In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

Here are five ways to improve coding at your ambulatory surgery center, according to Daria Semanyshyn of Advanced Medical Practice Management. 1. Understand the importance of detailed operative notes.

Coding accuracy isn’t just about reimbursements: How compliance programs promote a quality, culture and positive brand image Without medical coders, the healthcare system would come to a halt.

BALTIMORE -- Electronic health records make it easier than ever to create detailed patient files even for long or complex encounters but the technology has a dark side: EHR upcoding. The Centers for ...

Two years ago, I would have told you that autonomous AI coding was too risky for risk adjustment. Today, I'm implementing it—but only after finding an approach that met my compliance requirements.