Practices should take a fresh look at their coding quality, which can help reduce denials, payer takebacks, and cash flow issues. Implementing intensive coding training, CAC technology, and internal audit and review programs can help. However, for practices that lack the resources to make such investments, outsourcing may be a better approach.
With few workers entering a field dominated by older Gen X-ers and Baby Boomers, there’s a growing gap in skilled medical coders — people who read notes from doctors and apply appropriate codes for billing and reimbursement purposes. So many are turning to AI.
Munck Wilson Mandala Partner Greg Howison shared his perspective on some of the legal ramifications around AI, IP, connected devices and the data they generate, in response to emailed questions.
CodaMetrix, an AI platform for hospital revenue cycle management, recently closed a $55 million Series A funding round. The company, which was launched out of Mass General Brigham in 2019, is focused on simplifying the complicated process of translating patient records into codes for billing and clinical research.
Practices don’t need to lose out on uncollected payments from insurers. Here are steps you can take to better manage coding, tracking, communications and rise above byzantine insurance practices.
A transformation is underway in medical coding as automation permeates revenue cycle management, raising questions such as: How will automation affect how medical coders work? How advanced is coding automation currently? What kind of skill sets will be needed for these new types of coding?
The webinar, Coding for the Future: Lessons Learned, Emerging Technologies & Future Opportunities, scheduled for October 19 from 1-2 pm ET and sponsored by Nym Health, will explore how medical coding has evolved and the skills that will be necessary to prepare the next generation of medical coders. Register today!
At the Abarca Forward conference earlier this year, George Van Antwerp, managing director at Deloitte, discussed how social determinants of health and a personalized member experience can improve medication adherence and health outcomes.
Last year’s price transparency laws were an important step for the industry, but there is still much work to do. The only way we can ensure a better functioning healthcare system is to create clear pricing. We need to base that pricing on consistently-defined and well-communicated healthcare service units.
Without this error correction, the Indiana company said, even patient medical records might be inaccurate.
3M said Thursday that it is "exploring strategic alternatives" for its health information systems division.
The American Medical Association has publicly expressed support for newly announced flexibility in enforcement of ICD-10 rules.
We will highlight Build My Health's revenue practice management tools, which could help physician practices add up to $250,000 to their practices.
There is much fear and concern among doctors and other healthcare workers surrounding the implementation of ICD-10. Many are predicting a delay in reimbursements in October when ICD-10 is made mandatory for insurance reimbursement. Surely those who wait to near the deadline will have problems. Doctors should be preparing from now, if not sooner. Where […]
While vendors of medical billing software might be well on their way to being ready for the October 2014 ICD-10 deadline, the same can’t exactly be said for physician practices. A February survey of 260 healthcare organizations found that three-fourths of them were 25 percent or less along in the implementation process. That’s one thing […]
As cardiovascular surgeon John Natale, M.D., sits in federal prison, the Seventh Circuit Court of Appeals in Chicago heard his appeal on April 18. After a seven-year investigation, Dr. Natale was indicted for Medicare fraud. Unlike the majority of federal defendants, who feel compelled to cave in by signing a plea bargain even when innocent, […]