A coding audit is critical to helping ensure ambulatory surgery centers (ASCs) receive appropriate payment for services provided to patients. This process, which is a review of codes submitted to ...

Phare Audit Uses Proprietary Agentic AI to Maximize Earned Reimbursement, Enhancing R1’s Industry-Leading DRG-V with Full ...

An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect ...

Compliance Auditor Provides Health Insurers Much-needed Insight into Risk Adjustment Coding, Ensuring Accurate Payments and Reducing Audit Risk San Mateo, Calif. – July 6, 2017 – Apixio Inc., the data ...

Atlanta-based Streamline Health Solutions, a provider of technology-enabled services and analytics supporting revenue cycle functions for healthcare organizations, will introduce its Looking Glass ...

Medical coding audits are complex, time-consuming, and costly processes that historically have required significant investment of manual resources to complete, but, more recently, advances in ...

Coding audits can help healthcare systems pinpoint mistakes and ultimately streamline processes and enhance coding staff expertise, ICD10Watch reports. Outlining a post-audit action plan can push ...

Medical coding and billing is a fairly complex process and requires that those working in the medical office to have extensive training to ensure proper billing of the insurance company. Often ...