Billing Compliance

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University of Utah Health Enhances Retrospective Audits

Even before the COVID-19 pandemic dealt a significant blow to their bottom lines, hospitals, and health systems nationwide were functioning…

HCC model: Down to the Basics from Coding to Documentation

The Basics Hierarchical Condition Categories (HCC) were mandated in 1997 by the Centers for Medicare and Medicaid Services (CMS) and…

Provider Education: Comparative Billing Reports (CBR) and the MDaudit Platform

In 2020, CMS stepped up the creation and distribution of Comparative Billing Reports (CBRs). These reports are designed to be…

Accelerated Adoption Amid COVID-19 Heightens Telehealth Reimbursement Risks

COVID-19—and the resulting move by the Centers for Medicare and Medicaid Services (CMS) to expand reimbursement for its use—has pushed…

Billing Compliance and Revenue Cycle Challenges in Today’s Turbulent Environment

The healthcare industry has been under duress for the past decade for a number of reasons: transition to value based…

Healthcare’s Evolving Reimbursement Imperative

Reimbursement is becoming increasingly complex for today’s providers. And while it is fair to say that a certain amount of…

Telemedicine – Health Care’s New Documentation Paradigm

Vasilios Nassiopoulos, Vice President of Platform Strategy and Innovation is interviewed in the July/August 2020 issue of For the Record…

Elevating Billing Compliance and Revenue Integrity amid the Pandemic

The introduction of new COVID-19 reimbursement rules and regulations have brought on their share of confusion, there is one certainty…

The Importance of Informed Audits in the Time of COVID-19

The old adage that “information is power” has never been more relevant as the healthcare industry continues to battle the…

Risk-Based Auditing: Why It May Be The Right Choice for Your Organization

The continuing growth of regulatory compliance demands in the healthcare industry – and the heightened risk that comes with it…

Call to Action for Compliance and Revenue Integrity Teams: Address COVID-19 Impact Proactively

The devastation of COVID-19 is being felt in every corner of our world. The healthcare industry is at the forefront…