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 ...

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 ...

When it comes to coding, the name of the game is accuracy. Code less than warranted and you lose out on reimbursement you can't afford to forgo. Code too high and risk scrutiny from the Office of ...

Medical coding and billing is a fairly complex process and requires that those working in the medical office to have extensive training to ensure proper billing of the insurance company. Often ...

NEWTON, Mass.--(BUSINESS WIRE)-- Today, Hayes Management Consulting, a leading healthcare consulting firm, and The Coding Network, LLC, a leading healthcare coding and auditing firm, unveiled a ...

As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.” — Moghis Uddin, CEO of AlethianAI ...

PITTSBURGH, March 9, 2020 /PRNewswire/ -- Acusis LLC, a Pittsburgh, PA-based leading provider of Clinical Documentation and Revenue Cycle Management (RCM) solutions since 2001, announces the ...