The clash between payers and providers over AI-driven coding is intensifying, with insurers arguing that documentation tools are inflating reimbursement without corresponding care.
Coding for lumbar spinal fusion procedures in ASCs or outpatient centers is much different than coding for spinal fusion in the inpatient setting, according to the American Academy of Professional ...
NEW YORK--(BUSINESS WIRE)--Nym, a leader in autonomous medical coding, today announced that it has added new capabilities to its revenue cycle management (RCM) solution, enabling hospitals and health ...
In an effort to provide helpful information to providers, CMS has released a special edition MedLearn Matters (MLN) article that disseminates diagnosis-related group (DRG) coding vulnerabilities for ...
9. Deciding the right level inpatient code remains unclear. The old and new coding systems do not appear to have the same criteria for each levels of the initial hospital visit. CMS’ guidance does not ...
When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...
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