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 ...

Phare Audit Uses Proprietary Agentic AI to Maximize Earned Reimbursement, Enhancing R1’s Industry-Leading DRG-V with Full ...

Penguin Ai, a healthcare artificial intelligence company, announced today the launch of its Hierarchical Condition Category (HCC) Coding & Risk Adjustment solution on Snowflake Marketplace. The ...

Omaha-based Nebraska Medicine tapped Streamline Health Solutions, an Atlanta-based provider of tech solutions and analytics supporting revenue cycle functions, for coding audit services. Streamline ...

Most of us know claim denials are eroding healthcare revenues, but the numbers still hurt: Almost $18 billion was lost in 2023, and 65% of denied claims never get resubmitted. The kicker? Multiple ...

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 ...

An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect ...

Medical coding audits are complex, time-consuming, and costly processes that historically have required significant investment of manual resources to complete, but, more recently, advances in ...

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 ...

The MarketWatch News Department was not involved in the creation of this content. Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening ...