When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...

Their reviews aligned 89% of the time and identified only 46% of claims with issues, half of which were related to medical necessity, not coding errors. “These audits are very intricate work that take ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

Vibe coding isn’t just the latest tech buzzword; it’s here to stay. To keep you in the know, the team and I tested the biggest vibe coding platforms on the market so you don’t have to – and Lovable ...

Credit: Image generated by VentureBeat with Gemini-2.5-Flash-Image Enterprise startup CodeRabbit today raised $60 million to solve a problem most enterprises don't realize they have yet. As AI coding ...