Medicare's new pilot program, WISeR (Wasteful and Inappropriate Service Reduction), is set to revolutionize the decision-making process for coverage of certain procedures by integrating artificial ...
Stephanie Nixdorf was at Disney World with her family in December 2021 when she got the call. A mysterious bump on her elbow was melanoma, her doctor said. Tests later showed it was Stage 4, with ...
With denials on the rise, more health systems are turning to AI in the revenue cycle. Payer denial prevention emerged as a significant theme throughout almost every session at HFMA 2025. At a time ...
RALEIGH, N.C. (WTVD) -- At Research Triangle Park (RTP), companies are leading the way with artificial intelligence and trying to harness their powers for the greater good. Nearly 1 in 5 Americans ...
WILMINGTON, N.C. (WECT) - It can be one of the most frustrating parts of healthcare: when insurance denies coverage. However, a new AI tool aims to help patients battle back in a matter of minutes.
Insurers’ growing use of AI in coverage decisions has faced scrutiny from some lawmakers concerned that the technology could deny care unfairly, especially in the MA program. UnitedHealth and Humana ...
For Neal Shah, the breaking point came during his wife's cancer treatment. He remembers being overwhelmed, surrounded by stacks of hospital bills, denial notices and insurance statements. When he and ...
Macy is a writer on the AI Team. She covers how AI is changing daily life and how to make the most of it. This includes writing about consumer AI products and their real-world impact, from ...
As health insurers increasingly rely on artificial intelligence to process claims, denials have been on the rise. In 2023, about 73 million Americans on Affordable Care Act plans had their claims for ...
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