Coding

The first quarter edition of Coding Clinic included new and revised guidelines, a change to the Alphabetic Index, and a question and answer section which discusses complicated coding issues. This article highlights noteworthy changes.

Review ICD-10-CM coding guidelines, query considerations, and documentation strategies for mental health claims. 

With risk adjustment’s impact on reimbursement, review tips for accurate coding, compliant documentation, and timely responses.

Learn how CMS plans to enhance its risk adjustment data validation auditing efforts for Medicare Advantage (MA) plans and recover overpayments.

Our experts answer questions about the standard of care, reporting reduced services, and problems addressed during evaluation and management office visit.

Learn how HIM professionals can leverage data related to social determinants of health (SDOH) to improve patient care and secure proper reimbursement.

The Affordable Care Act provides preventive and early diagnosis healthcare services for free to anyone with a health insurance policy. This article provides coding specialists with guidance to ensure they’re documenting these services correctly so that providers are compensated properly.

Review these tips to prepare for the increased use of artificial intelligence (AI) in risk management, coding accuracy, and audit workflows.

Accurate medical coding for dermatological procedures is essential for proper payment and compliance. This article provides a detailed overview of coding guidelines for excisions and repairs, ensuring that healthcare professionals correctly report these procedures.