Medical coders work with many different code sets including CPT, HCPCS, ICD-10-PCS, and ICD-10-CM. This means coders need to be well-versed in medical terminology. One terminology not often talked about in coding circles is the Systematized Nomenclature of Medicine Clinical Terms—despite the system being around for more than 20 years.
As denials rise, watch for E/M scrutiny with diagnostic X-rays. Billing experts advise that practices should be watchful for these and challenge them when they occur.