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 ...

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 ...

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 ...

Medical coding is a dynamic and complex field requiring expertise in medical terminology, anatomy and treatments, as well as a deep understanding of billing regulations and practices. With 95,000-plus ...

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 ...