You can prevent costly claims denials by following these guidelines. The Centers for Medicare & Medicaid Services (CMS) recently issued instructions clarifying current diagnosis coding guidelines for ...
Editor's note: This post was updated March 19, after the Centers for Disease Control and Prevention moved up the effective date for a new diagnosis code for COVID-19 from Oct. 1 to April 1. Family ...
Gulf War illness (GWI), the chronic, debilitating condition linked to military service in the 1990-1991 Gulf War, will receive a dedicated diagnostic code in the October 2025 release of the ...
In a recent study posted to the medRxiv* preprint server, researchers evaluated the use of U09.9, an International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code ...
Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical billing and medical coding.
Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...
A new study from researchers at the Mount Sinai Health System suggests that a simple tweak to how artificial intelligence (AI) assigns diagnostic codes could significantly improve accuracy, even ...
Payments to Medicare Advantage (MA) plans are adjusted by a risk-score model that is calibrated on diagnostic and demographic data from traditional Medicare beneficiaries and then applied to MA ...