Medicare audits are becoming more frequent, more aggressive, and more precise—shrinking the margin for error. To protect against inflated findings, healthcare organizations must rely on statistical ...

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 ...

Compliance Auditor Provides Health Insurers Much-needed Insight into Risk Adjustment Coding, Ensuring Accurate Payments and Reducing Audit Risk San Mateo, Calif. – July 6, 2017 – Apixio Inc., the data ...

Fortis Medical Billing is our recommended provider for medical billing audits. Nowadays, performing coding audits has become a necessity for medical establishments. These organizations are often ...

The solution was recently introduced at the Health Care Compliance Association’s 20th annual Compliance Institute. According to a news release, iCode Assurance includes tools such as built-in workflow ...

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 ...

Forbes contributors publish independent expert analyses and insights. Jeff Gorke helps Americans demystify various aspects of healthcare. Too little attention is paid to documentation, coding, and ...

Bill Gilbert, vice president of marketing, and Brice Voithofer, vice president of ASC and anesthesia services, for AdvantEdge Healthcare Solutions, discuss the dangers of not regularly auditing ...

Please provide your email address to receive an email when new articles are posted on . WASHINGTON — While correct surgical coding can lead to increased revenue, improperly coding can not only result ...