex yet essential part of any health care facility. The impact of inaccurate coding can directly impact revenue cycles, compliance and patient care. Fortunately, errors can be ...