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In most non-emergency medical transportation programs, the claim is the first complete record of a trip — created before anyone independently verifies the trip happened. This report highlights an accountability gap in NEMT that auditing after the fact cannot resolve.…

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Independent physician groups have spent years investing in revenue cycle automation—and it has delivered real results. But the biggest revenue cycle challenges were never the repetitive tasks. Denials, payer rule changes, authorization gaps, and workflow exceptions require context, judgment, and…

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Beginning Jan. 1, 2027, impacted health plans must exchange prior authorization data through standardized application programming interfaces (APIs). The mandate reaches Medicare Advantage organizations, state Medicaid and CHIP fee-for-service programs, managed care plans and Qualified Health Plan issuers on the…

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When clinicians don’t trust clinical decision-support tools, they don’t just ignore them. They spend extra time verifying and correcting AI-generated recommendations undermining productivity and compromising the very quality-of-care gains these tools are meant to deliver. At Becker’s 16th Annual Meeting,…

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A patient assumes every physician has their full longitudinal picture. Too often, that picture is scattered across tabs, reports, device systems and outside records, and the insight stays out of reach. It gets worse below the surface. One health system…

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