Too little attention is paid to documentation, coding, and billing in many medical practices. For patients, documentation simply means that your doctor is providing an account of your visit in your ...

Medical Insurance Reimbursement Over- and under-documentation are equally considered fraudulent, and may increase audit risk, so it is essential to get coding and billing right the first time. With ...

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 ...

Dr. Peter Churgin, a physician and early pioneer in electronic medical records, examines the growing A.I. arms race between healthcare payers and providers, and why it threatens to deepen burnout, ...

The American Health Information Management Association has outlined core clinical documentation guidelines for coding medical diagnoses and procedures in 2013 and 2014. In a new white paper, AHIMA ...

Each year, coding guidelines are issued by CMS and the American Medical Association. These define how providers should report information related to procedures and patient diagnoses. New guidelines ...

Healthcare providers across the country are experiencing a massive surge in denials and write-offs. This undercurrent of denials has been primarily driven by factors such as changing patient ...

Before we can discuss why medical records review is important in legal cases, we must first understand what a medical records review is, who performs such a review, and why it is vital to the outcome.

This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) ...