There is considerable interest in computer-assisted coding or “CAC.” The proponents say it will reduce costs, coding backlogs and discharged not final billed claims.  There are several companies in this space, the largest being 3M with more than $30 billion in revenue every year.

According to report published by Grand View Research, Rising importance of evidence-based medicine, pharmacoeconomic risk benefit analysis of different drugs and medical devices, and insurance settlements are major factors driving the growth of U.S. Medical Coding Market.

A small family practice created a large improvement in diabetes control by focusing on workflow efficiency teamwork and technology. In less than a year, the two-physician office posted a one-third decrease—from 31 percent to 20.5 percent—in its patients with...

There has been much discussion about healthcare expenses in recent months. The Centers for Medicare & Medicaid Services (CMS) is focusing on value-based purchasing (VBP), and payors are focused on reducing costs through...

ICD-10 coding should be high-priority on everyone’s list this year as we await the rollout of the Patient-Driven Payment Model. I do not think it can be stressed enough that diagnoses are driving reimbursement. 

The shift to value-based care has driven public and private payers to redesign reimbursement models that stress accountability for care quality and healthcare costs. As the fee-for-service environment fades away, alternative payment models like bundled payments are helping to define the future of revenue cycle management.