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 ...
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 ...
The billing cycle, the payment cycle and payor-clean claims should be major areas of emphasis for any orthopedic center, said Woody Runner, CEO of Kerlan-Jobe Orthopaedic Clinic, at the 9th Annual ...
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 ...
For years, our industry treated documentation accuracy as the finish line. If the code was correct, you were compliant. If the chart supported the diagnosis, you were audit-ready. That assumption was ...
MIAMI, March 26, 2026 /PRNewswire/ -- OpenEvidence, the most widely used medical AI and clinical decision-support platform among U.S. physicians, today announced the launch of Coding Intelligence™ to ...
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