The initiative from the health system – a large provider of Medicaid services in Connecticut – is to ensure that patients who ...

Financial implications do not include high-stake bonus payments, but NIH data shows patients are willing to pay more, and ...

Meaningful progress requires alignment across providers, payers, EHR developers and others, not isolated adoption, CMS says.

Thirty-seven percent of health systems are using generative AI within the rev cycle and 45% are applying it to denial-related ...

Memorial Healthcare System's Jesus Diaz says seeking clinicians' direct input on their workflow needs during the development stage helped the organization successfully deploy new smartphones at a ...

Dr. Patsy McNeil is a practicing physician and executive vice president and chief medical officer of Adventist HealthCare, a Maryland-based health system with three acute-care hospitals on the East ...

Insurers denied more claims on clinical grounds in 2025 compared with 2024, leading to a 25% increase in net revenue leakage at hospitals, according to a new report by Kodiak Solutions. Denials and an ...

UnitedHealthcare is eliminating authorization requirements for 30% of healthcare services that previously required insurer ...

AI moves the old concept of "chase to collect" to predicting and prevention, said Brian Kenah, CTO of EnableComp.

The Centers for Medicare and Medicaid Services is implementing a six-month, nationwide moratorium on new Medicare enrollment for hospices and home health agencies. The stoppage is part of efforts of ...

The HIMSS Professional Development Committee is engaging with local chapters and certification committees to ensure that its global education offerings reflect real-world training gaps, explains ...