As an attorney specializing in healthcare reimbursement, I have focused my practice on helping healthcare providers navigate the Center for Medicare and Medicaid (“CMS”) administrative appeal process.

When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

Healthcare reform and technological advances constantly add new tasks for ambulatory surgery center billers and coders and make compliance a challenge. George Kaplinksi is the vice president of ...

AI copilots are becoming integral to medical coding, blending automation with human oversight to improve accuracy, compliance, and efficiency. These tools leverage NLP, machine learning, and agentic ...

Medical coding compliance in 2026 is shaped by new CMS payment policies, refined CPT/HCPCS code sets, and stricter HIPAA requirements. Coders and billing teams must meet evolving documentation and ...

Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

DALLAS--(BUSINESS WIRE)--VMG Health, a leading full-service healthcare valuation and transaction advisory firm, is pleased to announce it has acquired RR Health Strategies, LLC (“RRHS”), a medical ...