In what is already a highly regulated industry, it is becoming increasingly difficult for healthcare organizations to navigate the growing volume, complexity and enforcement of laws, regulations and ...

As AI reshapes medical coding, patients and employers may end up paying more without receiving the right level of care.

Surgery centers that choose to keep billing and coding in-house instead of outsourcing should institute a policy of oversight and teamwork, ensuring that mistakes are caught before claims are ...

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 ...