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Blogs & Resources
Expert insights on healthcare operations, revenue cycle management, medical coding, and compliance.
Legal
A chronology built for one case is a document. A chronology built for a cohort has to be a dataset. Most mass tort record review produces the first thing and then needs the second.
Legal
California law already anticipates that someone other than the evaluator will organize the records. It is specific about what that person may do, and about what the physician still has to do afterward.
Legal
CMS does not reject an incomplete Medicare Set-Aside submission. It fills the gaps with defaults, and the defaults run against the payer.
Legal
Liability in a California cumulative trauma claim reaches back one year. The record that decides where that year falls reaches back much further.
Revenue Cycle
Healthcare revenue cycle automation has come a long way. Not long ago, revenue cycle professionals were spending hours verifying insurance, checking the status of claims, applying payments, and following up on denials.
Legal
The Division of Workers' Compensation's 2026 IMR Report: Analysis of 2025 Data breaks Q4 2025 case dispositions down by region. Bay Area cases were upheld 85.7% of the time. Los Angeles, 88.4%. Central Valley, 87.5%. Inland Empire, 87.7%. Across 37,872 cases and eleven regions, the spread between the most and least favorable venue was under five points.
Revenue Cycle
AI in healthcare revenue cycle management (RCM) has evolved beyond experimentation and now represents a meaningful opportunity for operational improvement.
Legal
The case for AB 1293 was easy to make. A panel QME issues a report that never addresses apportionment, or answers causation for the shoulder and says nothing about the cervical spine. Somebody requests a supplemental report, which the evaluator has 60 days to produce. Somebody else notices the deposition, which can be set as far out as 120 days. Months come off the claim, the per-page and per-report billing keeps running, and the underlying medical opinion has not moved.
Revenue Cycle
The rise of healthcare revenue cycle automation is being driven by increasing hospital labor costs, denial volumes, and payer complexity, which are all growing at a rate greater than that of staffing budgets.
Legal
Three years ago, telling a workers' compensation defense firm that AI could build a medical chronology was a sales pitch. Today it is an assumption. Every serious vendor in this market has an extraction engine, and most have had one long enough to have worked the obvious bugs out of it.
Legal
It arrived as a budget trailer bill, so it moved through the budget process rather than the ordinary policy committee route, and it makes the largest change to the Subsequent Injuries Benefits Trust Fund in decades. It adds Labor Code sections 4750, 4754.1, 4754.2, 4754.3, 4757, and 4758, amends sections 4751, 4753, 4753.5, 4754, and 4755, and makes the 60-day reconsideration rule in section 5909 permanent.
Revenue Cycle
Revenue cycle management (RCM) is the financial process healthcare providers use to track a patient's care from the first appointment to the final payment. It covers visit capture, insurance eligibility, coding, claim submission, payment posting, denial management, and reconciliation. Run as one connected cycle, it decides how much of the revenue a practice earns actually gets collected.
