Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...

Imagine a healthcare system in which providers do not have to prepare and submit bills. No ICD-9-CM or CPT coding, no MS-DRGs (or any other type of DRGs), no charge master or charge capture, no DNFB.

Medical coding is a dynamic and complex field requiring expertise in medical terminology, anatomy and treatments, as well as a deep understanding of billing regulations and practices. With 95,000-plus ...

A plethora of market dynamics have impacted coding quality and subsequently, revenue cycle performance. In many cases organizations are not aware of the breadth and depth of their quality challenges ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...

Medical billing and coding are like the veins and arteries of the healthcare industry's circulatory system - essential components that don't always get the recognition they deserve. They do more than ...

Workforce shortages, regulatory complexities and economic challenges have put hospitals and health systems under immense pressure to improve operational efficiency, accelerate payments and reduce ...

The United States is facing a healthcare crisis that extends far beyond rising costs. Physician burnout is accelerating, access to care is eroding, particularly in primary care and rural or ...

Survey also finds that most who already use AI-enabled coding - or plan to in the near future - believe it works well or trust it completely. WASHINGTON, D.C. / ACCESSWIRE / October 26, 2023 / ...

As a practicing physician and former chief innovation officer, I experienced firsthand how the growing number of administrative tasks are leading to clinician burnout and becoming a major barrier to ...