Key Takeaways. Claim denials are rising due to data inaccuracies, staffing shortages, and outdated technology, with 41% of providers experiencing denial rates of 10% or higher. Ec ...

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 ...

Denied insurance claims are among the biggest challenges facing the U.S. health care system—driving up costs and leaving providers with billions in unpaid bills.

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

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 ...

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

Tricare may not be able to process or pay medical claims for services received on or after October 1, 2025, until funding is ...

Months after the killing of a top health insurance executive unleashed Americans’ pent-up anger over denials of medical care, the industry announced Monday that it will take action to “streamline, ...

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