BCBS study hospital billing reveals AI-driven coding boosts maternity costs by billions, impacting insurers and employers nationwide.

A family used Claude AI to spot billing errors that saved them $162,000 in four hours. A $195,000 hospital bill for four hours of intensive care sounds like something from a dystopian healthcare ...

This article is the latest in the Health Affairs Forefront series, Provider Prices in the Commercial Sector, featuring analysis and discussion of physician, hospital, and other health care provider ...

APCM vs. CCM: what every primary care practice needs to know before switching; rates, rules, revenue impact, and who ...

An AI chatbot uncovered almost $163,000 in fake medical bill charges when a man used it to check a hospital bill.

Price transparency for medical billing remains a hot button issue across the country. A study from the Department of Health and Human Services Office of Inspector General in 2024 found that only 63 ...

Use of billing codes in big data sets to find diagnoses can result in up to two-thirds of cases being mistakenly identified, new UCLA-led research finds. Though the findings in this paper focused on ...

CMS will make significant changes to ASC and outpatient surgery reimbursement next year. In the 2026 Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Final Rule, published ...

In case there were any doubters that mHealth is here to stay, one of the flagship mHealth applications in the market today, cardiac telemetry devices--like Cardionet's--have officially been recognized ...

The American Medical Association and the healthcare system itself may be in for significant disruption if key Republicans have anything to say about it. The AMA has faced questions for decades about ...