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• ↓ Insurers deny less just to claw back more later: analysis
• ↓ Texas hospitals sue Independence Blue Cross over denied claims
• ↓ Medical debt impacts 1 in 3 insured adults
• ↓ R1 adds AI utilization management for denial prevention
• ↓ Medicare cuts will jeopardize physician practices, groups say
• ↓ HHS adds new IDR entity as surprise billing disputes surge
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"An analysis shows that claim denial rates are falling slightly, but providers aren't necessarily seeing an improvement in revenue as payers seek clawbacks."

"Five HCA-affiliated hospitals want over $345,000 in what they say Independence Blue Cross owes them from inappropriate denials under the controversial BlueCard program."

"Health insurance coverage doesn't protect everyone from incurring medical debt, with most debt totaling $2,000 or more."

"The company's new Phare Utilization Management tool layers payer-specific intelligence onto a clinical AI engine to identify medical necessity denials in real time."

Key Topics & Focus Areas for revcycleintelligence.com:

Insurers deny less just to claw back more later: analysis

Texas hospitals sue Independence Blue Cross over denied claims

Medical debt impacts 1 in 3 insured adults

R1 adds AI utilization management for denial prevention

Medicare cuts will jeopardize physician practices, groups say

HHS adds new IDR entity as surprise billing disputes surge