As AI reshapes medical coding, patients and employers may end up paying more without receiving the right level of care.

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

The healthcare industry is no stranger to technological advancements, and artificial intelligence (AI) is quickly becoming a game-changer in multiple areas. From diagnosing medical conditions to ...

One of the top drivers of revenue growth last year has again padded Big Law's bottom line, especially for firms in the Second Hundred and beyond. Law firms' focus on billing and collections, which ...

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