Provider groups are concerned that some proposals in the Medicare Physician Fee Schedule rule for 2021 would exacerbate the financial challenges physicians are already facing during the COVID-19 pandemic, including lack of adequate telehealth reimbursement and sustainable practice revenue.

Throughout the history of international diagnostic coding systems, including the International Classification of Diseases (ICD), pain diagnoses have never been represented systematically. The lack of a coding structure for chronic pain conditions has made it difficult for...

While some have said medical coding sits quietly in the middle of the healthcare revenue cycle, it is a key step that, when done inadequately, can impact each part of the revenue cycle after it. Medical coding quality is crucial...

Becker's ASC Review compiled a timeline of significant medical coding updates that have been proposed or implemented so far this year:

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.