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2025 ICD-10-CM and ICD-10-PCS Updates: A Comprehensive Overview

By Teri Jorwic

The annual release of ICD-10-CM and ICD-10-PCS updates is a critical component of accurate coding and reimbursement in healthcare. The 2025 ICD-10 updates, effective October 1, 2024, bring forth significant changes that will impact coding practices across various settings.

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G0439

Differentiating Between IPPE (G0402), AWV (G0438/G0439), and Annual Physical (99381-99397)

By Vanessa Youmans

Medicare offers various preventive services to help beneficiaries maintain their health. Understand the differences between the Initial Preventive Physical Examination (IPPE), Annual Wellness Visit (AWV), and the routine annual physical exam.

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pass rate thresholds

‘Crafting Effective Compliance Plans’ Series: Setting Pass Rate Thresholds & Creating Action Plan Items Based on Audit Findings

By Vanessa Youmans

Develop a tailored action plan for your physician group following audit results. By understanding the different pass rate thresholds and implementing strategic responses, physician groups can enhance their compliance programs and support their providers.

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CMS Releases the FY 2025 Hospital Inpatient Prospective Payment System (IPPS) Final Rule

By Ann Zeisset

On August 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the fiscal year (FY) 2025 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) final rule. Review the updates here.

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abnormal findings

Comprehensive Guide for Inpatient Coders: Coding Abnormal Findings in the Hospital Setting

By Vanessa Youmans

The Official Coding Guidelines provide detailed instructions for coders on how to capture diagnoses and significant findings accurately. Section III and its Subsection B (III.B) stand out as critical tools for ensuring that coders capture all relevant diagnoses and abnormal findings during a patient’s hospital stay.

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