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 ...

WELLESLEY, MA / ACCESS Newswire / November 18, 2025 / The rate of payer audits accelerated in 2025, with hospital inpatient and outpatient average denial amounts that increased by 14% and 12%, ...

Anthem will soon begin a review of “medically unlikely” procedure code edits that could result in claims denials. Beginning Oct. 1, the insurance company will review medically unlikely edits with a ...

AI has immense potential to save organizations time and money by optimizing their revenue cycle processes. While technology has revolutionized revenue cycle management in the healthcare sector, it’s ...

WELLESLEY, MA / ACCESSWIRE / November 14, 2024 / External audit volume more than doubled in 2024 over 2023-including higher rates of pre-payment audits-and total at-risk dollars increased fivefold to ...

At the 12th Annual Spine, Orthopedic and Pain Management-Driven Conference + Future of Spine in Chicago on June 14, Stephanie Ellis, RN, owner and president of Franklin, Tenn.-based Ellis Medical ...

In today's complex healthcare revenue cycle, claim denials are unavoidable. However, with the help of technology, providers can minimize denials and maximize reimbursement recovery. This article ...

Orthopedic and musculoskeletal practices increasingly find that money slips away at the front end of the revenue cycle, where incomplete documentation and manual coding can trigger preventable denials ...

Denial Journal , a leading authority in healthcare revenue cycle management and medical coding education, has released a comprehensive practice guide addressing the complexities of Current Procedural ...

A lot occurs between the end of a patient’s visit and back-office claims management that impacts revenue cycle management. This middle part of the revenue cycle brings together clinical and financial ...

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 / ...