Fitch: Human Review of AI Prior-Auth Denials Is Likely to Stay. What That Means for Billers
Fitch Ratings’ Artificial Intelligence Stress Test, published October 5, 2026, scores health insurers at 20 out of 100. That is well below…
AI News
News and plain-English analysis of artificial intelligence in US medical billing and revenue cycle management. Coverage includes payer AI and algorithm policies, AI in prior authorization and claim review, and the automation tools billing teams are adopting.
Humana and UnitedHealth AI-Denial Lawsuits Reach Class-Certification Deadlines: What Medicare Advantage Patients Should Know
Two class actions claim Medicare Advantage insurers used an AI tool called nH Predict to cut off nursing-home and rehab coverage too…
Blue Cross Says AI Coding Added $942 Million to Hospital Bills. What It Means for Coders and Patients
The Blue Cross Blue Shield Association (BCBSA) says hospitals’ use of AI-assisted coding added about $942 million to Blue plan costs from…
Alabama’s AI Prior Authorization Law Is Now in Effect: What Patients and Billers Need to Know
Alabama’s SB 63 took effect on October 1, 2026. It covers health plans regulated by the state that use artificial intelligence on…
AKASA Launches Autonomous Inpatient Coding: What It Means for Coders, CDI and Denials
On October 2, 2026, revenue-cycle AI company AKASA launched what it calls an autonomous AI platform for the “mid-cycle.” It says the…