3+ day, 13+ hour ago   (497+ words) EFF’s FOIA request sought records pertaining to the CMS contracts with WISeR software vendors; any tests for accuracy, bias, or hallucinations in vendors' technology; and any audits, monitoring, or evaluation of WISeR and participating vendors. CMS records obtained by EFF…...

1+ week, 4+ day ago   (472+ words) Despite industry claims of automated revenue cycle management, medical billers continue to manually navigate disjointed payer portals as artificial intelligence tools fall short. Despite pervasive industry marketing claiming that artificial intelligence has fully automated the American healthcare back office, medical…...

1+ week, 5+ day ago   (199+ words) The Centers for Medicare and Medicaid Services has launched a project to help its innovation unit scale the deployment of effective healthcare payment and service delivery models. Mathematica first announced the effort in an Aug. 24 press release, saying the agency…...

2+ week, 3+ day ago   (44+ words) InsuranceNewsNet Onos Health Raises $17M to Transform Unstructured Behavioral Clinical Intelligence for Health Plans How to Write For InsuranceNewsNet Find out how you can submit content for publishing on our website....

2+ week, 4+ day ago   (650+ words) HIT Consultant Hospital leadership has heard the automation promise before. Implement this platform, the pitch goes, and your revenue integrity team will finally get ahead of denied claims, underpayments, and timely filing lapses. And yet, according to the American Hospital…...

2+ week, 4+ day ago   (958+ words) Health care's real challenge isn't more data, it's activation. Arcadia's Sandy Leonard on turning real-world evidence into point-of-care action. Yet despite this explosion of data, evidence, and technology, health care outcomes have not improved at the same pace. The industry’s…...

3+ week, 23+ hour ago   (306+ words) By Mukundan Sivaraj · AIM Media House A patient waits. A treatment has been ordered, but before it can happen, the provider needs approval from the insurer. That process, prior authorization, can take days or weeks depending on the case. Nearly…...