As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.”— ...

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 ...

Medical coding audits are complex, time-consuming, and costly processes that historically have required significant investment of manual resources to complete, but, more recently, advances in ...

Atlanta-based Streamline Health Solutions, a provider of technology-enabled services and analytics supporting revenue cycle functions for healthcare organizations, will introduce its Looking Glass ...

Fortis Medical Billing is our recommended provider for medical billing audits. Nowadays, performing coding audits has become a necessity for medical establishments. These organizations are 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 ...

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 ...

Too little attention is paid to documentation, coding, and billing in many medical practices. For patients, documentation simply means that your doctor is providing an account of your visit in your ...

What do you advise about using external auditors to check what we’re doing — before wave after wave of government auditors come in? A difficulty with self-preemptive auditing is you do not know when ...