Insights

Accurate ICD coding is foundational to payment integrity. This guide explains how coding errors distort clinical data, inflate costs, increase patient and provider burden, and lead to significant overpayments and underpayments across the healthcare system. Providers and payers will learn the scientific basis of ICD coding, the financial implications of errors, and best practices for documentation, code selection, and understanding clinical interrelationships to ensure accuracy and reduce leakage.

New York’s HCRA taxes increased sharply in 2020—even though elective procedures plummeted and Medicaid enrollment rose—because the tax code is so complex that payors and providers routinely misapply it. This article explores why HCRA revenue keeps climbing and why the system urgently needs reform.

New York’s Health Care Reform Act (HCRA) is so complex that payors, providers, and self-insured employers routinely overpay surcharges they were never obligated to pay. In this article, Penstock VP Jeff Snyder explains how exemptions, documentation gaps, and State audit pressures lead to millions in avoidable assessments—and how proactive audits protect payors.