Aetna recently announced that effective September 1, 2025, its Claim and Code Review Program (CCRP) will expand to include additional claim coding edits for all commercial, Medicare, and Student ...

Coding reviews provide an opportunity to conduct a thorough compliance review that not only addresses other components of the coding process, but also the integrity of the patient’s record. Physicians ...

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 what is already a highly regulated industry, it is becoming increasingly difficult for healthcare organizations to navigate the growing volume, complexity and enforcement of laws, regulations and ...

Their reviews aligned 89% of the time and identified only 46% of claims with issues, half of which were related to medical necessity, not coding errors. “These audits are very intricate work that take ...

ASCs should incorporate an external audit into their compliance programs. Formal coding audit protocol should define the purpose of the audit, frequency of review and sample size. The difficult part ...

Enterprise startup CodeRabbit today raised $60 million to solve a problem most enterprises don't realize they have yet. As AI coding agents generate code faster than humans can review it, ...

What if your coding assistant could not only write clean, efficient code but also manage sprawling workflows, troubleshoot system-level challenges, and sustain peak performance for hours on end? Enter ...