Medical coding hot topics help medical coders and billers, physicians, compliance officers, and other healthcare professionals elevate their skills and sustain professional excellence.
Learn everything you need to know about transforming medical diagnosis, procedures, medical services, and equipment into universal codes.
Medical billing and coding are not the same. Read about the important role medical billing plays in the healthcare revenue cycle.
Medical auditing plays a vital role in healthcare compliance and accurate payer reimbursement by ensuring that medical coding is accurate and supported by clinical documentation.
A culture of compliance is essential to preventing fraud, waste, and abuse. Help ensure your organization has an effective healthcare compliance program.
MACRA may transform the structure of healthcare in the United States. A new philosophy on which to base all Medicare payment updates begins in 2019.
Transitioning to ICD-10 affected every aspect of healthcare offices and facilities. Guide your practice or career through the evolving ICD-10 code set.
ICD-11 is the future of diagnosis coding. Learn more about the codes and concepts unique to this code set so you’ll have a head start once an implementation date is announced.
Risk adjustment helps predict healthcare costs by equating a patient’s health status to a risk score based on demographics and diagnoses using CMS-HCCs or other models.
For medical coders, the Certified Procedural Coder ( CPT®) certification is the mark of professionalism. It entails knowledge of the code sets, their rules, guidelines and policies.
Evaluation and management (E/M) coding is the use of CPT® codes from the range 99202-99499 to represent services provided by a physician or other qualified healthcare professional.
Medical coding related to COVID-19 (coronavirus disease 2019) is an evolving area, including new CPT®, HCPCS Level II, and ICD-10-CM codes with varying effective dates.
A medical coding modifier is two characters (letters or numbers) appended to a CPT® or HCPCS Level II code.
Recent developments have expanded the number of people who benefit from telehealth and telemedicine. Ensure compliance by understanding this growing area of healthcare.
Outpatient facilities have their own rules about capturing charges and codes for procedures and services. Learn about outpatient code sets, OPPS, APCs, ASC payment, and more.