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How to Find Free Money: Start Billing for Consultation Services

Posted by Stephani Scott, Oct 9, 2018 9:39:34 AM

Auditing for E/M Consultation Services has been confusing auditors for years.

Free Pressure Ulcer Infographic for Auditors and Providers

Posted by Stephani Scott, Sep 25, 2018 9:29:50 AM

Pressure Ulcers are injuries to the skin and underlying tissue. You’ve probably seen them fairly often in the patient’s medical record referred to as “bed sores” or “pressure wounds” or “decubitus ulcers.”

Customizing Pass Rate Thresholds for Your Org

Posted by Stephani Scott, Aug 7, 2018 12:51:08 PM

Pass rate thresholds are pretty important. They define the acceptable accuracy rate by which a provider or coder passes or fails their coding audit.

Examples of the 2019 Proposed Updates to the Medicare Physician Fee Schedule

Posted by Stephani Scott, Jul 24, 2018 10:15:57 AM

On July 12, 2018, CMS published its annual update of the Medicare Physician Fee Schedule.

Get Smarter with Audit Manager Facility

Posted by Stephani Scott, Jul 10, 2018 12:36:15 PM

Did you know that Audit Manager Facility makes it easy for you to conduct audits for any encounter type, inpatient or outpatient, for either coders or providers? It’s true.

The Auditing Report Every Auditor Should Own

Posted by Stephani Scott, May 22, 2018 9:28:43 AM

A few months ago we conducted a survey of over 1,000 healthcare professionals (chances are you’re one of them).

9 Powerful Reasons to Utilize Your EMR Audit Trail

Posted by Stephani Scott, Mar 27, 2018 10:06:20 AM

Experts in health information technology suggest that EHR technology can make it easier to commit fraud.

Modifier 59 Errors

Posted by Stephani Scott, Feb 27, 2018 9:00:00 AM


Your organization is losing money. The OIG HHS reported that nearly 42% of Medicare claims for E/M services are incorrectly coded resulting in $6.7 billion in overpayments.