Accurate ICD-10-CM coding in long term care (LTC) is not just a compliance exercise. It directly affects care planning, ...

Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...

In 2026, medical coding saw two defining changes: the addition of 288 CPT/HCPCS codes that formalize billing for emerging AI and digital health services, and an April ICD-10-CM update that overhauled ...

There is widespread agreement that taxpayers pay more when Medicare beneficiaries are enrolled in Medicare Advantage (MA) plans than if those beneficiaries were enrolled in traditional Medicare. MA ...

Q: How should we appropriately query the physician to support diagnosis coding for PDPM reimbursement? A:With only a few exceptions, ICD-10-CM code assignment must be based on documentation by the ...

The Centers for Medicare & Medicaid Services has released 80 new ICD-10-PCS procedure codes effective April 1, 2026, along with updated coding guidelines. The revisions include clarified rules for HIV ...

In 2021, 4.6 percent of Nevada’s inpatient claims contained a social determinant of health diagnosis code, the highest percentage in the U.S, according to a study conducted by data analytics company ...

Let's forget about ICD-10 coding for a moment. Let's talk about how medical practices can make more money. There's an urologist in South Carolina who figured it out: "Two years ago Larry Rabon decided ...

In 2021, 14 percent of Omaha, Neb.-based Methodist Hospital’s inpatient claims contained a social determinant of health diagnosis code, the highest percentage in the U.S, according to a study ...

There are very few people who would consider having dental treatment without anesthesia. Preventive services and routine teeth cleanings aside, one of the top reasons why people avoid dental care is ...

The codes must be fully implemented in acute care and ambulatory care settings to inform provider and public health responses ...