A coding audit is critical to helping ensure ambulatory surgery centers (ASCs) receive appropriate payment for services provided to patients. This process, which is a review of codes submitted to ...

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 ...

Medical coding audits are complex, time-consuming, and costly processes that historically have required significant investment of manual resources to complete, but, more recently, advances in ...

Atlanta-based Streamline Health Solutions, a provider of technology-enabled services and analytics supporting revenue cycle functions for healthcare organizations, will introduce its Looking Glass ...

As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.”— ...

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 ...

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 ...