New data from just under one million lab-based cases reveals systemic inefficiencies and rising denial rates, underscoring ...

PayerWatch, a leader in revenue integrity and insurance and audit denial management solutions for hospitals, today announced a strategic partnership with Hyve Health, a health data and intelligence ...

Gangadhar Vasanthapuram’s AI framework automates clinical audit narratives using LLMs and prompt engineering—enhancing ...

A recent CMS announcement signals a more aggressive approach to auditing Medicare Advantage plans. Revenue cycle leaders should be prepared for the ripple effects.

This audit cycle demonstrates the successful implementation of a multimodal ... Committee will consider further interventions to improve ACP including permanent ACP clinical nurse consultants who will ...

As cycle times remain a primary challenge in clinical trials ... the elluminate platform now includes an ML-driven Audit Trail Review, which surfaces anomalies related to the frequency and ...

Within the cycle, there are stages that follow a systematic ... increased resources to be allocated to the process. The clinical audit's aim is to assess the following in terms of blood usage ...

In this clinical practice, the PDCA cycle was applied to improve the clinical application ... pharmacists on the rational application of HA through medical prescription audits and prescription reviews ...