"Confusion regarding variations between multiple E&M guidelines and issues with medical necessity and documentation often leads to under-coded or over-coded services," said Adam Seymour, Alpha II ...

Medicare Advantage plans and providers need to be aware of the recent increase in government enforcement of risk adjustment coding issues. In the past few years, the Office of the Inspector General ...

To facilitate full and accurate Hierarchical Condition Category (HCC) coding, it is crucial that providers take a disciplined approach to documenting medical encounters in patient records. The AAPC ...

Invisible engines of the modern healthcare system, medical billing and coding are indispensable if efficient transmission of important data is to be carried-out. While the medical coder translates the ...

The shift to value-based care involves financial incentives for anesthesia practices that could conflict with existing fraud and abuse laws, such as Stark law, according to a Jan. 24 report from law ...

Medical billing errors are a costly problem for the healthcare industry. Research has estimated that up to 40% of claim statements passed between insurers and hospitals have errors, while up to 15% of ...

The recent report by Crowe illustrates that medical billing and coding outclass among the top healthcare revenue cycle risk areas for healthcare organizations in 2019. Given the scenario, it is ...