Practice Management

Reimbursement

Latest AI and machine learning research in reimbursement for healthcare professionals.

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Showing 1-20 of 1,474 articles

Systematic prioritization of candidate genes in camptothecin biosynthesis using multi-omics and deep learning.

Camptothecin (CPT), a plant-derived monoterpene indole alkaloid first identified in Camptotheca acuminata, is a drug precursor widely used for cancer chemotherapeutics. However, the full set of genes responsible for CPT biosynthesis remains unclear, hindering efforts to elucidate the complete pathway or establish biosynthetic production of CPT in heterologous hosts. In this study, we engineered an...

Sep 1 2026 42557532

Large Language Models vs. NASS Common Coding Scenarios: An Analysis of Accuracy and Financial Implications using 2026 CPT AMA Codebook Guidelines.

BACKGROUND CONTEXT: Accurate Current Procedural Terminology (CPT) coding is essential for compliant revenue cycle management in spine surgery. However, increasing documentation burdens and the complexity of bundling rules often lead to significant revenue leakage or audit risk. PURPOSE: To evaluate the baseline efficacy of three state-of-the-art Large Language Models (LLMs) in generating accurate ...

Aug 31 2026 42674130
Patients' Perspectives on Applications of AI and Personalized Medicine in Life-Threatening Heart Disease: European Cross-Sectional Patient Questionnaire Study.

BACKGROUND: The growing integration of personalized risk prediction (PRP) and AI substantially reshapes diagnostic and therapeutic decision-making in ...

Aug 25 2026 42640848
An ICD gene set-derived immune contexture signature for colorectal cancer prognosis: integrated single-cell and bulk transcriptomic analysis with external validation.

Immunogenic cell death (ICD) links tumor cell demise with antitumor immunity, but the transcriptional features associated with ICD gene expression pat...

Aug 24 2026 42636619
Grading-labour cost analysis of AI-assisted versus human-only diabetic retinopathy screening in two Danish healthcare settings.

PURPOSE: Diabetic retinopathy (DR) screening is essential to prevent vision loss, yet rising diabetes prevalence threatens to outpace ophthalmology ca...

Aug 22 2026 42631659
AI-assisted radiographic fracture detection and length of stay in the adult ambulatory orthopedic emergency department: a before-after cohort study with a disease-specific internal control.

BACKGROUND: Although artificial intelligence-assisted radiographic fracture detection tools (AI-RFDT) have demonstrated high diagnostic accuracy in ad...

Aug 20 2026 42632355
[Artificial intelligence in the preparation of clinical expert opinions : Current evidence, use cases, and limitations in orthopedic assessment].

BACKGROUND: Generative AI, large language models, and ambient AI systems are rapidly being integrated into documentation-related processes in medicine...

Aug 19 2026 42616095
Comparative outcomes of balloon-expandable versus self-expanding transcatheter aortic valves: insights from a large-scale German registry.

BACKGROUND: While transcatheter aortic valve replacement (TAVR) has become an established alternative to surgical aortic valve replacement (SAVR), the...

Aug 18 2026 42613595
From general-purpose models to purpose-built artificial intelligence Systems for Health economic Modeling.

INTRODUCTION: Health economic models (HEMs) provide a solid foundation for reimbursement policy decisions that shape patient access to new treatments ...

Aug 17 2026 42605534
Machine Learning to Identify Point-of-Care Ultrasound and Evaluate Standardized Documentation: Retrospective Operational Cohort Study.

BACKGROUND: Point-of-care ultrasound (POCUS) is integral to obstetrics and gynecology (OBGYN), offering bedside diagnostic and therapeutic advantages....

Aug 7 2026 42566781
Early Adoption of Autonomous Artificial Intelligence Screening for Diabetic Retinopathy After Introduction of Medicare Billing Code 92229.

PURPOSE: Diabetic retinopathy remains a leading cause of blindness in the United States. Autonomous artificial intelligence (AI) systems for screening...

Aug 5 2026 42554455
The Human Sleep Project: A Multi-Center Clinical Polysomnography Dataset Across the Human Lifespan.

STUDY OBJECTIVES: Sleep research has been limited by the lack of large, diverse polysomnography (PSG) datasets. Existing resources are often single-ce...

Aug 5 2026 42555111
Precision pharmacology: deep learning infused ontological framework with E-GRU enhancement for tailored medicine prescriptions.

Advanced Clinical Decision Support Systems significantly influence patient care, with medicine prescriptions being a vital area of research. Ontology,...

Aug 3 2026 42547776
Heterogeneity in the association between antihypertensive medications and Alzheimer's disease and related dementias risk: A multidimensional machine learning analysis to inform drug repurposing.

BackgroundAlzheimer's disease and related dementias (ADRD) place an immense burden on patients, families, and health systems in the United States. Hyp...

Jul 28 2026 42517799
Who Owns Arthroplasty Data?: Governance in the Era of Robotics, Registries, and Industry Partnerships.

Robotic platforms, proprietary registries, and advanced analytics have transformed total joint arthroplasty into a data-intensive subspecialty. Contem...

Jul 28 2026 42520130
Prediction of heart arrhythmia onset in patients with ICD using machine learning algorithms.

PURPOSE: The current study uses machine learning algorithms to predict the onset of cardiac arrhythmia in patients with implantable cardioverter-defib...

Jul 22 2026 42486301
Recent Advances in AI for Automated ICD Coding: A Systematic Literature Review.

International Classification of Diseases (ICD) codes enable correct billing, insurance reimbursement, and healthcare analytics. However, manual coding...

Jul 16 2026 42461368
Artificial Intelligence for Automated Current Procedural Terminology Coding in Plastic and Reconstructive Surgery Using a Fine-tuned Hybrid Large Language Model.

BACKGROUND: Current Procedural Terminology (CPT) coding in plastic and reconstructive surgery is complex, time-intensive, and prone to error, particul...

Jul 15 2026 42460033
Transcranial photobiomodulation improves prefrontal oxygenation and impulse control in adults with ADHD: a randomized controlled trial.

BACKGROUND: Impulsivity in individuals with attention-deficit/hyperactivity disorder (ADHD) diminishes quality of life. Cortical hypometabolism has be...

Jul 14 2026 42449279
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