Imagine this: A routine payer audit uncovers $250,000 in penalties – all due to overlooked coding errors and cloned notes. For many U.S. healthcare providers, this scenario is all too real. But with a proactive medical coding audit strategy, it doesn’t have to be. This blog explores how a strategic triad of coding audits, clinical documentation reviews, and
May 2025 Newsletter
We’ve assembled the latest news for healthcare revenue cycle leaders to help you stay on top of industry challenges and adapt your revenue cycle management services to the challenges of USA medical billing.
CMS Eyes Closing Medicaid Loophole
CMS has issued a proposed rule intended to close a loophole in Medicaid
April 2025 Newsletter
We’ve assembled the latest news for healthcare revenue cycle leaders to help you stay on top of industry challenges and adapt your revenue cycle
The Hidden Revenue Risks Only a Medical Coding Audit Can Reveal
In the high-stakes world of healthcare finance, where razor-thin margins and rising regulatory scrutiny are the norm, medical coding audits have become essential for maintaining revenue integrity, ensuring medical coding compliance, and supporting long-term sustainability. While many providers focus on coding compliance at a surface level,
March 2025 Newsletter
We’ve assembled the latest news for healthcare revenue cycle leaders to help you stay on top of industry challenges and adapt your revenue cycle