A recent analysis of 5 billion claims from a sampling of providers found that total at-risk dollars from payer audits were five times higher in 2024 than in 2023 – $ 11.2 million, versus $2.6 million – while coding-related denials surged by more than 125 percent and clinical documentation audits and reviews were up 100 percent.
These and other findings were reported earlier today on Monitor Mondays by Ritesh Ramesh, who was the special guest during the live weekly Internet broadcast. Ramesh, the CEO for MDaudit, who made the announcement, was reporting from a newly released MDaudit 2024 Benchmark Report.
Ramesh said the “unsettling findings” indicate that 2025 will be another challenging year for healthcare finance leaders.
MDaudit is a provider of technologies and analytics tools that enable premier healthcare organizations – including more than 70 of the nation’s top 100 health systems, with $1 billion in net patient revenue – to minimize billing risk and maximize revenues.
He holds an MBA from MIT Sloan School of Management and an MS in Computer Science from the Illinois Institute of Technology.
Well, I gave you all a break from my criticism of insurance company policies and ploys last week, and I had planned to go for
A few weeks ago, during the weekly Monitor Monday broadcast, healthcare attorney David Glaser, presented a great segment that simplified the two-midnight rule into two
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Join Beth Wolf, MD, CPC, CCDS, for an in-depth webcast on the FY2025 spinal fusion MS-DRG updates. Discover key changes in DRG classification, understand impacts on documentation and CMI, and learn strategies to ensure compliance.
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Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.
Enhancing outpatient clinical documentation is crucial for maintaining accuracy, compliance, and proper reimbursement in today’s complex healthcare environment. This webcast, presented by industry expert Angela Comfort, DBA, RHIA, CDIP, CCS, CCS-P, will provide you with actionable strategies to tackle complex challenges in outpatient documentation. You’ll learn how to craft detailed clinical narratives, utilize advanced EHR features, and implement accurate risk adjustment and HCC coding. The session also covers essential regulatory updates to keep your documentation practices compliant. Join us to gain the tools you need to improve documentation quality, support better patient care, and ensure financial integrity.
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