Coding News

Medical billing and coding is complicated, but it is critical to a practice’s success
It takes between 50 and 90 days after a claim is submitted for a medical practice to receive an insurance
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External Claim Audits Key to Strong Hospital Compliance Programs
Hospital compliance programs have the potential to prevent costly denials and healthcare fraud investigations by conducting audits of high-risk areas,
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Court decision upholds provider sovereignty over determinations of medical necessity
Last week, the 11th Circuit (the federal appeals court for the Southeastern United States) issued a decision in the AsceraCare
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Coding for revenue
Physicians work hard to generate revenue, and with slim operating margins, they don’t want to contend with costly recoupments. Compliant
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The Coding Conundrum: Vaping-Related Lung Injury
The Centers for Disease Control and Prevention (CDC) is currently investigating vaping-related illnesses that have recently been reported. There are
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Identifying & Addressing Common Medical Billing Errors Pre- & Post-Payment
It is estimated that as high as 80 percent of medical bills contain errors.1 As healthcare costs continue to rise,
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CMS Increases Scrutiny of Owners through Medicare Provider Enrollment Process
The Centers for Medicare & Medicaid Services (CMS) issued a final rule on September 5, 2019, intended to address program
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AI helps physicians with no coding experience create automated tools: study
Using automated deep learning software, physicians without any background in computer programming were able to develop effective artificial intelligence technology
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Skilled Nursing Facilities and the Three-Day Stay
Expect more aggressive reviews of materials beyond the three-day criteria. Today I want to talk about skilled nursing facility, or
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OIG tags California medical group for erroneous billing
Santa Monica, Calif.-based Oceanside Medical Group failed to comply with Medicare requirements when billing for psychotherapy services, according to a
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