Immediate access to specialty-specific certified USA-based medical coders who are experienced and highly skilled in ICD-10 diagnostic and CPT medical coding| The Coding Network
The emergence of AI in medical coding is invariably impacting healthcare and traditional workflows and resource allocation. Yet, as AI platforms tout accuracy rates exceeding 90%, a critical question persists: Can autonomous coding stand alone? With payers tightening contract terms and regulators increasing scrutiny, human coders remain indispensable for ensuring compliance and accuracy. In this [...] The post Why Human Oversight in AI Medical Coding Remains Essential in 2025 appeared first o...| The Coding Network
Why Human Validation Is Now Mission‑Critical (and How to Add It Overnight) Artificial‑intelligence engines from Aidéo, Fathom, Nym, 3M, and others are transforming medical coding speed. Yet payers haven’t lowered the bar— they’ve raised it. Humana, Cigna, and multiple Medicare Advantage plans now insist on human coder attestation before an AI‑generated claim can drop. Meanwhile, the Department of Justice [...] The post AI Medical Coding Is Fast—Until Compliance Slows Yo...| The Coding Network
Try Holiday Coding Backlog outsourcing as a flexible service that scales exactly when (and where) demand spikes.| The Coding Network
In today’s fast-paced healthcare environment, efficiency and accuracy are non-negotiable. Every medical practice, hospital, and healthcare system strives to optimize revenue, ensure compliance, and deliver exceptional patient care. One area […]| The Coding Network
In today’s complex healthcare landscape, maintaining coding compliance is more crucial than ever. Recent developments from the Department of Justice (DOJ), including the launch of the Corporate Whistleblower Awards Pilot […]| The Coding Network
On August 1, 2024, the U.S. Department of Justice (DOJ) launched its Corporate Whistleblower Awards Pilot Program| The Coding Network
Every coding operation, no matter how large or small, suffers from unavoidable coding outages due to: Vacations Sick Leave Maternity Leave Family Leave Coder Turnover In most cases, in-house coding […]| The Coding Network
Internal coding compliance audits should be conducted by internal and external teams within the organization on a regular basis.| The Coding Network
Amid the complex labyrinth of healthcare administration, one area stands as a beacon of efficiency and cost-effectiveness—outsourcing medical coding. It brings an exhaustive list of benefits ranging from unburdening clinicians, reducing compliance exposure, minimizing claim denials, and optimizing revenue capture. This post dives into the compelling reasons why outsourcing medical coding can improve operations, maximize […]| The Coding Network
Navigating the complex labyrinth of HCC coding compliance is a daunting task for healthcare providers. This post reviews the details.| The Coding Network
Why Conduct a Medical Coding Audit Medical coding audits ensure accurate clinical documentation, improve revenue cycle management, minimize revenue loss and coding liability, and maintain compliance with industry regulations. Improved Accuracy of Clinical Documentation Accurate clinical documentation supports the quality of care delivered to the patients and the providers’ medical coding, which translates diagnoses and procedures into […]| The Coding Network
CMS selects primary care payment model participants According to Becker’s Hospital Review, “CMS chose 916 primary care practices and 37 regional health plan partners as participants in its new payment […]| The Coding Network
OIG Tags Arizona Hospital for Erroneous Billing Flagstaff (Ariz.) Medical Center failed to comply with Medicare billing requirements for three of 100 inpatient and outpatient claims reviewed by HHS’ Office […]| The Coding Network
Neurosurgeon Medical Practice Director to Pay Over $1 Million Neurosurgeon Medical Practice Director to Pay Over $1 Million to Resolve False Claims Act Liability Arising from Billing of P-Stim Devices. […]| The Coding Network
New Mexico Physician and Practice Settle Case Involving False Claims The settlement agreement resolves allegations that Dr. Reddy submitted claims for Healthcare Common Procedure Coding System (HCPCS) code 93965, when […]| The Coding Network