An existent compliance plan not only detects incorrect coding practices, it may also be considered by some federal agencies when determining whether reasonable efforts were taken to avoid and detect ...

Revenue cycle leaders at the University of Utah Health successfully established an automated and streamlined audit process that identifies potential errors at the point of coding. It's no secret that ...

Coding experts agree that ASCs should conduct regular audits of their coding processes to ensure the ASC is not upcoding, a possible fraud issue, or downcoding, leading to a loss of owed reimbursement ...

Medical coding audits are complex, time-consuming, and costly processes that historically have required significant investment of manual resources to complete, but, more recently, advances in ...

A well-scoped code audit creates a shared understanding of reality. It replaces assumptions with evidence and emotion with structure. For long-term systems, that understanding is often the most ...

In the dynamic world of fintech - where mergers, acquisitions (M&As), and tech integrations are commonplace - the quality of software systems is pivotal for achieving long-term growth. When firms ...

As audits and downcoding become more common, audit defense isn’t a back-office function. It’s a financial imperative.” — Moghis Uddin, CEO of AlethianAI ...

At last month’s AICPA & CIMA Conference on Current SEC and PCAOB Developments, the director of the PCAOB’s Division of Registration and Inspections offered a pep talk of sorts to public company ...

Discover how AI-driven smart contract auditing detects vulnerabilities, improves security, and ensures safer blockchain deployments.