Coding and Documentation

Strategies for organizations to navigate CMS's decision to fast-track risk adjustment audits.

Software decisions can make or break your practice’s efficiency and financial health. These five questions help ensure your next investment supports — not complicates — your business.

At the MGMA Leaders Conference 2025 in Orlando, Michael Blackman, M.D., MBA, chief medical officer of Greenway Health, sat down with Medical Economics to separate AI fact from fiction.

Feds highlight huge growth in spending on wound care and why it could be problematic in health care.

AMA announces updates to ‘the backbone of health data interoperability.’

HCC vs. CPT vs. ICD-10-CM coding: What practices need to understand about coding when shifting from fee-for-service to value-based care

Prior auth reform sounds like a boon for health care, but the devil's in the details.

Health insurance companies pledge prior authorization reform, yet providers face ongoing delays and distrust, highlighting the gap between promises and reality.

From usability to integration, these key considerations can help you avoid costly mistakes.

Rapid technology advancements is creating gaps ICD-10 codes can’t fill

Pilots at Mass General Brigham and Emory Healthcare show significant reductions in documentation burnout.

AI transforms health care operations, driving cost reductions and efficiency through automation, predictive analytics and real-world data in clinical trials.

How to shift compliance from an administrative burden to a competitive advantage.

New data from Elation Health shows rising adoption of artificial intelligence tools, but trust comes first.

Susan Dentzer, president and CEO of America's Physician Groups, shares the top Medicare policy she'd like to see Congress act on in 2025.

Susan Dentzer, president and CEO of America's Physician Groups, explains why their latest report proposes bundling dental, vision and hearing into accountable care.

Susan Dentzer, president and CEO of America's Physician Groups, breaks down the organization's proposal for fixing prior authorizations and Star Ratings in Medicare Advantage.

Low-income patients face more health insurance denials and are less likely to successfully challenge them compared to higher-income patients

A new policy paper from the American College of Physicians lays out eight recommendations to modernize risk adjustment, reduce administrative waste and better serve high-risk patients.

Survey data show that delays, denials and added steps tied to prior authorization are worsening patient outcomes and creating frustration — but AI may help streamline the process.

Pledge to streamline the process comes amid growing public and government pressure, but the previous industry promises in 2018 accomplished little.

Female primary care physicians spend more time on portal messages and documentation — and report higher levels of burnout and patient hostility — than their male counterparts.

Leveraging intelligent automation to streamline workflows, reduce errors and elevate patient outcomes.

HHS has made changes, but lawmakers want prior auth procedures codified in law.

Test your coding knowledge with this engaging quiz on CPT, ICD-10, and E/M guidelines, featuring real-world scenarios and compliance standards.