Medical Coding Quality Standards Gain New Industry Council
A new industry council says medical coding’s go-to ‘95% accuracy’ benchmark is meaningless without shared standards — for human coders and AI alike.
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AGS Health Debuts Agentic AI for Medical Coding, RCM
AGS Health’s new InnovationWorks center applies agentic AI to autonomous coding, CAC, and CDI via AWS Bedrock AgentCore — built for auditability, not speed.
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Black Book’s 2026 CDI Software Rankings: What They Mean
Black Book’s 2026 RCM evaluation ranks the top CDI and coding-automation vendors. Here’s what the rankings mean for medical coders and CDI teams.
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Medicaid Work Requirements: ICD-10 Coding Guide for 2026
CMS’s new Medicaid work requirements rule makes ICD-10 documentation a patient-protection issue. Coders who miss the right codes risk patient coverage loss before January 2027.
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athenahealth Express Coding: Ambulatory Coding Arrives
athenahealth’s Express Coding automates 51% of ambulatory charges and routes one-third of claims to billing with zero coder review. Here’s what it means.
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AI Governance in RCM: What Black Book’s 2026 Data Says
Black Book’s 2026 RCM survey found 63% of hospitals demand auditable AI—and 69% require human oversight before AI takes any coding or appeal action.
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Mayo-Microsoft Healthcare AI Model: What Coders Must Know
Mayo Clinic and Microsoft are building a frontier AI model for healthcare—trained on de-identified clinical data. Here’s what medical coders need to understand about this shift.
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AI Denial Prevention: How FinThrive Is Shifting RCM Strategy
FinThrive’s Denials Prevention Manager — showcased at HFMA 2026 — signals a major shift from chasing appeals to stopping denials before they start.
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AMA CMAA Framework: AI-Only CPT Codes for Medical Coders
The AMA’s new CMAA framework creates CPT codes for AI-only medical services with no physician involved. Here’s what coders need to know.
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CMS WISeR Model Is Live: What Medical Coders Must Know in 2026
The CMS WISeR Model is live. Six AI vendors now handle Medicare prior auth in six states — and what coders document will determine whether requests are approved.
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