Billing Compliance

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While it may net higher reimbursements for healthcare organizations in the short run, the ramifications of getting caught overcoding far…

The innovations in AI have ramped up increasingly in the last 12 months and Generative AI has really opened possibilities…

Just as the pandemic tamped down demand for medical services, private payers and federal agencies dialed back the number of…

The Centers for Medicare & Medicaid Services (CMS) is making wholesale changes to hierarchical condition categories (HCCs) that will significantly…

Given the current strenuous landscape in healthcare, revenue growth and retention have never been more challenging. In this 30-minute educational…

Based in Nashville this year, the HFMA Annual Conference will run for four days and offer over 70 sessions, allowing…

Billing compliance protects both patients and providers. Patients want assurance that the bills they receive completely and accurately reflect what…

Health systems are up against many challenges when it comes to claims submissions, including timing and accuracy, to name the…

With tens of millions of patient records being breached each year – and hacking responsible for more than three-quarters of…

Revenue is the lifeblood of every healthcare provider. Denials staunch those revenues, delaying reimbursement and creating more work to examine,…

The end of the Public Health Emergency (PHE) in May marks the official end of the pandemic that’s disrupted our…

As the Public Health Emergency ends on May 11, 2023, billing compliance teams are faced with another “new normal” and…