Dr. Peter Churgin, a physician and early pioneer in electronic medical records, examines the growing A.I. arms race between healthcare payers and providers, and why it threatens to deepen burnout, ...

Medical Insurance Reimbursement Over- and under-documentation are equally considered fraudulent, and may increase audit risk, so it is essential to get coding and billing right the first time. With ...

Perhaps no process has as great an impact on a hospital’s revenue cycle as procedure documentation and coding. When done accurately and efficiently, it can accelerate the billing cycle, reduce ...

Each year, coding guidelines are issued by CMS and the American Medical Association. These define how providers should report information related to procedures and patient diagnoses. New guidelines ...

The American Health Information Management Association has outlined core clinical documentation guidelines for coding medical diagnoses and procedures in 2013 and 2014. In a new white paper, AHIMA ...

Healthcare providers across the country are experiencing a massive surge in denials and write-offs. This undercurrent of denials has been primarily driven by factors such as changing patient ...

This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) ...

Perhaps no process has as great an impact on a hospital’s revenue cycle as procedure documentation and coding. When done accurately and efficiently, it can accelerate the billing cycle, reduce ...