Tag: AI in Medical Coding

Healthcare fraud in medical coding

Healthcare Fraud in Medical Coding: Upcoding, Unbundling, and Emerging Challenges

Healthcare fraud in medical coding, particularly through practices like upcoding and unbundling, has become a major concern for medical coding and billing professionals. A recent healthcare market research survey found that 90% of respondents view upcoding as a significant ethical challenge Upcoding involves assigning higher-level codes to medical services than are warranted, leading to inflated […]
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2024 Medical Coding Updates

2024 Coding Updates: Navigating New CPT, HCPCS, and ICD-11 Changes

In 2024, healthcare providers, medical coders, and revenue cycle management (RCM) professionals need to stay up-to-date on 2024 medical coding updates. Several updates have been made to Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), and International Classification of Diseases (ICD-11) by the American Medical Association (AMA), the Centers for Medicare & Medicaid […]
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CDI and coding

Overcoming CDI and Coding Challenges: The Power of AI-Driven Solutions

Defining the Challenge: Overcoming Obstacles in CDI and Coding: To clarify the overwhelming claims made by technology vendors, I’ve provided some basic definitions. As we embark on this journey, it’s crucial to pinpoint the specific obstacles we face. This will help us demonstrate to senior leadership and stakeholders the need for AI-driven solutions to enhance […]
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Medical Coding 2024

Crack the Code: Top Trends Shaping Medical Coding in 2024

Regulatory changes, advances in healthcare technology, and an ever-increasing emphasis on accurate and efficient documentation are constantly driving the evolution of medical coding. Medical coders must keep up with these trends to ensure successful careers and optimal healthcare delivery in 2024. We share the top trends influencing medical coding 2024 in this newsletter, enabling you […]
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How AI is streamlining medical billing and coding processes

Coding and medical billing with AI: Billing and coding processes in the healthcare industry are notoriously complex. The manual entry of data, the interpretation of physician notes, and maintaining compliance with ever-changing regulations all contribute to a system that is ripe for inefficiency and error. Healthcare providers and patients can save time, money, and frustration […]
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future medical coding 2024

6 Key Trends Shaping the Future of Medical Coding in 2024

Medical coding is a dynamic field, driven as much by technological advancements as by healthcare practices and regulatory changes. As we are moving into 2024, we can see that several important trends are shaping the future of this important field. Future of Medical Coding  2024: 1. Rise of Artificial Intelligence (AI) and Machine Learning (ML) […]
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AI-enabled-ICD-10-CM-Guidelines

AI-enabled ICD-10 CM Guidelines: The Future of Medical Coding

In the ever-changing realm of healthcare coding, it is imperative for professionals to stay updated on the latest developments within the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM). This dynamic coding system plays a pivotal role in recording diagnoses, conditions, and other vital health-related information. With the advent of artificial intelligence (AI) technologies […]
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Medical Coding Automation

How Medical Coding Automation Enhances Primary Care Practices

Physicians are currently facing challenging times. The existing shortage of doctors, compounded by the pandemic, has exacerbated the patient-to-physician ratio. With an increase in patients, there’s a corresponding surge in administrative tasks for doctors. Consequently, this diminishes the time available for patient care and heightens stress levels among physicians. Furthermore, this situation often leads to […]
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5 Trends That Will Shape Medical Coding in 2023

5 Trends That Will Shape Medical Coding in 2023

In the world of healthcare, medical coding plays a crucial role in ensuring accurate billing and reimbursement for services provided to patients. As we look ahead to 2023, there are several trends that are expected to shape the landscape of medical coding. Here are five of the most significant trends to watch for: 1. Increased […]
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Refining Coding Productivity and Efficiency

10 Tips for Refining Your Coding Productivity and Efficiency

Coding professionals face a new landscape in today’s evolving job market where productivity and results are the main drivers behind the operational and financial health of the organizations they support. With artificial intelligence (AI) and natural language processing (NLP) advancing at a rapid rate, it is imperative that coding professionals remain competitive and are equipped […]
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