NASHVILLE – Automation, particularly through AI, holds the promise of greater efficiency and fewer denials in the revenue cycle. There’s $9.8 billion in potential savings through automation in the revenue cycle, according to statistics provided by TruBridge, a consultant and IT services provider. Nine percent of all claims are rejected in error or from prior […]

Hospitals can adapt by rolling out FHIR APIs for patient access, says ZeOmega associate VP of interoperability strategy Michael Gould and VP of advanced analytics Pravin Pan.

Blue Cross Blue Shield of Arizona, or AZ Blue, has launched a new provider services-oriented subsidiary called Prosano Health Solutions that it promises will improve healthcare access for those in the state. In addition to promoting access, AZ Blue said the new company will reduce waste and complexity and advance the total healthcare experience for […]

Home Health Agencies get a 2.2% payment decrease compared to 2023, due in part to a permanent behavior assumption adjustment.

Understand what is written – and what is not – in HIPAA requirements, says Chad Peterson, managing director at NetSPI.

Bright Health Group has announced it is selling its California Medicare Advantage business to Molina Healthcare for an estimated $600 million in the purchase price for shares. The MA business includes the plans Brand New Day and Central Health Plan.

The Centers for Medicare and Medicaid Services has released revised guidance on how it intends to use its authority with pharmaceutical manufacturers in the Medicare Drug Negotiation Program.

Getting physicians’ heads out of the EHR leads to better patient outcomes, lower costs and a reduction in the administrative tasks that are ailing doctors, says Dr. Anthony Mazzarelli, co-president and CEO of Cooper University Health Care in New Jersey.

HIMSS President and CEO Hal Wolf and Clalit Chief Innovation Officer Ran Balicer discuss AI’s promise and the challenge of starting with clean information for predictive modeling applications.

The best way it can help is by not making the problem worse, says Andrew Eye, cofounder and CEO of ClosedLoop.ai.