Here are five key notes: 1. Providers in the state cited a minimal number of claims denials linked to coding errors. 2. Molly Weedn, associate vice president of public affairs for the California ...

Medicare Advantage plans and providers need to be aware of the recent increase in government enforcement of risk adjustment coding issues. In the past few years, the Office of the Inspector General ...

To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...

Medical coding professionals are entering a pivotal moment in 2026 as the industry grapples with the April 1 ICD-10-CM guideline updates and the most extensive CPT changes in recent memory, featuring ...

Medical billing errors are a costly problem for the healthcare industry. Research has estimated that up to 40% of claim statements passed between insurers and hospitals have errors, while up to 15% of ...

Providers are increasingly losing ground in the fight over fair reimbursement — payers keep refining their tactics to deny claims, and recent legislation will likely add even more hurdles. On Tuesday, ...

As healthcare provider groups fought back against the Department of Health and Human Services warning about upcoding, they contested that more coding does is not the same as coding fraud, according to ...

The recent report by Crowe illustrates that medical billing and coding outclass among the top healthcare revenue cycle risk areas for healthcare organizations in 2019. Given the scenario, it is ...

Invisible engines of the modern healthcare system, medical billing and coding are indispensable if efficient transmission of important data is to be carried-out. While the medical coder translates the ...