Month: November 2025

Coding accuracy is more than a billing function—it is a critical safeguard for healthcare compliance. When coding errors go unchecked, they can escalate quickly from routine mistakes into significant compliance liabilities. A recent case at a rural hospital highlights how easily this can happen. A routine internal Health Information Management (HIM) audit uncovered a pattern…

CMS — Centers for Medicare & Medicaid Services: Oversees Medicare, Medicaid, and CHIP; sets reimbursement rules and healthcare quality standards. OIG — Office of Inspector General (HHS-OIG): Investigates fraud, waste, and abuse in federal healthcare programs; issues compliance guidance. HHS — Department of Health & Human Services: Federal department responsible for public health, healthcare regulation,…