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 ...

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 ...

Startup Diagnoss has developed an artificial intelligence-based coding assistant to help automate the painstaking process of medical coding and billing. The Diagnoss AI medical coding engine acts as a ...

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 ...

For the last three decades, the sheer headcount of software engineers have been translating into big revenues for Indian IT services companies. The offshore execution efficiency combined with the ...