In his recent blog, NextGen Healthcare’s Government Affairs Advisor Chris Emper highlighted some of the key regulations which will impact delivery systems and the Health Information Technology (HIT) industry alike. Among the new regulations are...

It’s been two years since the American Hospital Association (AHA) shouted from the rooftops that documentation by any interprofessional team would be accepted as validation to use the ICD-10-CM Z codes, as opposed to only documentation by physicians.

The World Health Organization (WHO) declared the novel coronavirus a global public health emergency on Jan. 31. As of Feb. 3, the coronavirus has spread to 24 countries, and the first death outside of China has been reported in the Philippines.

The Medicare Physician Fee Schedule (MPFS) includes special pricing for four colonoscopy codes when you append modifier 53 (Discontinued procedure). Here’s what you need to know about appending modifier 53 to these codes and the payment you can expect...

The Centers for Disease Control and Prevention will implement a new ICD-10-CM diagnosis code for reporting vaping-related disorders starting April 1. The Centers for Medicare & Medicaid Services has updated the software it uses to classify inpatient prospective payment system claims into Medicare...

Current Procedural Terminology codes provide a uniform language for reporting medical services and procedures provided by members of the medical community. The codes are copywritten and managed by the CPT Editorial Panel of the American Medical Association. CPT codes may be designated as...

It’s a common complaint heard among primary care physicians: Evaluation and management (E/M) codes don’t adequately capture the time, skill, and resources necessary to plan and coordinate care for patients with complex medical needs. Although new, streamlined E/M guidelines for...

An annual coding contest revealed that the accuracy of outpatient coding worsened in 2019, ICD-10 Monitor reports. Five insights:

Success can cost you more than you thought it would. You might have heard the phrase, “everyone wants to be successful until they see what it actually takes.” While I’m not sure where the quote originates, I’ve seen it attached to various images, one of which is...