Denied insurance claims are among the biggest challenges facing the U.S. health care system – driving up costs and leaving ...

Key Takeaways. Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of ...

As a remedy, health systems, including University Hospitals, are now using AI and automation to dispute more coverage denials ...

The targeted killing of UnitedHealthcare CEO Brian Thompson in December became a turning point in the public's growing frustration with the health insurance industry. People began sharing stories ...

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 ...

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 ...

NEW YORK – Independent health care providers lose more than 10% (or $2.2 million) every year due to claim denials that inevitably happen while managing their backlog of patient referrals, according to ...

A pilot program testing the use of artificial intelligence to expand prior authorization decisions in Medicare has providers, ...

When a health insurer refuses to pay for your treatment, you may have the right to have the denial reviewed — and potentially ...

The Review Choice Demonstration (RCD) was a home health boogeyman when the program was announced in 2018, with industry stakeholders fearing it would ...

U.S. law prohibits federal health care benefits for undocumented immigrants. Democrats want to return benefits for those with ...