Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

Welcome back to In the Loop, TIME’s new twice-weekly newsletter about the world of AI. We're publishing installments both as stories on Time.com and as emails. If you're reading this in your browser, ...

Medical coding requires a deep understanding of medical terminology and procedures, as well as the ability to make judgment calls when necessary. Human coders are better equipped to handle these tasks ...

Ever wondered about the unsung heroes of the healthcare system? The ones who make sure your medical bills are accurate, ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...