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Medical Coding

    Decoding Split/Shared Services After the Final Rule: A Compliance Blueprint for Revenue-Cycle Teams

    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)...

    AI-Assisted Medical Coding Audits: When to Trust—and When to Question—the Algorithm

    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...

    How to Prepare for ICD-10 Updates and Coding Changes

    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

    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...

    Mastering Modifier 51 for Higher Reimbursements and Fewer Denials

    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...

    How Precise Medical Coding Elevates Claim Approvals and Bolsters Reimbursements

    Accurate Coding Strategies to Improve Claim Approvals and Maximize Reimbursements Medical coding sits at the heart of modern healthcare administration, influencing...

    Mastering Modifier 57 for Better Surgical Decision Billing

    Modifier 57 is a key player in surgical billing, yet it often confuses healthcare professionals striving to optimize revenue. Attaching this modifier informs payers...

    Demystifying Modifier 24 for Confident Postoperative Billing

    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...

    Applying Modifier 24 Efficiently: A Guide to Billing Postoperative E/M Services for Unrelated Conditions

    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...

    Unlocking the Power of Modifier 59: Boosting Reimbursement Through Proper Coding

    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...

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