A recent Office of Inspector General (OIG) report on Medicare’s utilization of one of the highest paid molecular pathology genetic tests caught my attention. You can read a summary of […]

Shockwave intravascular lithotripsy (IVL) is a relatively new technology used to treat areas of severely calcified coronary arteries. The IVL device uses sonic pressure waves to fracture intimal and medial […]

Keeping current on the massive amount of change in the social determinants space requires tenacity.  There are new codes released constantly, new mandates to comply with and an increase in […]

We continue to see a rise in fentanyl overdoses in our communities, schools, and across the world. Fentanyl is the latest wave of the overdose epidemic in the United States, […]

It feels like the medical coding world is still getting used to many aspects of ICD-10-CM, so the idea that ICD-11 is just around the corner seems wild. However, the […]

In 2010, the Affordable Care Act (ACA) was signed into law, which requires the provision of health care coverage to the most vulnerable population, including those who never had coverage […]

The Hospital Inpatient Quality Reporting Program was initially mandated by Section 501(b) of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003. CMS was mandated to reimburse hospitals […]

The American Medical Association (AMA) published additional guidance for modifier -25 (significant, separately identifiable evaluation and management (E/M) service by the same physician or other qualified health care professional on […]

The day I delivered the fiscal year 2024 ICD-10-PCS update files to the Centers for Medicare & Medicaid Services (CMS) for posting, it so happened that one of my favorite […]

It’s Health Information Professionals Week and we want to take the time to thank all those who keep health information accurate, secure and accessible. Health information management (HIM) professionals are […]

As the world of coding is always evolving, there were no surprises with the announcement of ICD-11 (11th Revision of the International Classification of Diseases). The newest revision of ICD […]

Hospital-acquired conditions (HACs) are adverse events that occur during a hospital stay that may have been avoided through appropriate care and follow up. Identifying and reducing HACs is an important […]