Computer Assisted Coding Anticipated To Grow To $2.5 Billion By 2023
Published: Wed, 05/03/17
Computer Assisted Coding Anticipated To Grow To $2.5 Billion By 2023
The market for computer-assisted coding grows because it provides management of workflow process value by encouraging increasing efficiency in care delivery for large Professional Physician Practice and Ambulatory Clinical Facility. By making more granular demarcation of diagnoses and care provided for each diagnosis, greater visibility
into...
As the totals invested in taking care of the nation's most vulnerable grew, so did the government's efforts to identify fraud and to cut costs. Notable among the cases identified were...
Humana Refines Diabetes Risk Stratification Tool Using ICD-10
The ICD-10 transition provided Humana with the "perfect opportunity" to develop a more detailed diabetes risk stratification tool. In an effort to improve the delivery of targeted chronic disease management services to diabetes patients, Humana has revamped its Diabetes Complications Severity Index (DCSI) risk stratification tool to use ICD-10 codes, the payer detailed in a recent journal
article.
Why Medical Necessity Continues to Be a Top Priority
Medical necessity is an important issue. Just review the definition of medical necessity: “a legal doctrine, related to activities which may be justified as reasonable, necessary, and/or appropriate, based on evidence-based clinical standards of care.”
While it might surprise some folks that five Modesto doctors are among those facing fraud charges in a $40 million medical billing and kickback case based in Southern California, it shouldn’t surprise anyone that there was yet another medical fraud case.