Introduction – Why Split/Shared Keeps Shifting Under Our Feet
Few Medicare topics generate more back-and-forth than split/shared evaluation-and-management (E/M) visits. The Physician Fee Schedule (PFS)...
Introduction – The Double-Edged Promise of Automated Audits
Computer-assisted coding (CAC) changed medical billing by recommending ICD-10 and CPT codes from clinical text; the 2025...
Every year, healthcare organizations face new revisions to the International Classification of Diseases, Tenth Revision (ICD-10). Whether it’s the addition of new codes, the...
The Future of Medical Coding: Trends, Predictions, and Challenges for Revenue Cycle Management
Medical coding often operates behind the scenes, yet it remains a linchpin...
Introduction
In the intricate landscape of medical billing and coding, small errors can ripple into significant revenue losses or compliance challenges. One area that commonly...
Accurate Coding Strategies to Improve Claim Approvals and Maximize Reimbursements
Medical coding sits at the heart of modern healthcare administration, influencing...
Modifier 57 is a key player in surgical billing, yet it often confuses healthcare professionals striving to optimize revenue. Attaching this modifier informs payers...
Modifier 24 can be a game-changer in healthcare revenue cycle management, yet it’s often misunderstood or misapplied. Done right, it ensures providers are adequately...
Mastering Modifier 24: Billing Unrelated E/M Services Postoperatively
When it comes to medical coding, few scenarios are as critical—and as frequently misunderstood—as the use of...
Accurate coding is crucial for healthcare organizations aiming to maximize reimbursement, maintain compliance, and deliver high-quality patient care. Among the many coding details that...