Accurate ICD-10 coding is the backbone of compliant, efficient medical billing. It ensures proper reimbursement, reduces denials, and improves patient care outcomes. By mastering coding guidelines and ...

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.

Hospitals and clinics are preparing for a high-stakes 2026 as CMS coding updates, payer-specific rules, and AI-powered audits converge to increase compliance risks. New telehealth, chronic condition, ...

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 ...

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 ...

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.

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

Here are five ways to improve coding at your ambulatory surgery center, according to Daria Semanyshyn of Advanced Medical Practice Management. 1. Understand the importance of detailed operative notes.

Practical challenges for applying MISRA and AUTOSAR coding requirements. The importance of the right development and tooling approaches. The key ideas behind MISRA Compliance, where the same thought ...