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 ...

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 ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

Fortis Medical Billing is our recommended provider for medical billing audits. Nowadays, performing coding audits has become a necessity for medical establishments. These organizations are often ...

Medicare audits are becoming more frequent, more aggressive, and more precise—shrinking the margin for error. To protect against inflated findings, healthcare organizations must rely on statistical ...

The solution was recently introduced at the Health Care Compliance Association’s 20th annual Compliance Institute. According to a news release, iCode Assurance includes tools such as built-in workflow ...

For many nursing homes denied payment by Medicare contractors, the rationale given comes down to insufficient or missing documentation.

ATLANTA, April 4, 2017 /PRNewswire/ -- Streamline Health Solutions, Inc. (NASDAQ: STRM), provider of the Looking Glass® platform of integrated solutions, technology-enabled services and analytics ...

Forbes contributors publish independent expert analyses and insights. Jeff Gorke helps Americans demystify various aspects of healthcare. Too little attention is paid to documentation, coding, and ...

Please provide your email address to receive an email when new articles are posted on . WASHINGTON — While correct surgical coding can lead to increased revenue, improperly coding can not only result ...