Billing Compliance

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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…

Despite the fact that technology has proven to greatly improve operational efficiencies and ROI, some organizations push back on change…

Medicare Advantage (MA) health plans potentially face much stricter oversight from federal auditors under the risk adjustment data validation (RADV)…

Driven by payers who have upped their audit game, many large healthcare systems are disadvantaged due to a lack of…

Amid changes in healthcare delivery since the pandemic, the role of billing compliance teams has become more important in delivering…

Coding accurately and fully captures the physician visit, tests or procedures, medical equipment, and all else that occurred during the…