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…
Medical Billing 101 – Free Denial Code, CPT & RCM Guides
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…
Got a Medical Bill Months (or a Year) Later? Timely Filing Rules and When You Don’t Have to Pay
A late medical bill isn’t automatically wrong, but don’t pay it until you’ve checked one thing: did the provider bill your insurance…
ER Visit Denied by Insurance as “Not an Emergency”? The Prudent Layperson Rule and How to Appeal
Did your insurer deny an ER visit because the final diagnosis turned out to be minor? You have strong grounds to appeal.…
Medical Bill Sent to Collections? How to Dispute It and Protect Your Credit
Act fast, and work on two fronts. First, send the collection agency a written dispute within 30 days of its first notice.…
Out-of-Network Anesthesiologist at an In-Network Hospital? Your No Surprises Act Rights
Say your hospital or surgery center was in network, but the anesthesiologist, radiologist, pathologist or lab wasn’t. The federal No Surprises Act…
Prior Authorization Denied? What to Do Next (MRI, Surgery or Medication)
When prior authorization is denied, don’t cancel your care yet. First, get the denial reason and reference number from your doctor’s office.…