In the complicated world of hospital billing, there’s a fine line between maximizing reimbursement and gaming the system. A new study shows a troubling trend as hospitals increasingly code for “sicker ...

While people often conflate the two, medical coding and medical billing are separate roles and functions in a healthcare office environment. When you receive healthcare from a medical provider such as ...

In five states over nearly a decade, hospitals have increased how frequently they document patients as needing the highest intensity care, which has led to hospitals receiving billions in extra ...

Send a note to Doug Wintemute, Kara Coleman Fields and our other editors. We read every email. By submitting this form, you agree to allow us to collect, store, and potentially publish your provided ...

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 ...

Medical coding requires a deep understanding of medical terminology and procedures, as well as the ability to make judgment calls when necessary. Human coders are better equipped to handle these tasks ...

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 ...

New category-level framework replaces broad vendor scorecards with workflow-specific, provider-validated RCM rankings for hospital finance, revenue cycle, patient access, claims, denials, coding, ...

The healthcare industry in Texas continues to expand. As the population ages, the need for medical services grows. Increasing medical services means higher demand for medical billers and coders who ...

Send a note to Liz Simmons, Kara Coleman Fields and our other editors. We read every email. By submitting this form, you agree to allow us to collect, store, and potentially publish your provided ...