As healthcare provider groups fought back against the Department of Health and Human Services warning about upcoding, they contested that more coding does is not the same as coding fraud, according to ...

For years, healthcare payers have treated note cloning—the practice of copying and pasting electronic health record (EHR) text—as a primary red ...

2. Phantom billing. Healthcare companies commit phantom billing fraud when submitting claims for services not actually performed. 3. Inflated hospital bills. Inflated bills occur when patients are ...

A western New York health insurance provider for seniors and the CEO of its medical analytics arm have agreed to pay a total of up to $100 million to settle Justice Department allegations of ...

Healthcare systems are rapidly adopting AI-driven medical coding and documentation tools in 2026, aiming to cut administrative burdens, improve billing accuracy, and enhance patient care. Experts ...