Coding experts agree that ASCs should conduct regular audits of their coding processes to ensure the ASC is not upcoding, a possible fraud issue, or downcoding, leading to a loss of owed reimbursement ...

The purpose of establishing a formal physician query process is a step in the right direction for obtaining accuracy and integrity in reporting coded data. A necessary component in any compliance plan ...

In a Q&A, Joann Ferguson, the health system's VP of revenue cycle, explains how the technology saves time and money and improves revenue cycle and clinical processes. Among the many uses for AI ...

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 is a complex yet essential part of any health care facility. The impact of inaccurate coding can directly impact revenue cycles, compliance and patient care. Fortunately, errors can be ...

Developers often adopt generative AI (GenAI) because it helps them to code faster, yet the tooling has potential to expose organisations to unaccounted for risks – especially if use is unauthorised or ...

Medical coding professionals are entering a pivotal moment in 2026 as the industry grapples with the April 1 ICD-10-CM guideline updates and the most extensive CPT changes in recent memory, featuring ...