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Charge reconciliation is a critical yet often overlooked process in the healthcare revenue cycle. It ensures that every service provided by a hospital or health system is accurately captured, billed, and reimbursed. However, many organizations still face persistent gaps in…
In today’s complex healthcare revenue cycle, accurate coding and timely billing are paramount. Historically, many hospitals have relied on post-bill audits to identify and correct errors. However, while post-bill reviews serve a purpose, they come with significant drawbacks that can…
The pursuit of improved performance is top-of-mind for financial leaders. Razor-thin margins, increasing payor delays and denials, staffing costs and operational difficulties make for an ever-changing environment. In today’s complex world of revenue cycle management, medical coding audits are a…