This week’s Medicare updates include the 2025 fourth quarter NCCI edit files, provider education instructions concerning prior authorization for certain ASC services, and more!
The Outpatient Code Editor (OCE) provides the answers to the test, but to use it effectively, you need to understand the history and the complex configuration of all the parts.
Recognize how HIM staff can collaborate with other teams to avoid financial penalties, reputational damage, and long-term federal oversight tied to HIPAA noncompliance.
Machine learning (ML) has evolved beyond its status as a technological trend to become an indispensable asset in outpatient surgical risk stratification. Within the domains of medical coding and claims adjudication, coding professionals play a pivotal role in optimizing ML model performance.
