Medical billing and coding is complicated, but it is critical to a practice’s success
September 24, 2019
It takes between 50 and 90 days after a claim is submitted for a medical practice to receive an insuranceRead more.
External Claim Audits Key to Strong Hospital Compliance Programs
September 21, 2019
Hospital compliance programs have the potential to prevent costly denials and healthcare fraud investigations by conducting audits of high-risk areas,Read more.
Court decision upholds provider sovereignty over determinations of medical necessity
September 20, 2019
Last week, the 11th Circuit (the federal appeals court for the Southeastern United States) issued a decision in the AsceraCareRead more.
Identifying & Addressing Common Medical Billing Errors Pre- & Post-Payment
September 17, 2019
It is estimated that as high as 80 percent of medical bills contain errors.1 As healthcare costs continue to rise,Read more.
CMS Increases Scrutiny of Owners through Medicare Provider Enrollment Process
September 16, 2019
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on September 5, 2019, intended to address programRead more.
AI helps physicians with no coding experience create automated tools: study
September 14, 2019
Using automated deep learning software, physicians without any background in computer programming were able to develop effective artificial intelligence technologyRead more.
OIG tags California medical group for erroneous billing
September 11, 2019
Santa Monica, Calif.-based Oceanside Medical Group failed to comply with Medicare requirements when billing for psychotherapy services, according to aRead more.