A current movement within the clinical revenue cycle is putting utilization review and clinical documentation integrity (CDI) under the same reporting structure. There are many advantages to such an arrangement. One of the most underrated advantages is the potential for utilization review, CDI, and coding staff to work collaboratively to
Hotly anticipated performance targets and payment amounts for the Centers for Medicare & Medicaid Services (CMS) Advancing Chronic Care with Effective, Scalable Solutions (ACCESS) Model
Last week MedLearn Media published an article by Bryan Nordley titled “Defend Against IR Dialysis Circuit Denials: Expert Coding Tips to Promote Success in 2026.”
EDITOR’S NOTE: The author of this article used AI-assisted tools in its composition, but all content, analysis, and conclusions were based on the author’s professional
This week Blue Cross Blue Shield published an article titled “Study suggests AI is boosting hospital billing.” The study was based on data analyzed by
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