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

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 ...

An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect ...

Streamline Health to roll out coding audit solution at HIMSS Atlanta-based Streamline Health Solutions, a provider of technology-enabled services and analytics supporting revenue cycle functions for ...

Most of us know claim denials are eroding healthcare revenues, but the numbers still hurt: Almost $18 billion was lost in 2023, and 65% of denied claims never get resubmitted. The kicker? Multiple ...