In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

ICD-10 coding isn’t just about billing—it’s the backbone of accurate diagnoses, fair reimbursement, and better patient outcomes. From detailed classification to compliance safeguards, mastering ICD-10 ...

When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...

Medical coding isn’t just about translating healthcare into numbers—it’s about accuracy, integrity, and compliance. With evolving guidelines, AI tools, and tighter audits, coders face new ethical and ...

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

Here are five ways to improve coding at your ambulatory surgery center, according to Daria Semanyshyn of Advanced Medical Practice Management. 1. Understand the importance of detailed operative notes.

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...