Coding experts agree that ASCs should conduct regular audits of their coding processes to ensure the ASC is not upcoding, a possible fraud issue, or downcoding, leading to a loss of owed reimbursement ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

Fortis Medical Billing is our recommended provider for medical billing audits. Nowadays, performing coding audits has become a necessity for medical establishments. These organizations are often ...

Atlanta-based Streamline Health Solutions, a provider of technology-enabled services and analytics supporting revenue cycle functions for healthcare organizations, will introduce its Looking Glass ...

Every year, adjustments in the Medicare Physician Fee Schedule (PFS) take place in the ambulatory surgery center (ASC) billing. For ASCs that depend heavily on Medicare and Medicare Advantage, being ...

Forbes contributors publish independent expert analyses and insights. Jeff Gorke helps Americans demystify various aspects of healthcare. Too little attention is paid to documentation, coding, and ...

When it comes to coding, the name of the game is accuracy. Code less than warranted and you lose out on reimbursement you can't afford to forgo. Code too high and risk scrutiny from the Office of ...

Omaha-based Nebraska Medicine tapped Streamline Health Solutions, an Atlanta-based provider of tech solutions and analytics supporting revenue cycle functions, for coding audit services. Streamline ...

Medical coding and billing is a fairly complex process and requires that those working in the medical office to have extensive training to ensure proper billing of the insurance company. Often ...