CMS recently released its 2026‒2027 seasonal influenza and COVID-19 vaccine pricing file, providing updated Part B payment allowances for several COVID-19 vaccine products.
The range of evaluation and management services and ways to bill them continues to expand. But with more billing opportunities comes more confusion about work that can and cannot be billed.
Artificial intelligence (AI) is no longer something we are simply anticipating in healthcare revenue cycle operations. It is changing how documentation is reviewed, clarified, prioritized, and translated into coded data.
This week’s Medicare updates include recent fraudulent billing activity among certain DMEPOS suppliers, a final decision memo on coverage of transcatheter aortic valve replacements, and more!
Thyroid disorders challenge outpatient hospital coders because the record often contains symptoms, laboratory values, medications, imaging findings, and surgical history before it contains a clear final diagnosis. Those clues can help a coder understand the encounter, but they do not authorize the coder to diagnose the patient.
