Tag: ICD-11 Transition

healthcare billing regulatory changes

Surviving Regulatory Changes in Medical Billing: A Guide for 2024

The healthcare landscape continues to evolve rapidly, and 2024 will witness a number of significant healthcare billing regulatory changes that will impact medical billing practices. From updates to code standards to new regulatory compliance requirements, it is crucial for healthcare providers, medical billing companies, and RCM professionals to stay informed and proactive. The goal of […]
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Healthcare fraud in medical coding

Healthcare Fraud in Medical Coding: Upcoding, Unbundling, and Emerging Challenges

Healthcare fraud in medical coding, particularly through practices like upcoding and unbundling, has become a major concern for medical coding and billing professionals. A recent healthcare market research survey found that 90% of respondents view upcoding as a significant ethical challenge Upcoding involves assigning higher-level codes to medical services than are warranted, leading to inflated […]
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Healthcare reform

Healthcare Reform: How It’s Affecting Medical Billing

Medical billing is shaped by healthcare reform, which is one of the most dynamic forces at play. Legislation, regulatory changes, and shifts in healthcare delivery models have led to a significant change in how providers bill. In response to the continued push for value-based care, increased patient responsibility, and technological advancements, medical billing is evolving. […]
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ICD-10 to ICD-11

ICD-10 to ICD-11: Bridging the Gap with Best Practices

The Evolution of Medical Coding (ICD-10 to ICD-11) As we transition from ICD-10 to ICD-11, it’s crucial to understand the implications of these changes on data accuracy, clinical documentation, and overall healthcare management. Healthcare data are based on medical coding, which plays a vital role in categorizing diseases, health conditions, and medical procedures. It has […]
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Medical billing trends 2024

Navigating the Future: Top Trends in Medical Billing 2024

Medical billing is at the forefront of a transformational industry in healthcare. Medical billing trends 2024 promise to make this a pivotal year for medical billing due to rapid technological advancements, regulatory changes, and evolving patient expectations. Providing insights that can help healthcare providers, billing professionals, and administrators navigate these changes effectively, this newsletter explores […]
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ICD-11 transition

ICD-11 Countdown: Are You Ready for the Next Coding Revolution?

ICD-11 transition: The healthcare landscape in the United States is on the cusp of a significant transformation. In October 2025, the long-awaited transition from ICD-10 to ICD-11, the International Classification of Diseases, Eleventh Revision, will take effect. This update promises a more comprehensive, granular, and clinically relevant coding system, impacting everything from patient care documentation […]
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New ICD-11 Codes

The New ICD-11 Codes: What You Need to Know

In the ever-evolving field of healthcare, accurate diagnosis and effective treatment depend on a universal coding system that provides a common language for medical professionals worldwide. The International Classification of Diseases (ICD) serves as the backbone of this system, and with the recent transition to ICD-11, a new era of coding has begun. In this […]
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Upcoming ICD-11 Codes

ICD-11 Is Coming, Prepare Now

IFHIMA makes the case for ICD-11 adoption with latest whitepaper. As healthcare transformation progresses due to the digitization of data and advancements in medical science and technology, it is increasingly important that nations around the world begin planning for adoption of ICD-11. The International Classification of Diseases (ICD) has a long and valued history of […]
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ICD-11 Transition

Rules Are Changing: The Impending Transition to ICD-11

The World Health Organization (WHO) updates ICD codes every 10 years to improve clinical use and acknowledge innovations in healthcare. After the tumultuous transition to the 10th revision of the International Classification of Diseases, simply mentioning the phrase “ICD-11” is liable to strike fear in the hearts of revenue cycle professionals and healthcare providers across […]
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