This week’s Medicare updates include waivers and flexibilities available in response to Hurricane Isaias, revised versions of the October 2026 OPPS addenda, and more!
CDI can serve as a valuable partner to quality and coding colleagues in understanding the technical details of patient safety indicators, which have a tangible impact on reputation, quality metrics, and financial outcomes.
Healthcare organizations have made substantial progress in exchanging health information, but greater connectivity is exposing another set of challenges for HIM departments.
Our experts answer questions about coding a history of Clostridioides difficile infection, repairs of nasal vestibular stenosis and nasal valve collapse, and establishing medical necessity in outpatient settings.
CMS published the October 2026 update to the Outpatient Prospective Payment System (OPPS), which includes changes to codes, status indicators, and payment rates.
This week’s Medicare updates include waivers and flexibilities available in response to Hurricane Isaias, revised versions of the October 2026 OPPS addenda, and more!
CMS has named the 2,217 acute care hospitals that are required to participate in its upcoming Comprehensive Care for Joint Replacement Expanded (CJR-X) model.
Artificial intelligence (AI) is changing medical coding workflows. AI-assisted technology can help coding professionals work more efficiently. But there is an important distinction between identifying a possible code and determining whether that code should actually be reported.
HIM professionals have an increasingly important role in determining who can access protected health information (PHI), what information they can see, and how that access is monitored.
The fiscal year 2027 update to the ICD-10-CM code set includes new, deleted, and revised codes, as well as hundreds of changes to “Excludes” notes and “Code Also” indications. This code set was produced to show greater coding specificity by publishing codes with greater clinical specificity.
