Billing Compliance

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The MDaudit team was recently able to sit down with Shirley Grissom, CPC, CPMA, MCS-P at the University of North…

As health systems, payers, and regulatory agencies ramp up payment integrity and compliance audits, healthcare organizations find themselves embroiled in…

Hospitals and healthcare organizations – many of which are still responding to tremendous financial losses and staffing shortages resulting from…

Successfully educating providers and coders about the growing list of billing rules and regulations, not to mention how to code…

As the Omicron variant spreads across the US and the delta variant continues to push COVID-19 cases higher, it’s a…

Healthcare organizations and their revenue cycles are under extreme pressure on multiple fronts. The financial blow from COVID-19 will continue…

In this 7-part series, we will explore the tactics you can employ to build and optimize a revenue integrity team…

As the HHS Office of the Inspector General (OIG) ramps up scrutiny around costly high-severity level claims, conventional wisdom holds…

Prospective vs. Retrospective Audits? Our View: You Need Both

In virtually every operation there is always the tug-of-war question: Do you want it fast or do you want it…

Decrease Denials by Introducing Prospective Audits

It is not surprising that there has been an increased focus on preventing denials. The percentage of denied claims has…

Systematic Coder Audits: A Frequently Overlooked Secret to Improving Your Revenue Integrity

With tighter operating margins and shrinking reimbursement rates, you need to ensure your organization is not leaving any revenue behind,…