UnitedHealth Group (UHG) is artificially inflating risk adjustment scores of patients in its Medicare Advantage plans in ...

DOJ had alleged that the Kaiser affiliates violated the False Claims Act by submitting invalid diagnosis codes to get higher government payments.

Pennsylvania saw a meteoric rise in the number of adolescents receiving puberty blockers through an insurance billing code currently being investigated under the Trump administration on fraud […] ...

Accuity, an AI-driven clinical intelligence and revenue integrity partner for leading health systems, today announced its 2025 results, reporting more than $800 million in cash benefits delivered to ...

Not even a doctor can fix the mess The Pitt season 2 episode 2 has got itself into — but maybe Sam Altman at OpenAI could.

Continued physician and practice consolidation, the advancement of AI and reimbursement from the physician fee schedule are among the top trends that orthopedic leaders expect to dominate the ...

What began as a desperate plea of hope has become a story of healing, progress and overwhelming gratitude for a Wake County ...

Making good on a pledge last month to focus on improving economic development in West Virginia, several House of Delegates ...

AI may automate tasks, but your job's purpose may be immune from AI disruption. This applies to radiology, law, coding, and ...

CHARLESTON – Making good on a pledge last month to focus on improving economic development in West Virginia, several House of Delegates committees began taking up bills as part of the House’s “Jobs ...

The number of providers in Bexar County has soared over the past five years, but the growth was heaviest in more affluent ...