ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...
To tighten oversight and minimize overpayments to Medicare Advantage plans, the Centers for Medicare & Medicaid Services (CMS) introduced a new rule in 2023 that revamped the agency’s approach to risk ...
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 ...
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 ...
DALLAS, April 10, 2025 /PRNewswire/ -- Axxess, the leading global technology platform for healthcare at home, has partnered with Home Care Answers (HCA), a leading coding and OASIS audit provider, to ...
ORLANDO, Fla.--(BUSINESS WIRE)--Dolbey, the developer of the KLAS Category Leader for Computer-Assisted Coding software, has partnered with Maxim Healthcare Services, an established provider of home ...
PITTSBURGH, March 9, 2020 /PRNewswire/ -- Acusis LLC, a Pittsburgh, PA-based leading provider of Clinical Documentation and Revenue Cycle Management (RCM) solutions since 2001, announces the ...
As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.” — Moghis Uddin, CEO of AlethianAI ...
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