News & Analysis

November 5, 2025
Briefings on APCs

Chronic conditions are among the most frequently encountered diagnoses in the outpatient setting. Accurate coding of these conditions is critical not only for proper reimbursement but also for compliance, quality reporting, and patient care continuity.

October 29, 2025
News & Insights

CMS directed contractors to lift the temporary claims processing hold issued earlier this month in response to the government shutdown for certain services.

October 29, 2025
Medicare Insider

This week’s Medicare updates include a revised memorandum on government shutdown contingency plans and an update on the recent temporary claims processing hold.

October 29, 2025
HIM Briefings

Review how revenue integrity departments are using artificial intelligence (AI) tools to perform coding, CDI, and other functions.

October 29, 2025
HIM Briefings

Analyze new ICD-10-PCS codes that allow for more specific coding of cricothyroidotomies and tracheostomies, aortic dissections, and nasal septum flap transfers.

October 22, 2025
Medicare Insider

This week’s Medicare updates include an NCCI edit revision for COVID-19 vaccine administration claims, several additions to the OIG Work Plan, and more!

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