Successfully Managing DRG Mismatches
The old saying says it best – two heads are better than one. That’s the crux of DRG reconciliation – the process whereby an organization compares the diagnosis-related group (DRG)…
Three True Realities of CAC
Computer-assisted coding (CAC) has been around since before ICD-10 was introduced – and was developed approximately 15 years ago as a tool to enhance manual coding processes with many promises…
The Five Foundational Elements of an Effective Inpatient Coding Compliance Program
Developing and maintaining a strong inpatient coding compliance program is critical for health systems of all sizes. Constantly changing guidelines, regulations, policies and standards make it important to have a…
Why ‘Audit’ Isn’t a Four-Letter Word When It Comes to Medical Coding
Just the sound of the word “audit” may leave some leaders feeling uneasy, but the value of an effective medical coding audit strategy can’t be underestimated for healthcare organizations of…
Expert Coding Can Ensure You Are Maximizing Your Revenue Cycle
Declining reimbursements are one of the biggest challenges healthcare providers face today. Ask any physician or hospital and they will tell you about the daily struggle of getting paid for their services. However, many healthcare providers are leaving a significant amount of money on the table by under coding.
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