Analyze key provisions in the 2026 Inpatient Prospective Payment System (IPPS) proposed rule to understand potential updates to Medicare inpatient coding and billing.
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.
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.
This week’s Medicare updates include the April 2025 OPPS Addendum A and B files, revisions to the modifier -JW and -JZ policy HCPCS code list, and more!