As we enter the final quarter of 2020, I hope everyone is committed to being prepared for the 2021 evaluation and management (E&M) changes, because they’re locked in, and the focus going forward should be on education for coders, auditors, and providers.

Federal healthcare audits have resumed, and they are not limited to durable medical equipment (DME) or any one specific group of providers, any one type of contractor, or any one specific...

After the tumultuous transition to the 10th International Classification of Diseases, simply saying the phrase “ICD-11″ is liable to strike fear in the hearts of medical providers across the country.

In this column, Nicoletti addresses new coding rules for 2021 and whether surgeons can bill for care unrelated to the surgery while doing rounds after the procedure.

There’s no denying it – telehealth is having a moment. As providers continue to encourage patient safety through social distancing measures related to COVID-19, patient care conducted through telehealth has proven itself to...

COVID-19 seems like the final nail in the coffin for independent practices. Devastating financial losses from the start of the pandemic, stagnating patient volumes, and a new appetite for virtual care is making it more difficult for...

According to ICD-10, gone are the days when you had to be chemically dependent on a substance in order to experience withdrawal (I will defer my criticism of that logic to another time): 

Focus on the social determinants of health (SDoH) continues to intensify nationwide, and that means potentially higher costs of care for healthcare organizations. The recent study by NPR, the Robert Wood Johnson Foundation...