Healthcare News
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.
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.
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.
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.
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.
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.
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.
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.
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.
The Refresh With YES: CPT Feet Procedures Learning Path walks learners through an overview of CPT coding for selected feet procedures, such as arthroplasty and bone resection, divided into 21-30-minute webinars. This learning path discusses the characteristics and diagnoses of additional feet procedures, such as bunion surgery, repair of hammertoe and hallux rigidus, and ankle abscess. CPT coding guidelines and advice from CPT Assistant, as well as real-world coding selection scenarios, will be reviewed.