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 […]
Everything about Medical Coding Audits: A Comprehensive Guide
In the world of medical coding, audit readiness isn’t just a goal; it’s a critical necessity. As a medical coder, your accuracy and compliance with regulations are under constant scrutiny, and the consequences of failing an audit can be financially and professionally damaging. Medical coding audits have the potential to keep you up at night, […]
Unlocking Efficiency: The Power of Medical Billing Automation
The healthcare industry is going through a shift. We’re seeing the challenge of needing to cut costs after the pandemic while also meeting the rising expectations of patients who want faster and better customer service. In this scenario, medical billing automation holds a significant value in addressing both these needs. But what exactly is it? […]
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 […]
E/M Coding 2023: Bridging the Gap Between Coders and Physicians
In the ever-evolving landscape of healthcare, efficient and accurate Evaluation and Management (E/M) coding is paramount. Ensuring that your coders and physicians are on the same page when it comes to Medical Decision Making (MDM) is not just a matter of compliance; it’s a crucial element in optimizing patient care, reducing claim denials, and ultimately […]
AI in Medical billing: The future is here, but what’s holding us back?
As with any new technology, there are always some doubts and myths surrounding it. AI is no exception. In the healthcare revenue cycle management (RCM) field, there are a number of concerns that healthcare organizations have about AI in medical billing. Given that AI technology is still relatively new in medical billing, it is understandable […]
AI and its Impact on Medical Code Auditing
Medical coding is a complex and critical process that can have a significant impact on a healthcare organization’s bottom line. If not done correctly, it can lead to compliance risks, legal issues, and lost revenue. That’s why it’s so important for medical billing and coding companies to perform routine medical code auditing. In this blog […]
Can AI be used for Medical Code Auditing?
Medical code auditing is a crucial process in the healthcare sector. With the rise of advanced technologies, medical code auditing is reaching new heights. Artificial Intelligence (AI) has demonstrated its value across various healthcare business operations, and medical code auditing is certainly no exception. AI is going to become the most reliable resource for Medical […]
Medical Claim Processing Will Never Be the Same – Thanks to AI!
In the realm of healthcare operations, if you were to ask any medical professional or office manager about the most challenging aspect, chances are they’d all point to medical claim processing. The Medical claims don’t always come in the standard format. It has its own complications. Unstructured documents, documentation errors, missing information, and so on. […]
Clinical Documentation Improvement (CDI) Program
In medical coding, clinical documentation is the process of creating a digital document of all the medical services provided to a patient.  To ensure accurate patient clinical documentation, most healthcare facilities employ clinical documentation improvement (CDI) specialists to review each patient’s clinical documentation and make certain it is comprehensive. Incorrect medical documentation can negatively impact […]
