Archive for July 2024
CMS Releases Second Quarter 2024 HCPCS Level II Code Actions
CMS released a summary of the Second Quarter 2024 HCPCS Level II code requests and CMS’ coding decisions for each application. In most cases, these coding actions will take effect on October 1, 2024.
Read More‘Crafting Effective Compliance Plans for Physician Groups’ Series: OIG Compliance Program Guidance
Running a successful physician practice requires juggling many priorities, but ensuring compliance with regulations shouldn’t be one of them. The good news is, the OIG Compliance Program guidance offers a roadmap to success.
Read MoreSocial Determinants of Health (SDOH) ICD-10 Codes: What They Mean For Healthcare Clinicians, Quality Measures, & Coding
As healthcare initiatives and coding practices continue to evolve, the implementation of social determinants of health (SDOH) ICD-10 diagnosis codes has gained prominence, reflecting the growing emphasis on addressing social factors to improve overall health and well-being.
Read More2025 ICD-10-CM Updates Released: Review the 252 Additions & 36 Deletions Here
The 2025 ICD-10-CM updates have been released with a comprehensive addendum outlining the updates for the coming fiscal year, including 252 additions, 36 deletions, 13 revisions, and 74,260 total codes, effective October 1, 2024.
Read More‘Crafting Effective Compliance Plans for Physician Groups’ Series: An Introduction to Provider Charge Entry Compliance
There is a notable scarcity of compliance plans specifically tailored for provider-entered charges. We address this gap and provide a comprehensive framework for implementing robust charge entry compliance plans for physician groups.
Read MoreDemystifying CPT Codes: A Guide to the Three Categories for Hospital Decision-Makers
Understanding the different types of CPT codes is crucial for medical coders, as it directly impacts billing, reimbursement, and a healthcare organization’s overall financial performance.
Read MoreExploring the Latest Changes to Unlisted CPT Codes for 2024
Significant updates were introduced with the release of the CPT 2024 code set, particularly concerning unlisted CPT codes. Let’s explore the changes and their implications for healthcare providers and coders.
Read MorePreparing for ICD-11 Codes: Steps for a Smooth Transition
ICD-11 represents a significant leap forward from its predecessor, ICD-10. This article serves as a comprehensive guide for hospital coding teams, outlining the key steps for a smooth and successful shift from ICD-10 to ICD-11.
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