General

BY Jasmyne Ray for Health Leaders Artificial intelligence has moved from a buzzword to an established presence in revenue cycle technology. Revenue cycle and finance leaders alike are looking to AI to streamline processes and automate tasks, which will allow them to use staff more efficiently as the sector-wide staffing shortage persists. HealthLeaders previously spoke to…

By Reuters for NBC News A federal jury in New York City on Wednesday convicted two former NBA players over their roles in a scheme to defraud a league health care plan into paying millions of dollars for bogus medical procedures. Glen Davis, 37, who played for three NBA teams and won a championship in 2008 with the…

Giles Bruce by Becker’s Hospital Review It likely wasn’t by happenstance that cybercriminals attacked a major U.S. health system the week of Thanksgiving, IT security chiefs told Becker’s. Ardent Health Services, a 30-hospital system based in Nashville, Tenn., took its IT systems offline Nov. 23, the morning of Thanksgiving, after discovering what it later found to be a ransomware attack. Ambulances…

By Nathan Eddy for Healthcare Finance News Escalating reimbursement delays and declining cash reserves are placing hospitals and health systems across the nation in a precarious financial predicament, according to data from Syntellis Performance Solutions’ analysis of 1,300 hospitals. The findings, published in partnership with the American Hospital Association, underscore the pressing need for measures…

By Noah Schwartz for Becker’s Hospital Review A survey of 2,014 adults from consulting giant Deloitte found that 53% believe generative artificial intelligence could improve access to healthcare. Here are four takeaways from the Nov. 16 report:

By Beth Friedman for For the Record My health care career began in the 1980s when I was a clinical coder for a small Pittsburgh hospital. Even then, before the Prospective Payment System and DRGs, a steady drumbeat of payer denials echoed throughout the business office, HIM, and finance departments of most health care provider…

By Emily Olsen for Healthcare Dive Dive Brief: Dive Insight: High labor expenses pummeled hospital margins last year, and many facilities continue to struggle financially even as pressure lifts for some providers.  Those financial challenges, combined with the COVID-19 pandemic, paved the way for AI and virtual care adoption, which could lessen some of the resource strain, the survey said.…

By Claire Wallace for Becker’s Hospital Review UnitedHealthcare Group, which has an annual revenue of $324 billion, is the largest health insurance company in the U.S. by market share, according to a report from ValuePenguin updated in October.  Here are the 10 largest payers in the U.S. and their market share: