Medical claims and billing data is the currency that drives your audit and compliance program. The data you are generating…
When it comes to the financial health of today’s provider organizations, there are multiple factors converging that will continue keeping…
When I wrote this blog at the end of 2019 laying out our MDaudit Enterprise platform vision, I never had…
The rate that medical claims are being denied is steadily increasing and it is trend that will cost your organization…
The continuing growth of regulatory compliance demands in the healthcare industry—and the heightened risk that accompanies it—is placing an enormous…
It has been more than a year since the start of COVID-19 pandemic. While it will be years before we…
Financial health in today’s healthcare organizations is dependent on a revenue cycle that speeds claim approval and reimbursement. Amid tight…
Even before the COVID-19 pandemic dealt a significant blow to their bottom lines, hospitals, and health systems nationwide were functioning…
The Basics Hierarchical Condition Categories (HCC) were mandated in 1997 by the Centers for Medicare and Medicaid Services (CMS) and…
In the first part of this two-part blog series on revenue integrity in the COVID-19 era, I discussed the long-term…
The change brought about by healthcare’s greater reliance on technology—especially as it relates to data access and analytics—during the COVID-19…
In 2020, CMS stepped up the creation and distribution of Comparative Billing Reports (CBRs). These reports are designed to be…