ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

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 ...

Clinical coding is a process by which descriptions of diseases, injuries or procedures are assigned a numeric or alphanumeric designation. Coding provides a mechanism for standardizing the recording ...

Fortis Medical Billing is our recommended provider for medical billing audits. Nowadays, performing coding audits has become a necessity for medical establishments. These organizations are often ...

When it comes to coding, the name of the game is accuracy. Code less than warranted and you lose out on reimbursement you can't afford to forgo. Code too high and risk scrutiny from the Office of ...

WELLESLEY, MA--(Marketwired - Dec 17, 2015) - MedSafe, the leader in total healthcare compliance solutions, announces enhanced services for coding and billing audits to help identify untapped revenues ...

Their reviews aligned 89% of the time and identified only 46% of claims with issues, half of which were related to medical necessity, not coding errors. “These audits are very intricate work that take ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...