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 ...

Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...

Their reviews aligned 89% of the time and identified only 46% of claims with issues, half of which were related to medical necessity, not coding errors. “These audits are very intricate work that take ...

Coding reviews provide an opportunity to conduct a thorough compliance review that not only addresses other components of the coding process, but also the integrity of the patient’s record. Physicians ...

Vibe coding isn’t just the latest tech buzzword; it’s here to stay. To keep you in the know, the team and I tested the biggest vibe coding platforms on the market so you don’t have to – and Lovable ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

BOSTON--(BUSINESS WIRE)--Avant-garde Health, the leading provider of solutions for improving perioperative quality and profitability, is helping Nebraska Methodist Health System enhance the accuracy ...

What if your coding assistant could not only write clean, efficient code but also manage sprawling workflows, troubleshoot system-level challenges, and sustain peak performance for hours on end? Enter ...