Hospitals lose 3-5% of net revenue to charge capture failures. Learn where charges disappear, why manual processes can’t keep up, and how to build a systematic recovery strategy.
CMS updated split/shared visit rules in 2024, and most organizations still haven’t operationalized the changes. Learn substantive portion requirements, documentation standards, and how to avoid audit exposure.
Most provider scorecards measure activity without changing behavior. Learn how specialty-specific metrics, real-time feedback, and clinical framing drive sustained clinical documentation integrity improvement.
Learn why first-pass acceptance rate, specificity capture, and compliance accuracy outperform charts-per-day as coder productivity metrics in 2026.
Your quarterly audit just revealed a systematic coding error affecting 200 claims per week. The problem has been running for…
Revenue cycle teams track denial rates, monitor coding accuracy, and audit documentation quality. Yet one of the costliest compliance risks…
CMS is expanding RADV audits to all 550 MA contracts. Learn which high-risk HCC codes to audit internally before CMS finds your documentation gaps.
Learn how to detect Medicare Advantage overbilling risks, MEAT criteria failures, and HCC coding gaps before federal auditors arrive.
Learn which coder productivity metrics—first-pass acceptance, specificity capture, and compliance accuracy—actually protect revenue in 2026.
Quarterly audits detect compliance problems months too late, after thousands of claims create costly exposure. Continuous risk monitoring prevents denials by catching errors before submission.
MDaudit’s Dana Finnegan contributed to Health IT Answers’ 2026 value-based care predictions, addressing how revenue integrity strategies must evolve to support VBC success.
Initial claim denials hit 11.8% in 2024. Learn how to shift from reactive appeals to proactive denial prevention by identifying cross-payer patterns before they cost you.