In the beginning of the year, Dr. Terry Wagner’s office manager came to him and said “something weird is going on.” For weeks, the office manager told him, Wagner had been quietly underpaid by the ...

U.S. physicians routinely are seeing their higher-cost claims downcoded by insurers, a strategy a family physician in Cincinnati called a revenue grab, according to Medscape. Will Sawyer, MD, said ...

State lawmakers have passed a bill banning the use of AI to mass downcode medical claims and prohibiting insurance companies ...

SPRINGFIELD, Ill. (WAND) — The Illinois Senate Insurance Committee unanimously approved a bill to prohibit insurance companies from using artificial intelligence to code a health service lower than ...

SPRINGFIELD, Ill. (WAND) — A bill in Springfield could prohibit health insurance companies from using artificial intelligence to code a health service lower than what is actually provided to patients.

The Pennsylvania-based health system claims the payer's policy violates Medicare's two-midnight rule and forces hospitals into a burdensome appeals process. The ongoing friction between hospitals and ...

The ISMS-backed bill would prohibit health insurance companies from automatically coding a health service at a level ...

Illinois bill shields doctors from insurance downcoding ...