Federal officials have a plan that could curb billions of dollars in overpayments to Medicare Advantage plans. But will they ...
Mercyhealth, a leading multi-regional health system serving 55 communities across northern Illinois and southern Wisconsin, ...
Perlman said that while the Trump administration strongly supports Medicare Advantage, officials are "troubled" by plans that rake in undue profits by using chart reviews to bill the government for ...
Matic has been recognized by KLAS Research as an Emerging Company in AI-powered medical documentation. Matic is an AI-native clinical intelligence platform designed to orchestrate care-to-collection ...
The proposal would eliminate the financial motivation insurers have to mine their members’ charts for additional diagnoses.
Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments and ...
UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...
Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...