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

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 ...

Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...

Worried about billing and coding errors leading to financial penalties? Join Becker's Healthcare as Pam D'Apuzzo and Frank Cohen, compliance experts from VMG Health, discuss how to build a continuous ...

Note: The following article first appeared on the AAPC Physicians Services website. When I talk to people who aren’t compliance officers and mention the word compliance, the reaction ranges from a ...

UPMC Enterprises joins M12 (Microsoft's venture fund) in backing RAAPID's compliance-first Clinical AI Platform for Medicare Advantage risk adjustment ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...