If you have a bacterial infection, you need to take antibiotics. If health care providers need to determine that you have a broken bone, you’ll need to have an X-ray. Those are some examples of ...

The Recovery Audit Contractor (RAC) is approaching. Where should your hospital's leadership focus its time and attention? The answer is medical necessity, because it's clearly a key RAC target.

Now that we know the RACs are rolling out their reviews of claims related to medical necessity (Regions B, C and D), it is worthwhile to consider once again how individual providers will plan and ...

The significant cost in dollars, staff and time of claim denials makes medical necessity errors very risky for hospitals. Irene Barron, nTelagent COO and product management officer, explains how ...

FRANKLIN, Tenn., June 17, 2025 (GLOBE NEWSWIRE) -- Xsolis, an AI-driven technology company that reduces administrative waste by enabling collaboration between healthcare providers and payers, today ...