OIG Home Health Audit: The Case for Coding Automation
OIG’s Deistic Home Health audit found 37% of sampled claims failed billing, coding, or documentation rules. Here’s what automated coding validation would have caught.
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AI Medical Coding ROI: Why Task Volume Isn’t the Metric
A new MedEvolve report finds that AI often accelerates flawed RCM work instead of fixing it. Here is what that means for measuring true AI medical coding ROI.
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What Ebix’s New Coding Platform Means for Automated Coding
Ebix’s new A.D.A.M. platform maps health content to ICD-10 and LOINC at scale. Here’s what automated coding at that volume means for medical coders and RCM teams.
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USCDI v7 Medical Coding: What ONC’s New Standard Requires
ONC published USCDI v7 on July 23, 2026, adding 31 data elements, including a new Adverse Events class. Here’s what it means for medical coding and CDI teams.
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How Agentic AI Prevents RPM Billing Compliance Risks
CMS’s new short-duration RPM code cuts billing to 2 days of data. Agentic AI validation closes the compliance gaps OIG’s 2025 audit already flagged.
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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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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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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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R1 Phare OS: Medical Coding Meets Real-Time Adjudication
R1 launched Payer Atlas and Phare Intelligence on June 18, 2026—two capabilities designed to move medical coding toward real-time claim adjudication.
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Omega Healthcare’s PEAK Matrix Win: What It Means for RCM AI
Omega Healthcare is the only provider to earn both Leader and Star Performer in Everest Group’s 2026 RCM PEAK Matrix — a signal about agentic AI in the revenue cycle.
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