Coding News

ICD-10-PCS code updates released for FY 2020: 4 takeaways
CMS has provided ICD-10 Procedure Coding System updates for the fiscal year beginning Oct. 1, 2019, and ending Sept. 30,
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Medicaid Auditors Gone Rogue
The case continues even after two suicides. When does an audit go beyond the reasonable and become persecution? An act
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Find Out Which New Therapeutic Service Codes Made the Latest CCI Edit List
There are 2,115 additions to the third quarter Medicare National Correct Coding Initiative (NCCI or CCI) practitioner edits that became
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Finding a path forward to end surprise medical billing
The stories of Americans affected by surprise medical bills are hard to believe. A teacher with insurance was taken to
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Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020
On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes proposals to
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Breaking Down Different Proposals to Address Surprise Medical Billing
As the industry grapples with solutions for high patient financial responsibility and healthcare costs, it has become laser-focused on one
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Medicare Audits: Who Bears the Burden in Your State?
Where the burden lies could make a difference when it comes to the RACs. In a legal lawsuit, one party
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Harris Health System’s Tina Strawn on revenue cycle workflow: ‘If it can be automated, get it automated’
Tina R. Strawn, RN, administrative director of operations for patient financial services at Houston-based Harris Health System, has 27 years
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Boost revenue by getting coding right
It’s every physician’s worst nightmare: Receive payment for services rendered, but then a payer identifies an aberrant pattern in claims
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MPFS 2020 Proposed Rule: E/M Blended Payment for 2021 Is Dead
Another day, another change to E/M plans for 2021! Medicare has released the 2020 proposed rule for the Medicare Physician
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