Read more about the article Don’t Let Sleep Disorder Coding Keep You Up at Night
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Don’t Let Sleep Disorder Coding Keep You Up at Night

We all lost an hour of sleep when we “sprang forward” this past weekend. This week is National Sleep Awareness Week for 2026. In its 28th year and instituted by the…

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March 9, 2026
Read more about the article H.R. 1 Impact on Coding
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H.R. 1 Impact on Coding

H.R. 1 doesn’t directly rewrite ICD-10 or CPT, but it does change the environment in which you’re coding. The impact is mostly indirect – through eligibility, documentation, the social determinants…

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December 23, 2025
Read more about the article Even More Misinformation on Incident-To Billing
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Even More Misinformation on Incident-To Billing

Once again, a well-known consulting organization has mischaracterized the “incident-to” requirements. A few months ago, I wrote about an article that asserted you can’t bill “incident to” when the patient…

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December 4, 2025
Read more about the article The New MOON, Leaving Against Medical Advice, and Sepsis
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The New MOON, Leaving Against Medical Advice, and Sepsis

Lots of things happening last week for me to talk about. First, still no sign of the 2026 Outpatient Prospective Payment System (OPPS) Final Rule. Many of us expected a…

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November 24, 2025
Read more about the article The Removal of SDoH from the 2026 Final Rule
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The Removal of SDoH from the 2026 Final Rule

The 2026 Medicare Physician Schedule Final Rule includes several distinct policy changes in which the Centers for Medicare & Medicaid Services (CMS) modifies how it uses or pays for services…

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November 19, 2025
Read more about the article AI Tools Used in Medical Coding
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AI Tools Used in Medical Coding

In today’s data-driven world, accurate and efficient medical coding is essential for patient care, insurance claims, and regulatory compliance within the healthcare system. However, manual medical coding can be time-consuming,…

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November 3, 2025
Read more about the article Best Practices for Handling AMA Discharges and Coding Accuracy
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Best Practices for Handling AMA Discharges and Coding Accuracy

When a patient leaves the hospital against medical advice (AMA), the discharge is not only a clinical concern, but it can also create coding and compliance challenges. Ensuring the process…

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October 31, 2025
Read more about the article ICD-10 Code for Weight Loss
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ICD-10 Code for Weight Loss

Weight loss can indicate a variety of health conditions, from minor nutritional changes to serious medical disorders. For healthcare providers, accurately documenting this symptom isn’t just important for clinical care;…

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October 6, 2025
Read more about the article Revenue Cycle at a Crossroads: AI is Not Enough
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Revenue Cycle at a Crossroads: AI is Not Enough

The Coming Storm in Healthcare Finance America’s healthcare system is heading toward a breaking point. By 2030 the US will face a shortage of more than 86,000 physicians. Hospital margins…

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September 26, 2025
Read more about the article Coders on Borrowed Time
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Coders on Borrowed Time

For decades, armies of medical coders have served as the translators of American healthcare, converting physician notes and hospital encounters into ICD, CPT®, and HCPCS codes that power reimbursement, compliance,…

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September 23, 2025
Read more about the article Coding Considerations When Waiting for Transfer
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Coding Considerations When Waiting for Transfer

Today’s topic is in reference to a coder question posed about discharge status for inpatients who are waiting for discharge to a nursing home. The questioner noted the possibility of…

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September 19, 2025