Boise, Idaho-based St. Luke's Health System has more than 18,000 employees across eight medical centers and 370 clinics. The wellness of its physicians and advanced practice providers has been a key ...

Blue Cross Blue Shield of Massachusetts is expanding its claims review process to address what it is describing as potential overcoding among physicians who routinely bill for high-complexity visits.

Artiticifial intelligence technology company Suki announced an expansion for its assisted revenue cycle capabilities powered that they say will improve clinician documentation accuracy and save ...

Suki, an ambient AI healthcare company, is expanding its assisted revenue cycle capabilities to provide more specific automation and generate additional codes, including CPT and E/M codes. Suki, which ...

Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden, who joined Cigna ...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing it undermines clinical judgment and creates an unfair ...

In the U.S. healthcare industry, claim denials are a significant issue, costing healthcare providers billions of dollars every year. it’s estimated that denied claims amount to astounding $250 billion ...

Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...