Healthcare providers are heading into 2026 facing increased scrutiny around documentation and billing processes. As payer ...

Diagnosis sequencing is key to improving hospital ratings and rankings by industry groups like U.S. News & World Report, Leapfrog Group and Vizient. Manual processes for identifying high value cases, ...

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 ...

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 ...

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 ...

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 ...

New guidelines are typically published each October, but it is not uncommon for updates to come out on a quarterly basis. In addition to these standards, providers also must adhere to payer coding ...

3M computer-assisted coding solutions will help Cleveland Clinic significantly reduce costs and prepare for ICD-10 SALT LAKE CITY, Utah--(BUSINESS WIRE)-- Cleveland Clinic health system, a nonprofit ...

On January 1, 2021, new evaluation and management (E&M) coding guidelines for clinical office visits go into effect across the US. These guidelines, which reflect the most significant change in E&M ...