Benchmark data from MDaudit tells the story: payer audit volume and dollars at risk climbed 30% year over year, with coding-related denials up as much as 26%. Regulatory scrutiny of AI-assisted coding ...

Coding experts agree that ASCs should conduct regular audits of their coding processes to ensure the ASC is not upcoding, a possible fraud issue, or downcoding, leading to a loss of owed reimbursement ...

Specific, accurate coding backed by thorough documentation is the cornerstone of audit readiness. ICD-10’s structure allows for detail on severity, laterality, and causation, and payers expect this ...

An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect ...

RAAPID's AI-powered risk adjustment solution received an A+ would-buy-again grade (Emerging Data, n=5) from interviewed customers in the May 2026 KLAS Emerging Company Spotlight, citing AI accuracy ...

As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.” — Moghis Uddin, CEO of AlethianAI ...

Coding audits can help healthcare systems pinpoint mistakes and ultimately streamline processes and enhance coding staff expertise, ICD10Watch reports. Outlining a post-audit action plan can push ...

Dallas (Texas) [US]/ Mumbai (Maharashtra) [India], April 8: IKS Health, a global leader in care enablement solutions across the patient journey, is proud to announce the launch of its AI-driven ...

LOUISVILLE, Ky., June 10, 2026--(BUSINESS WIRE)-- RAAPID, INC., a leading Neuro-Symbolic AI-powered risk adjustment platform for payers and at-risk providers, today announced that it has been featured ...