Asking clinicians to enhance their medical coding skills, another necessary task

Published: Wed, 09/27/23

Link to all things medical coding & billing

Asking clinicians to enhance their medical coding skills, another necessary task

Clinicians today are confronted with an increasing administrative burden alongside their patient care responsibilities, and a critical aspect of this burden is medical coding. This skill is crucial as it serves multiple purposes, including meeting billing standards affecting reimbursement, complying with quality...

Simplify E/M documentation and coding in your private practice

Often called the “language of medicine,” the CPT® code set is always evolving, and one reason for that evolution is to lower the administrative burden for physicians and their practices. Services involved in the E/M of a patient’s health are covered by CPT codes 99202–99499. These services were...

Why it’s Important to Understand Medicare and Medicaid Exclusions and Preclusions

In the post-public health emergency (PHE) era, I have noticed what I think may be a glitch in the computer system at the Centers for Medicare & Medicaid Services. Let me give you the facts, and you can decide whether it’s a glitch, human error, or a conspiracy against Medicare and Medicaid...

How Artificial Intelligence is Leveling the Playing Field for E&M Coding

It’s certainly not breaking news that artificial intelligence (AI) is making inroads in healthcare. Nearly every new article on the topic seems to describe how AI is doing the work that heretofore was being accomplished by humans: nurses, administrators, lab technicians, and coders.

2024 CPT Code Set Released: 5 Key Takeaways

Knowledge of coding updates is essential for everyone from the biller to the revenue cycle leader.

The 2024 CPT code update includes hundreds of new codes and a push for more inclusivity for certain patients. As denial prevention and accurate reimbursement weigh heavy on revenue cycle...

Is Greater UR-CDI Integration on the Horizon?

There has been growing interest in the intersection of utilization review (UR) and clinical documentation integrity (CDI). With greater recent changes, such as more UR and CDI staff going remote and case management being left in the hospital, I can’t tell you how often Dr. Erica Remer and I are asked to speak...

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