Grady Health System's director of physician revenue cycle shares a framework for creating effective physician coding education programs that improve compliance and performance against quality metrics.

Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...

Several payers are accusing providers of driving higher healthcare costs through aggressive coding practices. The long-standing tension between payers and providers reared its head during recent ...

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 ...

There's a difference between more coding and healthcare fraud, according to provider groups, responding to the stern warning from the U.S. Department of Health & Human Services and the Attorney ...

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 ...

Along with a new year, January 1 will usher in watershed changes to the American Medical Association’s (AMA) “Current Procedure Terminology (CPT®) Evaluation and Management (E/M) Office or Other ...

Providers are slamming the Biden administration’s proposal to cut reimbursements for procedure codes that cover oncology, hematology and other infusion services. Some groups are pressing the Centers ...

Two-thirds of providers plan to keep or expand their outsourced coding contracts, according to the KLAS report Outsourced Coding 2014: Do You Have Enough Resources for the ICD-10 Transition?