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 ...

Accurate coding is essential for timely payment. Daria Semanyshyn of Advanced Medical Practice Management recommends ASCs spot-check their coding regularly. “If your center doesn’t have anyone else ...

Medical coding no longer lives quietly behind the scenes. Today, it sits at the crossroads of money, compliance, and patient trust. Every number entered and modifier applied can shape what happens ...

In today’s rapidly evolving healthcare landscape, medical practices face significant challenges in managing the complexities of billing and coding. The increasing scrutiny from regulatory bodies has ...

Phare Audit Uses Proprietary Agentic AI to Maximize Earned Reimbursement, Enhancing R1’s Industry-Leading DRG-V with Full AuditabilityCHICAGO, Jan. 08, 2026 (GLOBE NEWSWIRE) -- R1 (“R1” or the ...

The Centers for Medicare & Medicaid Services will begin auditing nursing homes this month to determine whether residents’ schizophrenia diagnoses are accurate and appropriately coded, the agency ...

Streamline Health to roll out coding audit solution at HIMSS Atlanta-based Streamline Health Solutions, a provider of technology-enabled services and analytics supporting revenue cycle functions for ...

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...