Client News Coverage

Revenue risk no longer begins and ends with managing denials. It now touches every stage of the revenue cycle — from documentation, charge capture, and coding to billing and denials management — and healthcare organizations relying on reactive, manual, and siloed oversight approaches are paying the price. In an environment defined by financial pressure, heightened regulatory scrutiny, and increasingly AI-powered payer behavior, reactive approaches are no longer enough.

Today, MDaudit, an award-winning, AI-powered continuous risk-monitoring platform. launches “Revenue Integrity Redefined,” a campaign that charts a clear path forward for revenue cycle leaders navigating today’s financial uncertainty. The campaign launches with a flagship video and a suite of supporting resources, including an assessment tool that helps organizations benchmark their revenue integrity maturity across denial prevention, audit readiness, cross-functional alignment, and technology enablement.

HIMSS is one of the largest gatherings in health IT, bringing together more than 30,000 healthcare leaders, CIOs, executives, and innovators to explore the future of healthcare technology.

Throughout the conference, we’re talking with top companies and industry leaders about the biggest trends shaping healthcare today including AI, cybersecurity, workforce challenges, leadership, and major product announcements from the show floor.

 Healthcare IT Today»

The Trump administration on Friday unveiled legislative framework for a single national policy on artificial intelligence.

The aim is to create security and safety guardrails for the use of AI while also preventing states from enacting their own laws. The legislative framework is intended to be a blueprint for Congress to guide AI regulation.

 Fierce Healthcare»

The Trump Administration, this past Friday, put forth its new National Policy Framework for Artificial Intelligence, a set of goals and recommendations for legislators that the White House says should streamline innovation while protecting families and communities and expanding workforce development, among other priorities.

Along with other AI imperatives, the legislative framework seeks to further establish efforts to unify a national artificial intelligence policy that prevents potentially conflicting state regulations.

 Healthcare IT News»

The White House has released its National Policy Framework for Artificial Intelligence: Legislative Recommendations, a broad proposal intended to guide Congress in developing the first comprehensive federal AI law.

The framework outlines a national strategy for AI development while also addressing risks such as child safety, intellectual property, and infrastructure demands.

It’s hard not to conclude that the US healthcare system is at an inflection point. After more than 40 years in this industry, I feel that few other moments (perhaps COVID?) have carried the same weight of urgency, disruption, and potential.

Our complex healthcare ecosystem has always operated under pressure. Financial constraints, reimbursement changes, and a shifting regulatory environment are constants in the revenue cycle and across the broader system. What is different now is the pace and scale of technological change, particularly with artificial intelligence (AI).​

When the Centers for Medicare & Medicaid Services (CMS) launched its Transforming Episode Accountability Model (TEAM) initiative in January 2026, more than 700 hospitals across the country took another significant step toward enacting value-based care.

The five-year, episode-based payment model aims to improve the patient experience by linking hospitals’ financial incentives directly to patient outcomes and seamlessly coordinating care between providers.

Health IT Answers»

Preserving and protecting brain health is one of the most crucial things you can do, not just for longevity, but also to maintain your quality of life—but some of the measures many of us take to stay sharp may actually have the opposite effect.

Chances are you’ve seen commercials for vitamins, supplements and other products that promise to keep your noggin working properly, but buyer beware: Many of them aren’t very effective, and some of them may potentially accelerate brain aging, increasing your risk of cognitive decline.

Parade»

The healthcare technology industry supports reducing health IT certification complexities. But some of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology's latest proposed changes – which eliminate 34 requirements and revise seven others – still need tweaking, industry experts say.

The EHR Association spoke with Healthcare IT News recently about some key aspects of the latest health IT certification proposed rulemaking – Health Data, Technology, and Interoperability version 5, or HTI-5 – including reductions to data exchange and security conditions.

Already grappling with staffing shortages and clinical personnel burnout, provider organizations are now facing rising clinical denial rates as payers focus on medical necessity and prior authorization issues stemming from insufficient clinical documentation. These denials have risen sharply over the past few years for reasons ranging from increased audits and deeper integration of AI and automation into the claim review process to increasingly stringent denial practices. As a result, hospitals’ already strained budgets and operational capacity are being stretched to the breaking point.

Time is money, and many physician practices today are short on both. Which is why optimizing billing workflows to accelerate claims submission and improve accuracy should be an administrative priority to turn things around on both fronts.

Technology is often the go-to solution for healthcare administrative workflow woes, including billing. Still, it’s just one of several practical steps that can deliver tangible impact, many of which require little to no capital investment.

When the Centers for Medicare & Medicaid Services (CMS) launches its Transforming Episode Accountability Model (TEAM) initiative next year, the aim will be to improve the patient experience by better coordinating care between healthcare providers.

For more than 700 hospitals across the country, it will mean meeting new accountability, cost, outcomes, and quality standards for surgical care.

The Assistant Secretary for Technology Policy (ASTP) and the Office of the National Coordinator for Health Information Technology (ONC) have issued updated enforcement discretion criteria and extended the compliance deadline for several requirements under the Health Data, Technology, and Interoperability (HTI-1) Final Rule.

Health IT developers who were expected to meet certification requirements by January 1, 2026, will now have until the end of February to complete mandated updates.

The rate of payer audits accelerated in 2025, with hospital inpatient and outpatient average denial amounts that increased by 14% and 12%, respectively. Denial volumes were also up overall, led by a nearly fivefold increase in Request for Information (RFI) and medical necessity denials for Medicare Advantage plans. The total at-risk amounts, number of claims and average amount per claim increased by 30% in payer audits.

Denials related to outpatient coding increased by 26%. These trends send a clear signal to providers that successfully navigating today’s complex financial and regulatory landscape requires prioritizing billing compliance, coding integrity, robust denial prevention strategies, and redefining revenue integrity to ensure sustainability.

The Assistant Secretary for Technology Policy and the Office of the National Coordinator for Health Information Technology have announced new enforcement discretion criteria and extended the deadline to comply with certain regulatory requirements under the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing rule, or HTI-1.

The recent government shutdown caused substantial delays in HIT developers' ability to comply with crucial HTI-1 regulations. Developers, especially smaller ones, faced significant challenges in updating vital components. While ASTP/ONC has delayed the compliance deadline, there is still a ripple effect on compliance requirements for certain provider reimbursement programs.