Ninety-five percent. Ninety-seven percent. Ninety-eight percent. Accuracy rates look strong on paper. But are they enough? In today’s environment, payers are using advanced analytics to flag documentation inconsistencies at scale. Clinical validation denials are rising. Audit scrutiny is intensifying. At…
Presented by:
Laura Legg, RHIA, RHIT, CCS, CDIP
Vice President of Coding, Coronis Health
Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully covered preventive care to a medically necessary diagnostic service. Here are…
For years, artificial intelligence in gastroenterology has been synonymous with polyp detection, but some leaders say that framing misses the bigger transformation underway. The next wave of disruption will instead be from predictive analytics, chronic disease management and AI-driven clinical…
Premier Eye Care of Eastern Idaho is opening a new practice in Pocatello, Idaho, according to a Feb. 26 report from Idaho State Journal. The new location will provide ophthalmology services including cataract, retina, glaucoma and eyelid surgery. The practice…
Saginaw, Mich.-based Covenant HealthCare will break ground April 8 on a $25 million orthopedic facility to expand musculoskeletal care in the region. The 25,700-square-foot center will consolidate outpatient orthopedic services at Covenant’s Mackinaw campus, with 44 exam rooms, four X-ray…
The Sayre, Pa.-based Guthrie Clinic has opened an outpatient orthopedic and spine surgery center in Johnson City, N.Y., expanding access to advanced musculoskeletal care in the area. The Guthrie Broome Orthopedic and Spine Surgery Center is the region’s first facility…
For many ambulatory surgery center leaders, anesthesia has quietly become the fault line where financial and clinical realities intersect. What was once a stable, predictable service line is now one of the most dynamic sources of both risk and opportunity.…
Philadelphia-based Temple Health’s Fox Chase Cancer Center appointed David Weinberg, MD, as vice president and physician lead of the cancer screening and prevention service line and associate director of cancer screening and prevention for the Institute for Cancer Research, according…
Talmage Egan, MD, is stepping down from his role as chair of the department of anesthesiology, perioperative and pain medicine at the University of Utah. Dr. Egan has spent more than three decades at the university, including 11 years as…
The ASC market has become more competitive in recent years as hospitals, health systems and other corporate entities compete for surgical volumes and shift towards value-based care models. At the same time, independent practices have diminished as hospital employment among…
