Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative ...

There are many steps that inpatient hospital providers can take to avoid denial of their claims when submitting Medicare fee-for- service claims. The Centers for Medicare & Medicaid Services (CMS) ...

Medical offices bill insurance providers for clients' services. Learn what's involved, including HIPAA regulations, what to ...

For many doctors, coding, documentation and medical necessity are tedious administrative issues they would rather not have to worry about. But properly coding paperwork helps ensure reception of ...

The purpose of establishing a formal physician query process is a step in the right direction for obtaining accuracy and integrity in reporting coded data. A necessary component in any compliance plan ...

Now that we know the RACs are rolling out their reviews of claims related to medical necessity (Regions B, C and D), it is worthwhile to consider once again how individual providers will plan and ...

I know several colleagues who, like me, trained to be doctors but they later pivoted to take on largely administrative roles working for health plans. Many have a central role in adjudicating what the ...

Computer Assisted Coding Market Shares, Strategy, and Forecasts, Worldwide, 2017 to 2023 report says the next generation Computer Assisted Coding of medical information is able to leverage natural ...