You push through the deadline, power through the crisis, and hold it together when it matters most. And then, just as the ...

When a semi truck's diesel engine derates, it means that it's limiting power. It mostly triggers from faults with the filters ...

From “lowkenuinely” to “cooked,” Alabama kids are reinventing slang at internet speed. Here’s what teens are saying now and ...

Prior authorization, Medicare Advantage requirements and quality reporting are among the leading drivers of practices’ ...

The Medical Group Management Association (MGMA) today released its 2026 Regulatory Burden Report, highlighting how escalating federal regulatory and administrative requirements are overwhelming ...

The health system claims the policy, which reduces reimbursement for some inpatient hospital stays, violates federal law and ...

There's also been a 15% reduction in prior authorizations for Medicare Advantage since June, when about 50 plans signed on to the reform pledge, Fierce Healthcare reported. In other industry news: ...

A Pennsylvania health system filed suit this week against Aetna, challenging a policy around "downcoding" that has drawn ire ...

An Illinois Senate bill introduced in February would ban payers from using automated tools, including AI, to downcode physician claims and would require that any downcoding decision be made by a ...

SPRINGFIELD, Ill. (WAND) — The Illinois Senate Insurance Committee unanimously approved a bill to prohibit insurance companies from using artificial intelligence to code a health service lower than ...

"Al-driven denial engines, downcoding & modifier stripping are quietly eroding 6-9% of collectible revenue - below routine audit detection." Medical Billers and Coders (MBC), a Revenue Integrity ...