Payers are applying artificial intelligence to examine more claims and apply adjudication logic at a scale most organizations cannot match. Industry research shows 84% of health insurers report using AI or machine learning in some capacity. Providers are unlikely to…
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Growth is on the table for a lot of organizations right now: new locations, a multi-specialty acquisition, possibly a private equity partner. The revenue cycle has to scale with it.A hybrid model creates that room. Keep the functions your team…
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Nearly 90% of health IT leaders say their operations have to change to keep pace with rising clinical, regulatory and financial complexity, according to a 2026 survey from CHIME. Eighty percent of them called interoperability a baseline expectation rather than…
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There was no single metric that told Dr. Mary Affee her practice had outgrown its operations, and that was the frustrating part. She had built Horizon Integrated Wellness in Cary, N.C., from the ground up as a clinician. The systems…
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Hospital-employed physicians command significantly higher commercial reimbursement rates than independent peers across every specialty, with a $92 average gap in blended evaluation and management rates in the Chicago market, and the cost difference extends well beyond the professional fee, according…
More than 60% of physicians are not satisfied with how the medical profession deals with work-life balance, according to a new report from Medscape. “State of the Medical Profession Index Report 2026,” published Aug. 28, surveyed more than 1,000 physicians…
A Kansas chiropractor has pleaded guilty to healthcare fraud for submitting insurance claims to Blue Cross and Blue Shield of Kansas City for chiropractic services that were never provided to patients, the Justice Department said in an Aug. 27 news…
North Arkansas Rural Health Consortium is planning a regional hub centered around Vitality Plus Ambulatory Surgery in Baxter County, Ark. The organization received a $1 million grant as part of $93.6 million in funding through the Promoting Access Coordination and…
Palm Beach County prosecutors have charged Justin Philip Sulish, 46, with stealing surgical cameras and equipment from West Boca Medical Center and Palm Beach Gardens Medical Center in Florida, CBS 12 reported Aug. 28. Investigators say Sulish, a Jupiter-based medical…
Sacramento ear, nose and throat neurotologist Varun Varadarajan, MD, performed what he says is the first cochlear implant surgery in the Sacramento region done with the patient fully awake, CBS News reported Aug. 27. The procedure used local anesthesia instead…
