Category: Medical Coding

SDoH Coding

Revisiting New Adjustments to SDoH Coding

In the 2024 ICD-10-CM, there are noteworthy changes to the SDoH codes Z55-Z65 that are worth mentioning. Instead of discussing minor formatting and grammatical adjustments made by CMS, I will concentrate on the significant changes. Here are the updates. ● Under the category of problems related to social environment (Z60.8), the ICD-10-CM now includes more […]
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Adapting Risk Adjustment Coding

How Adapting Risk Adjustment Coding Can Change Healthcare Landscape?

Risk adjustment coding plays a vital role in the healthcare sector by capturing and documenting the severity of patient conditions. Its primary purpose is to guarantee precise reimbursement and risk adjustment scores. Given the ever-changing healthcare landscape, it is imperative for healthcare providers and coding professionals to remain adaptable and well-informed about the evolving requirements. […]
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ICD-10-PCS Codes and Guidelines

Latest ICD-10-PCS Codes and Guidelines for FY 2024

The latest ICD-10-PCS codes and guidelines for the fiscal year 2024 have been unveiled by the Centers for Medicare & Medicaid Services (CMS). With a net growth of 73 codes, the total count of inpatient procedure codes has reached 78,603. Notably, the New Technology Section has experienced the largest surge, introducing 40 new codes. The […]
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Medical Coder's Challenges

The Top Challenges Faced by Medical Coders Today

Medical coding is a crucial aspect of the healthcare industry. It involves the transformation of medical diagnoses, procedures, and services into universal codes that can be easily understood and processed by healthcare providers and insurance companies. Despite its importance, medical coding is not without its challenges. Here are some of the top challenges faced by medical coders […]
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EM Coding Guidelines

Comparing 2023 CPT® E/M with Documentation Guidelines

The 1995 and 1997 Documentation Guidelines and the 2023 CPT® E/M Services Guidelines are not drastically different when compared side by side. Some hospitals and coding and billing entities may believe that the new 2023 CPT® evaluation and management (E/M) services guidelines and code changes simplify the coding, billing, and auditing processes. However, it is […]
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Old Medical Code Set

Why Old Medical Code Sets Are Still Essential: A Comprehensive Guide

Remaining current is indispensable in the healthcare industry, yet relying solely on present codes may not always be the optimal solution. When tasked with conducting an audit, handling an appeal, or conducting research on the appropriate code usage for a previous encounter, having a thorough understanding of the code descriptors and guidelines that were applicable […]
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Coding Requirement Reduced EHR Burden

New Coding Requirements Result in Reduced EHR Documentation Time for Doctors

According to a research letter published in top journal, the attempt by Centers for Medicare & Medicaid Services (CMS) to alleviate the EHR documentation burden on physicians has not yielded the anticipated outcomes. At the beginning of 2021, Centers for Medicare & Medicaid Services (CMS) revised the evaluation and management (E/M) coding requirements for outpatient […]
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