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Revenue leakage discussions often center on overcoding, but undercoding is equally problematic. While it may not carry the legal and/or…

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

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

Evaluating any type of B2B software, including denial management software, is much like a first date. Everyone wants to make…

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…

Maintaining revenue integrity is a complex juggling act. The revenue integrity team must have the right people, processes, technology, and…

Payers and providers have traditionally been contentious. Contrary to this popular belief, they actually have much in common. In this…

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