This week Blue Cross Blue Shield published an article titled “Study suggests AI is boosting hospital billing.” The study was based on data analyzed by Blue Health Intelligence® (BHI®) which looked at claims data from “tens of thousands of maternity admissions.” Not all clinical documentation integrity (CDI) departments review obstetrics
Hotly anticipated performance targets and payment amounts for the Centers for Medicare & Medicaid Services (CMS) Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model
The Centers for Medicare & Medicaid Services (CMS) operates a surveillance platform called the Fraud Prevention System (FPS) that analyzes Medicare claims across the full
Hospitals often approach clinical documentation integrity (CDI) and utilization review (UR) as separate operational functions. CDI teams focus on ensuring that documentation accurately reflects patient
We all lost an hour of sleep when we “sprang forward” this past weekend. This week is National Sleep Awareness Week for 2026. In its 28th
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