Errors in manual claims processing are a big problem. While underpayments lead to complaints and rework, overpayments may go unnoticed and cost far more. In either event, healthcare claims payers bear ...

Artificial intelligence could rework the claims and reimbursement process, allowing faster decision-making, reduced errors ...

Mistakes by employees at the Department of Veterans Affairs while processing claims for veterans rated as 100% disabled resulted in around $100 million in improper monthly compensation payments, ...

Medical practices should take proactive steps to ensure they are not leaving money on the table due to claims processing errors, advised Naveen Sarabu, vice president of product for AdvancedMD, a ...

Nebraska insurance regulators have imposed a $1 million penalty against Bloomington-based Bright Health over alleged errors with claims processing, including more than 100 cases of denied coverage for ...

Forbes contributors publish independent expert analyses and insights. I delve into the intricate workings of artificial intelligence. When an individual files a medical insurance claim, they expect ...

News surrounding different aspects of health insurance shows changes in weight loss treatment coverage, billing and claims processing errors, and customer service utilization. A new report from The ...

The ASC Association has determined that members affected by improper processing of claims using PT modifiers are now reporting correct processing, following ASC Association intervention and assistance ...

Ask a healthcare executive what AI is doing for the industry today, and you're likely to hear headline-grabbing use cases: drug discovery, personalized primary care, chatbot triage, AI-enabled therapy ...

Efficient Healthcare Revenue Cycle Management (RCM) is crucial for the financial health of providers and medical billing companies. However, staffing challenges often impede the smooth functioning of ...