5 Things that Indicate You need AI-based Medical Coding in RCM
In the realm of healthcare revenue cycle management (RCM), the integration of Artificial Intelligence (AI) has emerged as a transformative force, particularly in medical coding. AI-based medical coding in RCM streamlines processes, enhances accuracy, and alleviates the burden on healthcare professionals. Identifying the signs indicating the requirement for AI-driven solutions in medical coding is crucial […]
Unlocking Efficiency in Ambulatory Clinics with AI Medical Coding Tools
In the fast-paced environment of ambulatory clinics, the need for accurate and swift medical coding has become increasingly crucial. Recent surveys and statistics underline the significance of embracing technological advancements, particularly in the form of AI-driven solutions, to streamline medical coding processes. According to a survey conducted by the American Health Information Management Association (AHIMA), […]
Everything About AI-based Hierarchical Condition Categories (HCC) Coding
As healthcare organizations are shifting to value-based care, Hierarchical Condition Categories (HCCs) are gaining prominence. The whole purpose of the HCC process is to assess a patient’s possible use of healthcare services and the associated costs. Healthcare organizations and RCM coding departments must possess fundamental knowledge about HCC to ensure accurate coding, thereby securing timely […]
What Features Should You Look for in Medical Coding AI Solutions?
Like a doctor diagnosing an illness, artificial intelligence (AI) is now dissecting medical records, transforming the healthcare coding landscape. Medical coding is one of the crucial processes in healthcare Revenue cycle management (RCM). However, many RCM companies are clinging to their traditional approach to medical coding such as manually sifting through the sea of medical […]
Understanding ICD-10 Codes Related to Patient Cases Encountered During the Festival Season
As the aroma of roasted turkey wafts through the air and festive decorations transform the home into a welcoming haven, families gather to cherish the spirit of festivals such as Thanksgiving or Christmas. Amidst the joyous reunions and hearty feasts, it’s crucial to remain vigilant about potential hazards that can arise during this celebratory season. […]
A Comprehensive Guide to AI Medical Coding for Radiology Services
For healthcare and RCM professionals, medical coding is an important process because the results can make or break their revenue. Especially in the radiology space, medical billing, coding, and managing receivables can be a daunting endeavor for busy radiology practices. While coding for radiology services, medical coders may encounter a number of issues such as […]
7 Essential Tips for Diagnostic Radiology Coding
Diagnostic radiology has a wide range of services such as plain film radiology, ultrasound, CT scans, MRI, nuclear medicine, PET scans, and mammography. The following seven points provide guidance for CPT® coding in diagnostic radiology. These directives are based on advice from the American Medical Association (AMA), the Centers for Medicare & Medicaid Services (CMS), […]
Medical Coding Audits: An in-depth analysis
What is the role of medical coders in medical auditing? Medical coders do play a crucial role in medical coding audits. They are integral to the auditing process, ensuring accuracy and compliance within medical coding. Their involvement in medical coding auditing includes: Medical coders are actively involved in the medical coding auditing process, contributing to […]
NCCI Changes for The Fourth Quarter Of 2023
Change is the only constant in the healthcare world. Rapid advancements in technology, evolving treatment protocols, and shifting regulations necessitate continuous adaptation. Healthcare professionals must embrace change to provide the best patient care and stay at the forefront of the industry’s ever-evolving developments. Let’s have a look at the recent NCCI changes for the last […]
AI-assisted E/M Coding Solutions: Revolutionizing Healthcare Documentation
In the rapidly evolving healthcare industry, it is crucial to efficiently and accurately document patient encounters. This documentation is essential for insurance claims, quality assessments, and most importantly, providing top-notch patient care. However, the process of Evaluation and Management (E/M) coding, which is the foundation of this documentation, can be complicated, time-consuming, and prone to […]
