Our recent articles provide new perspectives and expert insights

Navigating the American healthcare system can feel like traversing a minefield, especially when you’re already vulnerable and seeking treatment. One of the most frustrating and disheartening experiences is dealing with...

Discussions about artificial intelligence (AI) and machine learning (ML) in healthcare often focus on clinical applications—assisting doctors with diagnoses or personalizing cancer treatments. However, healthcare is a vast industry with...

Claim denial rates are a significant challenge for healthcare providers, with substantial variations based on payer type, location, and specific insurance companies. To understand these variations, it’s crucial to analyze...

For any medical practice, the timely reimbursement of claims is essential to maintaining a healthy cash flow and sustaining operations. The moment your practice submits a claim to the payer,...

AI in Revenue Cycle Management stands as one of the strongest use cases for artificial intelligence (AI) in healthcare. AI-driven solutions have significantly reduced claim denials and improved overall efficiency...

Errors, delays, and denials can significantly impact a practice’s revenue cycle, leading to financial strain and operational inefficiencies. Artificial Intelligence (AI) offers a powerful solution to streamline and optimize medical...

Continuing our exploration of commonly misunderstood areas in medical coding, today, we focus on pain coding, specifically addressing ICD-10 Pain Coding. Pain is one of the most frequent reasons patients...

The Centers for Medicare & Medicaid Services (CMS) initiated the educational and operations testing phase of the Appropriate Use Criteria (AUC) program. During this period, Medicare Administrative Contractors (MACs) began...

A growing number of physicians are voicing concerns about the increasing role of artificial intelligence (AI) in health insurers’ prior authorization processes. The American Medical Association’s (AMA) latest 2024 AMA...

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive procedure performed endoscopically on the nasal and sinus cavities. It is primarily used to relieve symptoms of chronic sinusitis, such as...