This week’s Medicare updates include an OIG data brief on opioid use disorder medications, an adjustment to the editing process for RHC and FQHC claims that include a GV modifier, and more!
This week’s Medicare updates include an OIG data brief on opioid use disorder medications, an adjustment to the editing process for RHC and FQHC claims that include a GV modifier, and more!
Our experts answer questions about assigning modifiers, mental health documentation and assigning evaluation and management service levels based on time.
Discover strategies for building a high-performing data integrity team that safeguards patient data, reduces financial risk, and strengthens operational efficiency.
Building a team of fully cross-trained coders who are competently able to code all record types is one of a coding manager’s goals. Achieving this goal requires that managers inventory the skills of each coder, identify focused education, and plan for cross-training opportunities.
Analyze key provisions in the 2026 Inpatient Prospective Payment System (IPPS) proposed rule to understand potential updates to Medicare inpatient coding and billing.
This week’s Medicare updates include the 2026 MA and Part D final rule, an updated list of tests subject to exceptions from laboratory date of service policy, and more!
Selecting a level of medical decision-making (MDM) is confusing and complicated. In this article, Terry Tropin, MSHAI, RHIA, CCS-P, defines key MDM terms and describes a simplified system for selecting a level of MDM.
Recent data shows that all improper payments for bacterial culture lab tests can be traced back to insufficient documentation. Review CMS' provider compliance tip to prevent denials.
