Clinical coding is the task of transforming medical information in a patient’s health records into structured codes so that they can be used for statistical analysis. This is a cognitive and ...

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 ...

Developers often adopt generative AI (GenAI) because it helps them to code faster, yet the tooling has potential to expose organisations to unaccounted for risks – especially if use is unauthorised or ...

The purpose of establishing a formal physician query process is a step in the right direction for obtaining accuracy and integrity in reporting coded data. A necessary component in any compliance plan ...