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 ...

Margin protection autonomous coding helps CFOs reduce denials and labor costs while ensuring audit-ready claims and predictable cash flow.

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 ...

Surgery centers that choose to keep billing and coding in-house instead of outsourcing should institute a policy of oversight and teamwork, ensuring that mistakes are caught before claims are ...

AI medical coding tools use OCR to read physicians’ notes. While ChatGPT can process and generate text, it does not have built-in OCR capabilities. The drawbacks of ChatGPT, however, are that it is ...

Ever wondered about the unsung heroes of the healthcare system? The ones who make sure your medical bills are accurate, ...