Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

Boise, Idaho-based St. Luke's Health System has more than 18,000 employees across eight medical centers and 370 clinics. The wellness of its physicians and advanced practice providers has been a key ...

Blue Cross Blue Shield of Massachusetts is expanding its claims review process to address what it is describing as potential overcoding among physicians who routinely bill for high-complexity visits.

Prefer Newsweek on Google to see more of our trusted coverage when you search. Artiticifial intelligence technology company Suki announced an expansion for its assisted revenue cycle capabilities ...

Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden, who joined Cigna ...

A startup called Empromptu Inc. is looking to deliver where all other artificial intelligence-based application building tools have failed. It’s launching what it says is the first platform of its ...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing it undermines clinical judgment and creates an unfair ...

In the U.S. healthcare industry, claim denials are a significant issue, costing healthcare providers billions of dollars every year. it’s estimated that denied claims amount to astounding $250 billion ...

New data out of ambient AI documentation vendor Ambience states that the technology can help rake in an additional $13,049 per clinician annually for health systems. The number is based on Q1 2025 ...