AI Coding Agent Governance: What RCM Teams Must Do First
As AI coding agents move from pilot to production, governance is the real bottleneck. Here’s the HIPAA, ONC, and OIG checklist RCM teams need before go-live.
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Experity Acquires Exdion to Automate Urgent Care Coding
Experity acquired Exdion Healthcare on July 1, 2026, uniting the #1 urgent care EHR with AI-powered coding automation that delivers 86% fewer denials for 6,700+ clinics.
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FY2027 ICD-10-PCS: AI Codes and Custom Devices Arrive Oct 1
FY2027 adds 101 new ICD-10-PCS codes, including AI-assisted procedure codes and custom implant codes. Here’s what inpatient coders and CDI teams must know before October 1.
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CMS ACCESS Model Live: G-Codes for Chronic Care Coders
The CMS ACCESS model is live as of July 1, 2026. Here’s what the new G-codes, billing rules, and documentation shifts mean for chronic care coders.
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CMS Ends Unlinked Chart Reviews: HCC Coders’ 2027 Guide
CMS’s CY2027 MA announcement bars unlinked chart reviews from HCC risk scores. Here’s what this compliance shift means for coding teams and MA plans.
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Fathom + CVS Health: Why Payers Are Betting on AI Coding
CVS Health Ventures invested in Fathom in May 2026. Here’s what a major payer backing autonomous medical coding means for RCM teams and coders.
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Elevance’s $342M MA Repayment: What HCC Coders Must Know
CMS forced Elevance Health to repay $342M in Medicare Advantage overpayments. Here’s what this landmark enforcement action means for HCC coders.
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AI-Generated Radiology Reports: What Coders Need to Know
Aidoc earned FDA Breakthrough Designation for AI-drafted radiology reports. Here’s what that means for ICD-10-CM coding, CDI specificity, and CPT billing.
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DOJ’s 2026 Fraud Takedown: What Medical Coders Must Know
The DOJ’s 2026 healthcare fraud takedown charged 455 defendants over $6.5B in false claims. Here’s what AI enforcement means for medical coding compliance.
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Ensemble and Cohere Build First RCM-Native LLM for Coders
Generic LLMs weren’t built for RCM. Ensemble and Cohere are building the first revenue cycle-native LLM, expected H2 2026—and it changes how coders should evaluate AI.
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