Here at Revedy, we’re focused on best practices around automated coding and the use of AI. At the HFMA conference, leaders from Mayo Clinic, Kaiser Permanente, and Amazon Health Services (One Medical) shared their experiences with AI automation in healthcare revenue management. Their insights covered both progress and hurdles and reinforced the Revedy focus on…
Evaluation and Management (E/M) coding is a critical component of healthcare administration and revenue cycle management. Proper coding ensures fair reimbursement for services provided and maintains compliance with regulatory requirements. Why should healthcare organizations prioritize consistency, accuracy, and thorough documentation in their E/M coding practices? And what tools and services should they consider in improving…
In the complex world of Intraoperative Neuromonitoring (IONM) coding and broader RCM processes, providers face very specific challenges in ensuring accuracy, compliance, and optimal reimbursement. The diverse data sources used in IONM, including raw data from Cadwell and others, and tech reports, EHR outputs, and more can vary across organizations, further complicating the coding process….
Healthcare executives understand the role coding plays in the revenue cycle and its impact on their organization’s financial performance. They face challenges hiring, retaining, and managing coding staff. Staff shortages, turnover rates, and absenteeism lead to coding backlogs, delayed reimbursements, and lost revenue. The costs associated with recruiting, hiring, and training new coding staff can…
Healthcare coding requires precise alignment between medical procedures and payer coverage criteria. Revedy’s Medical Necessity Analysis tool utilizes AI to align CPT codes with the appropriate ICD-10 diagnoses, adhering to CMS MCD guidelines. This tool streamlines the coding process, supports compliance, and helps maintain revenue integrity. Understanding Revedy’s Medical Necessity Analysis Features: Benefits of Using…