The Justice Department and whistle-blowers accused the major health insurer of overbilling the government for about $1 ...

Cohere Health (R), the leader in clinical intelligence solutions for health plans, today announced record growth in 2025, reflecting expanded adoption of its platform to support more connected ...

AHA respectfully requests that you consider the following issues before making your final payment update recommendations at the January Medicare Payment Advisory Commission (MedPAC) meeting.

Phare Audit Uses Proprietary Agentic AI to Maximize Earned Reimbursement, Enhancing R1’s Industry-Leading DRG-V with Full ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...

Developers are navigating confusing gaps between expectation and reality. So are the rest of us. Depending who you ask, AI-powered coding is either giving software developers an unprecedented ...

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Amid concerns from some investors, including Michael Burry, OpenAI's (OPENAI) U.S. auditor is one of the Big 4 firms, the Financial Times reported. The ChatGPT maker, which has come under scrutiny in ...

The MarketWatch News Department was not involved in the creation of this content. Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening ...

R1 RCM has launched the Phare Operating System, which it said is healthcare’s first revenue operating system powered by enterprise-grade artificial intelligence. The Phare OS is built to deploy ...

The Iowa State Auditor's Office will conduct a review of Des Moines Public Schools following the immigration arrest of former superintendent Ian Roberts, Auditor Rob Sand announced. “The State Auditor ...