Coding & Documentation

By truly mastering the art and science of documentation, practice managers and physicians can enhance patient care, facilitate communication, and defend against potential malpractice claims.

Empowering your medical practice for success

Avoid these five common mistakes to avoid losing revenue.

These days, physicians are terrified about overcoding — that is, billing for services they did not render or for more labor-intensive services than they provided.

Your coding questions answered.

To minimize potential liability for coding compliance issues, providers should go back to the basics, and familiarize themselves with high-risk areas for coding and billing audits and enforcement.

What if both caring and coding could work together synergistically?

Your coding questions answered.

Medical billing and collection is a broken system with far-reaching negative consequences-it’s about time we got down to fixing it.

Your coding questions answered.

Coding questions answered.

Prior authorization should, when used, follow a uniform, automated procedure to lessen the load on doctors and health plans

Enhancing medical records helps cut expenses and boosts overall output.

Your coding question answered.

A pair of case studies provide insight into medical decision making.

What is the difference between an acute, uncomplicated illness and an acute illness with systemic symptoms?

Coding changes for critical care in 2023.

The providers in our clinic want to start billing e-visits. Can they bill for all the communication between the provider and patient through our online portal?

Trends in medical audits and what physicians can expect.

There were four new PCM codes introduced in 2022.

Scribes are someone who works offsite or in a different area of the practice (i.e., not in the exam room) to document important aspects of the encounter so the physician or other provider can focus on providing patient care and working more efficiently.

Your guide to coding and documentation best practices.

Completing all necessary documentation to describe the individual’s current condition, treatment needs, interventions, and medications must be done with precision.

Manual coding is slow, inaccurate, and cost inflexible.

Any billing changes won't come for a while.

What you need to know about prolonged services, medical assistant, and E/M codes.

What are the key differences between manual and autonomous medical coding processes?

Do EMRs result in higher coding for Evaluation and Management codes? Let’s take a look back to see.

Dodge these common problems with medical coding.

When employees are unsupported, overwhelmed, and struggling to stay up-to-date on the latest rules, mistakes are bound to happen.