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 ...

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 ...

Medical coding requires a deep understanding of medical terminology and procedures, as well as the ability to make judgment calls when necessary. Human coders are better equipped to handle these tasks ...

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

The United States of America is the third most populated country in the world. With over 346 million people, there is a high demand for healthcare experts in various medical fields, including medical ...

In a nutshell: Developers were supposed to be among the biggest beneficiaries of the generative AI hype as special tools made churning out code faster and easier. But according to a recent study from ...