The Centers for Medicare & Medicaid Services (CMS) will expand its team of medical coders and increase the number of audits ...

CMS will hire nearly 2,000 coders to conduct audits to confirm diagnoses used for payment are backed by medical records.

Elements that enhanced adoption and documentation of goals-of-care conversations included leadership’s establishment of this ...

Autonomous medical coding is reshaping how healthcare organizations manage clinical documentation and revenue cycle ...

The Centers for Medicare and Medicaid Services will audit every Medicare Advantage plan, every year to root out improper ...

Embedded in the Consolidated Appropriations Act, 2021 (the “CAA”) is a new obligation for group health plan sponsors and ...