Medical Coding

Person working in Healthcare looking at medical coding

Enhancing RCM with AI/ML-Based Medical Coding & Other Processes

Revenue Cycle Management (RCM) is a critical aspect of a healthcare organization’s financial success, ensuring seamless and efficient coding, billing, and claim tracking. Traditional RCM practices have often been marred by complexities, leading to revenue leakage, claim denials, and administrative … Read More

Close up of a mobile phone with Coronavirus covid-19 news update. There is a health benefits claim form in the background. The phone is being held and has an image of hand washing hygiene.

How to Improve COVID-19 Related Claim Denial Rates

Payers denying healthcare insurance claims is something we all are very familiar with. Whether the claims are denied for missing information, incorrect medical coding, or anything in between, 9% of claims are initially denied, on average. The national pandemic has … Read More

An abstract image of the brain formed by node points and lines connecting the points. Representing Artificial Intelligence.

Artificial Intelligence in Revenue Cycle Management

What is Artificial Intelligence? Artificial Intelligence (AI) is defined as computers imitating “intellectual processes characteristic of humans, such as the ability to reason, discover meaning, generalize, or learn from past experience” with the ability to achieve goals. AI in healthcare … Read More

A clipboard with a pen and glasses on it, a notebook with a thermometer, a glass of water, a phone, a spare keyboard, a few files with a stethoscope on top of them, a pen holder and a medical professional's hands shown working on a laptop

New COVID-19 Medical Billing Codes

Medical coding is a standardized method to assign alphanumeric codes for medical diagnostics, surgical and external procedures to generate billing for an episode of care. Medical coding professionals translate the medical records and providers’ notes to create a claim to … Read More