A coding audit is critical to helping ensure ambulatory surgery centers (ASCs) receive appropriate payment for services provided to patients. This process, which is a review of codes submitted to ...

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 ...

The Centers for Medicare & Medicaid Services will begin auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded, the agency ...

Nursing home audit success depends on proactive habits. Providers who regularly review their own documentation, stay informed about Medicare policies and ...

When it comes to coding, the name of the game is accuracy. Code less than warranted and you lose out on reimbursement you can't afford to forgo. Code too high and risk scrutiny from the Office of ...

During my time conducting RADV audits, I reviewed thousands of charts across dozens of plans. What stood out wasn't whether ...

With increased scrutiny in several areas of coding compliance and more attention being paid to proper coding of total joint replacement, audits among orthopedic surgeons may become more commonplace.

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 ...

GeBBS Healthcare Solutions, a provider of revenue cycle management and health information management solutions, launched a new version of its coding audit software offering, iCode Assurance. Here are ...

Clinical coding is a process by which descriptions of diseases, injuries or procedures are assigned a numeric or alphanumeric designation. Coding provides a mechanism for standardizing the recording ...