The clash between payers and providers over AI-driven coding is intensifying, with insurers arguing that documentation tools are inflating reimbursement without corresponding care.

In an effort to provide helpful information to providers, CMS has released a special edition MedLearn Matters (MLN) article that disseminates diagnosis-related group (DRG) coding vulnerabilities for ...

Don't code hospital records prematurely, warns Donna Wilson RHIA, CCS, CCDS, senior director at Compliance Concepts, Inc. Wilson's advice follows a recent article from The Centers for Medicare & ...

MURRAY, Utah, Oct. 14, 2025 (GLOBE NEWSWIRE) -- R1 ("R1” or the "Company”), an industry leader in managing and intelligently automating healthcare revenue management, today announced that it has ...