UnitedHealth’s AI Chart Review: What It Means for CDI
UnitedHealth’s Q3 2026 earnings call put hard numbers on payer-side AI. CDI and coding teams should read them as a documentation deadline, not just a headline.
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CY2027 ESRD Payment Rule: What It Means for Dialysis Coding
CMS’s CY2027 ESRD rule shifts dialysis facility payments. Coding teams that miss case-mix and add-on documentation will leave money – and compliance – on the table.
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Why ASCs Are Turning to Agentic AI for Surgical Coding
Ambulatory surgery centers are quietly adopting agentic AI for surgical coding and billing. Here’s what that network-level shift means for accuracy and audit risk.
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CMS’s October 2026 OPPS Update: 58 New CPT Codes for Coders
CMS’s October 2026 OPPS update adds 58 Category III codes and 39 lab analysis codes. Here’s what coding teams need to implement now.
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Fifth Circuit’s RADV Skepticism: What It Means for Coders
A Fifth Circuit panel pressed HHS hard on its RADV audit rule during Oct. 5 oral arguments. Coding and compliance teams shouldn’t wait for a ruling to act.
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AHA Rebuts BCBS’s $942M AI Coding Claim: What It Means
AHA says BCBS’s $942M AI-coding intensity analysis skipped the medical records entirely. For coding and compliance teams, the underlying test still matters most.
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Healthleap’s $38M Raise and the Cost of Documentation Gaps
Healthleap just raised $38M to flag undocumented patient conditions. Penn Medicine’s numbers show exactly what documentation gaps cost in lost reimbursement.
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OIG’s Q3 2026 Work Plan: What It Means for Coding Teams
OIG’s Q3 2026 Work Plan additions touch AI governance, ventilator-event coding, and MCO denials. Here’s what coding compliance teams need to know.
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Black Book’s 2027 Categories Split Out Autonomous Coding
Black Book split mid-revenue-cycle AI into distinct categories for 2027. For coding teams, that breakdown matters more than the vendor rankings themselves.
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AKASA’s Autonomous Coding Now Spans 10% of US Inpatient Care
AKASA says its autonomous coding platform now covers 10% of US inpatient discharges nationwide. Here’s what that kind of scale means for HIM and compliance teams evaluating it.
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