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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Blue Cross’s $942M AI Coding Report: Audit Risk Ahead
Blue Cross ties $942M in added costs to AI-assisted hospital coding. Revenue cycle and compliance teams should expect more scrutiny of secondary diagnoses.
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CMS Flags Improper Payments: A Warning for Coding Teams
CMS’s September 2026 MLN alert found a 32.6% improper payment rate on a routine DME code — a reminder that documentation, not fraud, drives most denials.
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CMS-0057-F Prior Auth Rule: What RCM Teams Must Know
CMS-0057-F’s January 2027 API deadline is approaching fast — here’s what the prior authorization rule really means for medical coding and RCM teams.
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Prior Auth Automation Raises the Bar on Coding Accuracy
R1’s Humata Health deal shows prior-auth automation is tightening the link between coding accuracy and claims approval — and raising the cost of coding errors.
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ModMed’s Agentic RCM Launch Signals Where AI Coding Is Headed
ModMed’s agentic RCM platform folds coding guidance into denial prevention and appeals — a sign that coding accuracy and revenue recovery are converging.
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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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AI Governance in RCM: What Black Book’s 2026 Data Says
Black Book’s 2026 RCM survey found 63% of hospitals demand auditable AI—and 69% require human oversight before AI takes any coding or appeal action.
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AI Denial Prevention: How FinThrive Is Shifting RCM Strategy
FinThrive’s Denials Prevention Manager — showcased at HFMA 2026 — signals a major shift from chasing appeals to stopping denials before they start.
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