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 ...

GeBBS Healthcare Solutions, a provider of revenue cycle management and health information management solutions, launched a new version of its coding audit software offering, iCode Assurance. Here are ...

RAAPID INC launched a unified Risk Adjustment Platform designed to integrate clinical documentation, coding, quality assurance, audit management, and evidence trails into a single system intended to ...

As of January 1, 2026, the medical coding landscape has undergone its most significant transformation in years, with the AMA releasing 418 CPT changes and CMS finalizing updated ICD-10-CM guidelines ...

When it comes to coding, the name of the game is accuracy. Code less than warranted and you lose out on reimbursement you can't afford to forgo. Code too high and risk scrutiny from the Office of ...

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 ...

Medical coding and billing is a fairly complex process and requires that those working in the medical office to have extensive training to ensure proper billing of the insurance company. Often ...

Clinical coding is a process by which descriptions of diseases, injuries or procedures are assigned a numeric or alphanumeric designation. Coding provides a mechanism for standardizing the recording ...

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 ...