Two years ago, I would have told you that autonomous AI coding was too risky for risk adjustment. Today, I'm implementing it—but only after finding an approach that met my compliance requirements.

Vatica Health (“Vatica”), a Frazier Healthcare portfolio company and leader in provider-centric, prospective risk adjustment and clinical quality solutions, is pleased to announce the closing of its ...

Medical coding can be a real headache, right? It’s complicated, time-consuming, and honestly, prone to errors when ...

Vatica Health, the leader in provider-centric risk adjustment and clinical quality solutions, has earned the distinction of being named a 2025 Consistent High Performer from KLAS Research.

A former Gonzaba nurse says she quit after three months over "concerns regarding fraud" in its billing practices. The ...

Three-quarters of respondents (76 percent) indicated that bringing per-enrollee MA spending to levels comparable with ...

Federal regulators are signaling major changes for Medicare Advantage plans by 2026, targeting payment rates and supplemental ...

Corneal crosslinking failure rates were low in a US registry analysis, but CXL failure risk was doubled for patients aged younger than 18 years.

The Centers for Medicare & Medicaid Services (CMS) on Friday finalized its annual physician fee schedule for 2026, giving ...

For years, the conversation around health insurer consolidation and vertical integration has simmered through antitrust inquiries, oversight ...

DeepScribe, the ambient AI leader for oncology, marked a major milestone with its ambient AI set to document more than three ...

The authors used a Bayesian modeling framework to fit behavior and serotonin neuron activity to reward history across multiple timescales. A key goal was to distinguish value coding from other ...