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 ...

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

In healthcare, ICD-10 coding accuracy isn’t just about getting paid—it’s about ethics, compliance, and patient trust. From avoiding upcoding to protecting privacy, coders play a vital role in ...

Accurate ICD-10 coding is the backbone of healthcare billing, compliance, and patient care quality. From detailed documentation to AI-assisted tools, best practices help prevent costly claim denials.

Healthcare reform and technological advances constantly add new tasks for ambulatory surgery center billers and coders and make compliance a challenge. George Kaplinksi is the vice president of ...

Practical challenges for applying MISRA and AUTOSAR coding requirements. The importance of the right development and tooling approaches. The key ideas behind MISRA Compliance, where the same thought ...

Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...

In regulated industries, DevSecOps teams have to satisfy strict audit, traceability and documentation requirements that can ...