As an attorney specializing in healthcare reimbursement, I have focused my practice on helping healthcare providers navigate the Center for Medicare and Medicaid (“CMS”) administrative appeal process.

In what is already a highly regulated industry, it is becoming increasingly difficult for healthcare organizations to navigate the growing volume, complexity and enforcement of laws, regulations and ...

Healthcare reform and technological advances constantly add new tasks for ambulatory surgery center billers and coders and make compliance a challenge. George Kaplinksi is the vice president of ...

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

DALLAS--(BUSINESS WIRE)--VMG Health, a leading full-service healthcare valuation and transaction advisory firm, is pleased to announce it has acquired RR Health Strategies, LLC (“RRHS”), a medical ...

When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

Coding accuracy isn’t just about reimbursements: How compliance programs promote a quality, culture and positive brand image Without medical coders, the healthcare system would come to a halt.

BALTIMORE -- Electronic health records make it easier than ever to create detailed patient files even for long or complex encounters but the technology has a dark side: EHR upcoding. The Centers for ...

Claim scrubbing is the process of verifying that a medical claim's codes are accurate. Learn how code scrubbing works and ...