Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses
As the healthcare industry faces increased scrutiny, especially in medical coding accuracy and regulatory compliance, recent surveys reveal that many professionals are concerned with issues like upcoding, audit discrepancies, and the integration of artificial...
MRO is Advancing Quality Control Solutions for Release of Information
At MRO, we are continuously improving quality control standards by introducing additional safeguards for sensitive information. These additional safeguards allow us to flag sensitive information during the quality control process, helping your organization meet...
Navigating the CMS 2025 Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) 2025 Physician Fee Schedule (PFS) Final Rule brings notable updates to the Quality Payment Program (QPP), which will impact eligible clinicians, groups, virtual groups, subgroups, and APM entities. Whether you’re...
What is HEDIS? The Basics, Objectives and Significance
One of the most important tools utilized by payers across the country is the Health Effectiveness Data and Information Set (HEDIS), which is maintained by the National Committee for Quality Assurance (NCQA). HEDIS is a measurement set used to determine the efficacy of...