CMS’s SaMS Coding Plan Draws Pathology Industry Pushback
CMS wants to code AI-driven lab analyses as ‘Software as a Medical Service’ instead of standard lab tests. Nearly every major pathology group opposes it.
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Arintra’s $25M Raise Signals a Denial-Prevention Shift
Arintra’s $25M Series B points to AI-driven coding accuracy, not just claims-processing speed, as the real lever against payer denials this year.
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ACDIS/AHIMA 2026 Query Guidelines Tackle AI Queries
ACDIS and AHIMA just updated the query practice guidelines CDI programs live by — and for the first time, they spell out rules for AI-generated queries.
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CMS’s CPT Coding RFI: What It Means for Compliance Teams
CMS is asking whether the AMA’s CPT coding monopoly still serves patients. A copyright lawsuit filed weeks later raises the stakes for coding teams.
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ICD-10’s September 2026 Meeting Signals FY2028 Changes
The ICD-10 Coordination and Maintenance Committee meets Sept. 15-16, 2026 to weigh FY2028 codes for brain-computer interfaces and sepsis. Here’s what to track.
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What Waystar’s Agentic AI Launch Means for Medical Coding
Waystar’s Aug. 26 AltitudeAI launch bundles denial resolution and documentation review agents — here’s what it signals for medical coding teams.
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AHRQ Funding Collapse Puts CDI’s Evidence Base at Risk
AHRQ’s near-halt on grantmaking is starving the sepsis and patient-safety guidance CDI teams depend on daily — coding leaders need a plan before it breaks.
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Prior Auth Automation Raises the Bar on Coding Accuracy
R1’s Humata Health deal shows prior-auth automation is tightening the link between coding accuracy and claims approval — and raising the cost of coding errors.
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AI Upcoding and the New False Claims Act Risk for Coders
A new claims analysis puts AI-driven upcoding exposure at $2.3 billion. Here’s why evidence-linked coding is becoming a compliance necessity.
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Clinical Validation Denials: Where Agentic AI CDI Fits
Payers increasingly split DRG denials into coding downgrades and clinical validation disputes. Here’s how agentic AI helps CDI teams tell the two apart.
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