Medicare's new pilot program, WISeR (Wasteful and Inappropriate Service Reduction), is set to revolutionize the decision-making process for coverage of certain procedures by integrating artificial ...
With denials on the rise, more health systems are turning to AI in the revenue cycle. Payer denial prevention emerged as a significant theme throughout almost every session at HFMA 2025. At a time ...
Stephanie Nixdorf was at Disney World with her family in December 2021 when she got the call. A mysterious bump on her elbow was melanoma, her doctor said. Tests later showed it was Stage 4, with ...
WILMINGTON, N.C. (WECT) - It can be one of the most frustrating parts of healthcare: when insurance denies coverage. However, a new AI tool aims to help patients battle back in a matter of minutes.
The MarketWatch News Department was not involved in the creation of this content. AUSTIN, Texas, Nov. 18, 2025 /PRNewswire/ -- Dastify Solutions, a leading U.S. medical billing and revenue cycle ...
Insurers’ growing use of AI in coverage decisions has faced scrutiny from some lawmakers concerned that the technology could deny care unfairly, especially in the MA program. UnitedHealth and Humana ...
RALEIGH, N.C. (WTVD) -- At Research Triangle Park (RTP), companies are leading the way with artificial intelligence and trying to harness their powers for the greater good. Nearly 1 in 5 Americans ...
For Neal Shah, the breaking point came during his wife's cancer treatment. He remembers being overwhelmed, surrounded by stacks of hospital bills, denial notices and insurance statements. When he and ...
As health insurers increasingly rely on artificial intelligence to process claims, denials have been on the rise. In 2023, about 73 million Americans on Affordable Care Act plans had their claims for ...