Archive for April 2025
CMS Releases 2026 IPPS Proposed Rule for Review and Comments
CMS has released the 2026 Inpatient Prospective Payment System (IPPS) Proposed Rule for public inspection. The rule will be published in the Federal Register on April 30, 2025.
Read MoreWhen to Use CPT Modifiers 51 and 59: A Comprehensive Guide for Medical Coders
In this comprehensive guide, we break down the key differences between CPT modifiers 51 and 59, provide real-world examples, and offer best practices to ensure your claims get processed correctly the first time.
Read MoreExploring the Differences and Benefits of Concurrent Audits, Prospective Audits, and Retrospective Audits
Many healthcare facilities turn to audits to identify coding issues and ensure accurate reimbursements. But when it comes to auditing practices, which approach is best: concurrent, prospective, or retrospective audits?
Read MoreAutism Awareness Month: DSM-5 vs. ICD-10 Code for Autism
During Autism Awareness Month, we address one of the most significant challenges medical coders face when coding autism spectrum disorders: the misalignment between DSM-5 and ICD-10-CM. Review our practical coding guidance for autism patients.
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