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 Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of ...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

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 ...

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

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 ...

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 ...

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 ...

Mary Cunningham is a reporter for CBS MoneyWatch. Before joining the business and finance vertical, she worked at "60 Minutes," CBSNews.com and CBS News 24/7 as part of the CBS News Associate Program.