AI-Based Modifier Validation Using Current Coding Guidelines
AI-Based Modifier Validation Using Current Coding Guidelines Medical coding has evolved beyond assigning diagnosis and procedure codes. Today’s coding professionals must also determine whether a procedure requires one or more medical coding modifiers to accurately represent the services performed. Modifiers communicate additional information about a service without changing the procedure code itself. They indicate circumstances […]
Reducing Claim Denials in Radiology: Using AI to Enforce Compliance & Medical Necessity
Reducing Claim Denials in Radiology: Using AI to Enforce Compliance & Medical Necessity Radiology departments experience more difficulties in maintaining compliance and certifying claim accuracy in the modern medical ecosystem. In order to attain accuracy, efficiency, and financial stability, radiology providers are looking for artificial intelligence (AI). In radiology as payer regulations grow more complicated […]
