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 ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

The solution was recently introduced at the Health Care Compliance Association’s 20th annual Compliance Institute. According to a news release, iCode Assurance includes tools such as built-in workflow ...

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 ...

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 ...

Combining advanced automation with expert human coders, IKS Health coding offering is audit ready and achieves up to 95% accuracy IKS Health, a global leader in care enablement solutions across the ...

Coding quality metrics vary by stakeholder group The C-suite focuses on metrics related to the bottom line, such as how coding audits impact revenue. “Sometimes audits are very beneficial from a ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

Clinical coding is a process by which descriptions of diseases, injuries or procedures are assigned a numeric or alphanumeric designation. Coding provides a mechanism for standardizing the recording ...