Feb 27, 2025 | Forensic AI Alerts
Understanding the Impact of Coding Changes on Psychological and Neurological Testing New codes for psychological and neurological testing services since 2019 provide clarification of non-face-to-face work by professionals. The codes have been enhanced with...
Feb 20, 2025 | AI in Healthcare, Payment Integrity
Navigating MLR Compliance with AI-Powered Healthcare Cost Containment Newsflash: Pressures are escalating for healthcare payers again. Faced with intense expectations to manage rising administrative costs while complying with strict medical loss ratio (MLR)...
Feb 11, 2025 | AI for PI Community, AI in Healthcare, Payment Integrity
Healthcare payers face an unprecedented challenge: maintaining financial integrity while preserving vital provider relationships. As claims volumes surge and complexity increases, traditional reactive approaches to payment integrity are no longer sufficient. The...
