How Agentic AI Closes the Hospital Underpayment Gap in RCM
Underpayments silently cost hospitals 2-5% of net revenue every year. Agentic AI is now closing that gap by modeling every payer contract automatically.
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Agentic AI for HCC Coding: Lessons From OIG’s $462M Audit
OIG found every sampled acute stroke HCC code unsupported, a $462M miss. Here’s how agentic AI validation can catch these HCC coding gaps before submission.
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LLM Hallucinations in Medical Coding: What emtelligent’s Study Found
A new study shows general LLMs fabricate nearly 1 in 3 medical codes. emtelligent’s clinical AI hit 89.85% F1 with zero hallucinations—here’s what coders need to know.
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2026 wRVU Efficiency Adjustment: What Medical Coders Must Know
CMS’s 2026 efficiency adjustment cut work RVUs 2.5% for most non-time-based codes. Here’s what medical coders need to know to protect reimbursement across procedural specialties.
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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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