Don’t get caught in the storm of noncompliance. When we read about the prevalence of fraud in the healthcare industry, it brings up many questions. How did they get away with it? Why did they do it? Who else is doing the same thing but not getting cau...

MedPAC blames coding intensity as a primary suspect for rising risk adjustment payments. In its most recent Report to Congress, the Medicare Payment Advisory Commission (MedPAC) projects that payments to Medicare Advantage (MA) plans in 2025 will be a...

Account for social determinants of health in your patients to ensure quality care. The specificity of the ICD-10-CM code set enables us to paint a clearer clinical picture of our patient’s health status. Our healthcare systems have always kept a clos...

Opportunity is knocking for medical coders who want to transition into a new role. What is CDI? Clinical documentation improvement, or clinical documentation integrity, in the outpatient setting is quite a hot topic today! While CDI has existed in t...

Hiring managers consider more than just education and credentials. While browsing social media and attending local and national coding conferences, I frequently note aspiring coders expressing frustration in getting their first break into medical cod...