Computer-assisted coding technology has helped hospitals significantly reduce true coding errors over the past few years. Commercial payers are adapting their reimbursement guidelines to focus more on ...

Gastroenterology and endoscopy can be profitable and successful services for your ASC, provided volumes are high and centers maximize their reimbursement. For this reason, it is important for ASCs to ...

Hospitals are seeing more denials of medically necessary inpatient care based on alleged delays in services. In these cases, a health plan ...

Unlike most specialties, anesthesia billing is time-based. Payers differ in how they calculate time units — Medicare uses decimals, while some commercial plans round to whole numbers — creating added ...

Annual analysis points to an urgent need to redefine revenue integrity as proactive protection, while strengthening coding integrity and denial prevention measures. WELLESLEY, MA / ACCESS Newswire / ...

There are very few people who would consider having dental treatment without anesthesia. Preventive services and routine teeth cleanings aside, one of the top reasons why people avoid dental care is ...

According to the American Medical Association, there are eight primary coding issues that providers should be aware of. Medical coding is particularly challenging for specialty practices as there have ...

Health plans are using both new and old methods to deny healthcare providers’ claims, all of which are legally and factually unsupportable. These tactics have repeatedly been rejected by arbitrators ...

If you haven’t read part one of this two-part article, I suggest reading it now to glean the full scope of its message as it applies to part two. Comfort for the patient during dental procedures is ...