Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about ...

BOCA RATON, Fla--(BUSINESS WIRE)--Leading healthcare technology vendor Modernizing Medicine® today announced that the company’s electronic health records (EHR) systems, EMA and gGastro EHR, are ready ...

This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) ...

A handful of payers were flagged throughout 2021 by HHS’ Office of the Inspector General for coding or reimbursement errors. 1. Humana: HHS found April 20 that Humana received $197.7 million in ...

Differential coding by Medicare Advantage plans appeared to have pushed their risk scores higher than traditional Medicare's scores. Those greater risk scores led to $33 billion in extra revenue for ...

Differential coding in MA plans results in higher risk scores and increased payments compared to TM, with significant insurer variation. UnitedHealth Group's risk scores were significantly higher than ...