coding
publication date
Payer
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments
Federal audits have shown for years that many health plans' billing practices don't hold up to scrutiny.
Innovation
Infographic: Healthcare’s 2025 AI Priorities
Health systems and hospitals spent more than $1 billion on the technology in 2025, with ambient AI and coding/billing programs...
Revenue Cycle
HL Shorts: Is Autonomous Coding a Misnomer?
Beth Israel Lahey?s VP of Mid-Revenue Cycle says that AI?s primary role is to stabilize output, proactively flag compliance risks...
Revenue Cycle
Infographic: Rev Cycle Guide to Preparing for CPT Updates
New CPT code changes for invasive cardiology and interventional radiology will take effect on January 1, 2026, with a potential...
Revenue Cycle
New CPT Code Changes Put Hospital Revenue at Risk
New CPT code changes for invasive cardiology and interventional radiology will take effect on January 1, 2026, impacting a significant...
Revenue Cycle
How AI Identified Revenue Left on the Table for One Healthcare Organization
Med First projected a modest revenue uplift when it added autonomous coding, but actual results were even better than expected.
CFO
No Surprises Act IDR Disputes: Insurers Report Surge in Ineligible Claims. What Are the Financial Implications for CFOs?
Insurers report that nearly 40% of payment disputes filed under the No Surprises Act's independent dispute resolution (IDR) process are...
Revenue Cycle
HL Shorts: Identifying Provider Candidates for Coding Education
In this episode of HL Shorts, Abeni Lee, director of physician revenue cycle at Grady Health System, talks about the...
Payer
How Providers Can Stop Losing Money on Their Medicare Advantage Contracts
Dr. Sachin Jain and Mike Plumb detail what providers are missing and how collaborative health plans can help.
Revenue Cycle
Will CMS' Aggressive Approach to MA Audits Affect Provider Revenue Cycles?
A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared...
Revenue Cycle
HL Shorts: How Organizational Culture Informs Physician Coding Education
Grady Health System's director of physician revenue discusses the impact of organizational culture on physician coding education.
CMO
How to Use Technology to Turn Around Staff Turnover
Ardent Health's CMO shares how embracing technology is retaining physicians and nurses.