74 articles: ICD-10, CPT, HCC coding guidance.
Showing 49 to 72 of 74
Pathology billing covers surgical pathology levels 88300-88309 by specimen complexity, immunohistochemistry codes 88342-88344, cytopathology and Pap smear coding 88141-88175, molecular pathology Tier 1 codes 81161-81408 and Tier 2 codes...
Critical care billing covers time-based codes 99291-99292 with 30-74 minute threshold, bundled vs. separately billable ICU procedures including central line 36556 and arterial line 36620, procedure time exclusion, concurrent critical car...
OT billing covers timed codes with 8-minute rule, ADL and IADL training 97535 vs. therapeutic activities 97530, hand therapy and splint fabrication 97760, Medicare GO modifier and separate OT therapy cap, and OTA billing at 85% with Modi...
SLP billing covers speech therapy timed codes with 8-minute rule, dysphagia evaluation 92610-92616, cognitive rehabilitation 97532, aphasia treatment, Medicare KX modifier and therapy cap, Modifier SZ, and AAC device evaluation with DME...
ENT billing covers tympanostomy 69436, endoscopic sinus surgery additive coding with NCCI bundling rules, tonsillectomy and adenoidectomy age-specific codes 42820-42836, audiology hearing tests 92551-92596, and Medicare audiology coverag...
Behavioral health CPT codes, psychiatric vs. psychotherapy vs. crisis codes, MHPAEA parity requirements, telehealth billing, and documentation standards for mental health claims.
E&M coding under 2021 AMA guidelines, modifier errors, procedure code bundling, time-based coding documentation requirements, and how to avoid undercoding and overcoding.
Coding to the highest specificity, sequencing rules, chronic condition coding at every encounter, combination codes, manifestation rules, and using the official ICD-10 guidelines.
How CDI programs improve documentation quality through concurrent review and physician querying, and the revenue, quality, and risk adjustment impact.
How coding requirements differ across surgical, E&M, behavioral health, oncology, and radiology specialties, and why specialty-specific expertise produces better revenue cycle outcomes.
What HIM professionals do, how HIM connects to revenue cycle and compliance, the data governance role, and why HIM expertise is increasingly strategic in value-based care.
Code specificity failures, E&M level errors, modifier misuse, medical necessity linkage gaps, and upcoding, what drives each one and how to prevent them systematically.
The audit programs, targeted education, CDI partnerships, and technology tools that sustainably drive coding accuracy above the 95%+ professional standard.
AI-assisted coding, NLP integration, ICD-11 migration, and value-based care are reshaping medical coding, and what organizations need to prepare for.
How accurate coding drives revenue optimization, compliance protection, quality reporting, risk adjustment, and clinical analytics beyond just generating claims.
How documentation quality, EHR management, and record integrity practices directly determine coding accuracy and reimbursement outcomes.
Capture every legitimate HCC condition with documentation precision and coding specificity that stands up to RADV audit scrutiny.
The 8 most costly coding mistakes, upcoding, undercoding, unbundling, modifier errors, and more, with proven fixes for each.
Navigate the evolving telehealth billing landscape with the right CPT codes, payer rules, and revenue strategies for 2026.
How strong HIM programs support coding accuracy, compliance, and the documentation integrity that drives correct reimbursement.
Specialty-specific coding pitfalls and best practices across four of the most complex billing disciplines in healthcare.
A clear breakdown of how professional and facility billing differ, from claim forms and code sets to reimbursement models.
The revenue and compliance case for coding accuracy, with audit frameworks, coder training models, and QA benchmarks.
What changed in the 2026 ICD-10-CM code set, which errors generate the most denials, and how to keep your coding current.
