Ever wondered about the unsung heroes of the healthcare system? The ones who make sure your medical bills are accurate, ...

Medical coding no longer lives quietly behind the scenes. Today, it sits at the crossroads of money, compliance, and patient trust. Every number entered and modifier applied can shape what happens ...

Artificial intelligence does not replace coder judgment – it instead acts as a consistent second set of eyes, flagging areas ...

The agency quietly released a memo updating MA plans on how it’s approaching risk adjustment data validation audits after a ...

As a health care leader, it is your job to navigate resource allocation and reduce administrative burden. Canada’s strict ICD ...

"It is dire," Stanford Biodesign's Josh Makower said as he discussed how medtech reimbursement is “throttling” innovation.

In the largest Medicare Advantage fraud settlement to date, Kaiser Permanente has agreed to pay $556 million to settle Justice Department allegations that it billed the government for medical ...

Paired with its recent OpenAI partnership, the deal highlights ServiceNow’s creation of a model-agnostic architecture for ...

Healthcare AI is surging — but inside clinics, many tools quietly stall. Physician executives explain why design, incentives, & governance matter more than algorithms.

On December 1, 2025, the First Circuit Court of Appeals delivered a decision that should bring welcome relief to clinical ...

AI won’t kill coding — but sidelining junior developers might, leaving the industry faster today and dangerously hollow tomorrow.