Payers are stepping up their audit activities for medical practice and hospital billing and coding. Here’s how to avoid being ...

The Compliance Clinic examines key Medicare, Medicaid, and government enforcement developments across the healthcare industry. Each edition focuses ...

A recent report claimed wrongful diagnosis codes aided harmful transgender treatment, but proving fraud could be difficult ...

Nursing home validation audits so far show MDS coding gaps tied to insufficient or missing documentation, often because of ...

Here's how finance leaders can evaluate AI investments in revenue cycle management before committing budget, and the risk exposure most vendor pitches leave out.

A new RNA search engine can scan millions of cells in seconds for mutations, pathogens, isoforms and other biological clues.

The theoretical side of the field doesn’t require computing machines. But many questions would never have been posed without ...

A string of mishaps is making sandboxing a priority for organisations deploying AI agents, but Gartner’s Manjunath Bhat warns ...

Physician advisors underrecognized force improves healthcare efficiency, revenue integrity, and value-based care in health systems.

When a myocardial infarction, such as a heart attack, occurs, being able to classify its type can improve diagnosis and ...

The technology is swiftly taking hold in hospital exam rooms, doctors’ offices and health insurance systems in the northeast ...

Chinese AI chips from US-sanctioned Huawei, Hygon, and Moore Threads served 62 trillion tokens of frontier-class inference ...