Billing Compliance

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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…

Billing compliance professionals are continuously faced with changing regulations, staffing challenges, and external agencies scrutinizing their every move along the…

Getting on the same page. Rowing in the same direction. Singing from the same songbook. Call it what you will,…

Much has changed across the healthcare landscape over the past five years, most of it fueled by workflow changes necessitated…

When it comes to risk management in healthcare, access to multiple data signals helps formulate a far more accurate understanding…

A staggering 82% of denials in 2022 were associated with Medicare, posing a serious threat to healthcare organizations’ revenues that…

For decades, software has been billed as the panacea for any business challenge: Buy this software and solve your problem….

Learn what some of the top IDNs in the country are doing to combat the onslaught of external audit requests…