During my time conducting RADV audits, I reviewed thousands of charts across dozens of plans. What stood out wasn't whether ...

Corti, maker of AI foundation models for healthcare, has released a new agentic model for medical coding that it says ...

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 ...