Michael Connelly is the former CEO of Cincinnati-based Mercy Health, serving in that role between 1995 and 2017. The author of “The Journey’s End,” which highlights his frustration with billing issues ...

The main difference between MedPAC and CMS estimates of uncorrected coding intensity is that MedPAC’s estimate accounts for the upward trend in coding intensity.

Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...

A new American Health Information Management Association study aimed at finding a better understanding of the operational realities of how social determinants of health data is used in real-world ...

Grady Health System's director of physician revenue cycle shares a framework for creating effective physician coding education programs that improve compliance and performance against quality metrics.

CHICAGO - Much of remote digital health depends on the Current Procedural Terminology, or the CPT code set, which opened the door to payment for remote patient monitoring and remote therapeutic ...

Healthcare organization CFOs are facing a perfect storm of challenges around medical coding. With few workers entering a field dominated by older Gen X-ers and Baby Boomers, there’s a growing gap in ...

Beth Israel Lahey’s VP of Mid-Revenue Cycle says that AI’s primary role is to stabilize output, proactively flag compliance risks against payer contracts, and ensure accurate documentation before ...

Some limits on how the assessments are used for adding new diagnosis codes might be justified to ensure Medicare Advantage plans aren’t overpaid, researchers wrote. Under MA, insurers contract with ...

Veronica Beagle is the managing editor for Education at Forbes Advisor. She completed her master’s in English at the University of Hawai‘i at Mānoa. Before coming to Forbes Advisor she worked on ...

Vanessa Vance said she is thinking about her family as she navigates her cancer risks. (Courtesy Vanessa Vance) AUSTIN (KXAN) — Vanessa Vance watched her mother and then aunt battle cancer. She often ...