Optum has introduced Optum Real, a real-time AI claims system that offers faster reimbursement by connecting payers and providers in real time. Optum Real provides instant coverage validation through ...

Healthcare technology company Hyphen is aiming to bring social-needs-related organizations into the payment ecosystem with its new platform. The company is launching a new Social Care Claims ...

The Veterans Affairs Office of Inspector General reports the Veterans Health Administration’s Chief Business Office violated appropriations laws by using funds dedicated to medical support and ...

Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher. Economic pressures and declining ...

More AI companies are producing tools to help automate the revenue cycle, one of the most expensive and complicated departments of a hospital. These tools have demonstrated promise in collections, but ...

Electronic health record companies continue to roll out artificial intelligence tools and capabilities, with new features designed to expand patient access, reduce friction in claims processing, ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...

In many instances, government investigations and claims are the tipping points for already distressed health care companies causing them to seek Chapter 11 protection. As discussed herein, ...

AI is revolutionizing healthcare by improving diagnostics, reducing clinician workload, and enhancing care access, particularly in resource-limited settings. Challenges include AI bias, transparency ...

The Michigan Department of Insurance and Financial Services announced that more Michiganders are appealing health insurance claim denials under the Patient's Right to Independent Review Act. "When a ...