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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Modifier 25 and CMS’s 2027 Same-Day E/M Payment Cut
CMS’s CY2027 proposed rule would pay same-day E/M visits billed with modifier 25 at just 50%. Here’s what the change means for coders and denial teams now.
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