How Could Artificial Intelligence Affect Physician Payment For Nonprocedural Services? (Part 1)

Published: Wed, 03/11/26

Updated: Wed, 03/11/26

Link to all things medical coding & billing

How Could Artificial Intelligence Affect Physician Payment For Nonprocedural Services? (Part 1)

The advent of artificial intelligence and its expansion into clinical analysis, decision support, and autonomous clinical actions raises questions about how physicians’ role in clinical medicine will evolve. These questions are not abstract—the way that the CMS pay for physician services means that tools that affect physicians’ work, as defined by CMS, can...

Don’t Let Sleep Disorder Coding Keep You Up at Night

We all lost an hour of sleep when we “sprang forward” this past weekend. This week is National Sleep Awareness Week for 2026. In its 28^th year and instituted by the National Sleep Foundation (NSF), it is their national campaign emphasizing the importance of sleep to health and well-being. It’s also their call to action, letting the public know to...

H.R. 1 Impact on Coding

H.R. 1 doesn’t directly rewrite ICD-10 or CPT, but it does change the environment in which you’re coding. The impact is mostly indirect – through eligibility, documentation, the social determinants of health (SDoH), and audit pressure – plus some likely downstream ICD-10 tweaks. So there is no immediate

Developments with MOON, PEPPER, and Payment Reductions for Out-of-Network Care

Let me start with the two big news items. First, Nina Youngstrom, the editor of the Report on Medicare Compliance, actually got a response from CMS about the Medicare Outpatient Observation Notice (MOON). As you know, the current form expired Nov. 30, and the new version has not been released. She was told that the new MOON should be released early in 2026.

Even More Misinformation on Incident-To Billing

A few months ago, I wrote about an article that asserted you can’t bill “incident to” when the patient has a new problem. In that article, I explained why the regulation makes it perfectly clear that all the Medicare Administrative Contractors (MACs) are wrong when they claim one can’t diagnose when billing “incident to.”

Comparing AAPC and AHIMA Certifications: Which Path Should You Take?

Have you ever caught yourself wondering if you should pursue an AAPC or AHIMA certification—and, more importantly, which one is the right fit? I've talked with so many aspiring coders who hit a wall at this very decision. There's plenty of noise out there, but below, I'll cut straight to what matters most so you can stop second-guessing and start preparing...

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