Tag: coding audits

CPT ICD Compliance Checklist

Comprehensive CPT/ICD Compliance Checklist for Healthcare Providers

In today’s highly regulated healthcare environment, CPT and ICD code compliance isn’t just about accuracy—it’s about protecting your revenue, safeguarding against penalties, and ensuring smooth reimbursements. Healthcare providers and billing teams face increasing pressure to align with payer rules, CMS guidelines, and continuous code updates. A single coding error can result in denied claims, delayed […]
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Medical coding strategies

Top Medical Coding Strategies to Maximize Reimbursements

The difference between a thriving medical facility and one struggling with cash flow often lies in the precision and strategic application of its coding processes. Maximizing reimbursements and strengthening financial health hinges on a proactive approach to medical coding – one that goes beyond simply assigning codes and delves into optimizing every facet of the […]
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proper medical coding practices

Why Proper Medical Coding is Critical for Your Physician Practice

For physicians, understanding and implementing proper medical coding practices isn’t just about administrative efficiency; it’s the lifeblood of your practice, directly impacting reimbursement, compliance, and ultimately, your financial health. Ignoring or mismanaging medical coding can lead to a cascade of problems: denied claims, delayed payments, audits, and even legal repercussions. On the other hand, mastering […]
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3 Ways to Improve Medical Coding Quality for Accurate Reimbursement

Improve Medical Coding Quality for Accurate Reimbursement

In the complex world of healthcare, accurate medical coding is the linchpin of a healthy revenue cycle. For US-based medical practices, hospitals, and billing companies, efforts to Improve Medical Coding Quality directly translate to timely and accurate reimbursements. Errors in coding can lead to denied claims, compliance issues, and significant financial losses. This blog post […]
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healthcare compliance issue Logs

Healthcare Compliance Issue Logs & Risk Assessment

Troubleshooting and insurance: These are the dual purposes of maintaining a detailed Healthcare Compliance Issue Logs, according to a senior compliance executive. Speaking at AAPC’s HEALTHCON Regional, the senior compliance executive highlighted the Office of Inspector General’s (OIG) new voluntary compliance guidance, emphasizing its importance even for organizations already familiar with the seven elements of […]
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Chronic Condition

Chronic Conditions: Code or Not to Code MCCs

  Understanding the correct use of chronic condition codes in the coding process. Unexpected and inaccurate medical bills can be alarming and shocking. Coders are often confused regarding when they should code co-morbid chronic conditions and when they should not. This leads to inaccurate coding of levels, or sometimes missing out on the opportunity of […]
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