How Medical Coders Combat Healthcare Fraud
Healthcare fraud is an issue that undermines the integrity of healthcare systems worldwide, costing billions of dollars annually. In fact, according to the NHCAA, scams designed to burden individuals and insurance companies with fraudulent and illegal medical charges result in over $54 billion in losses annually. While many are familiar with the roles of physicians, […]
Exploring Common Mistakes in Medical Coding and How to Avoid Them
As featured in AMA Journal of Ethics, upcoding and fraud related to misrepresentation of clinical information cost healthcare organizations more than $100 billion annually. Accurate coding ensures proper payment, facilitates research, and maintains compliance with regulatory requirements. Medical coding services have always been the backbone of reimbursement and data collection. However, amidst the complexity of […]
Medical Coding in 2024: Challenges, Innovations, and Lessons Learned
Medical coding is a critical component of the healthcare industry, serving as the bridge between patient care and financial reimbursement. As we step into the year 2024, the landscape of medical coding continues to evolve, with the medical coding market forecasted to be valued at more than 29 million USD by 2027. Healthcare professionals will […]