Posts Tagged ‘medical coding’
How Outsourcing Revenue Cycle Management (RCM) in Healthcare Can Boost Employee Engagement
Outsourcing revenue cycle management has become an increasingly popular strategy among healthcare organizations looking to optimize financial operations, reduce costs, and improve overall efficiency. When managed effectively, outsourcing can boost operational success, employee engagement, and job satisfaction.
Read More2025 Mid-Year CMS-HCC Update: What Medical Coders Need to Know
CMS has released its mid-year update to the HCC mappings and weights for 2025. The primary change in this release involves the addition of new diagnosis codes to existing HCC categories for CMS v28.
Read MoreMastering VAD Coding: A Comprehensive Guide to Vascular Access Devices
Our Refresh with YES: PCS Cardiac Procedures – Vascular Access Devices (VADs) learning series offers an in-depth look into these complex devices, helping professionals navigate the coding challenges that come with vascular access procedures.
Read MoreCMS 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 MoreNavigating DRG Challenges: Strategies for Success in Documentation and Appeals Webinar by Vanessa Youmans
“Navigating DRG Challenges: Strategies for Success in Documentation and Appeals” Webinar by Vanessa Youmans Join us for an insightful webinar that equips healthcare professionals with the knowledge to identify…
Read MoreMaster the CPT Cardiac Catheterization Coding Guidelines: New Refresh with YES Course
The Refresh with YES: CPT Cardiac Catheterization course is designed to give you a comprehensive understanding of the cardiac catheterization coding guidelines, procedures, and payer policies.
Read MoreUnderstanding the Concurrent Review: A Proactive Approach to Coding and Compliance
A concurrent coding review is one of the key strategies health systems can implement to ensure coding integrity and reduce the number of claim denials. This approach provides real-time oversight of coding and documentation before claims are submitted.
Read MoreUnderstanding Medicare Preventive Visits: Welcome to Medicare IPPE vs. Initial Annual Wellness Visit AWV
Medicare preventive visits often create confusion among healthcare providers and coding staff, particularly regarding when to use G0402 versus G0438. This guide will clarify the key differences, similarities, and proper coding scenarios for each visit type.
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