When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

Coding accuracy isn’t just about reimbursements: How compliance programs promote a quality, culture and positive brand image Without medical coders, the healthcare system would come to a halt.

AI copilots are becoming integral to medical coding, blending automation with human oversight to improve accuracy, compliance, and efficiency. These tools leverage NLP, machine learning, and agentic ...

Healthcare reform and technological advances constantly add new tasks for ambulatory surgery center billers and coders and make compliance a challenge. George Kaplinksi is the vice president of ...

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 ...

4. Keep the board informed. Allow the compliance officer to deliver all compliance reports to the board. CEOs should meet with the officer prior to the board meeting and get likeminded on the report’s ...

As an attorney specializing in healthcare reimbursement, I have focused my practice on helping healthcare providers navigate the Center for Medicare and Medicaid (“CMS”) administrative appeal process.