Beginning January 1, 2027, CPT will allow labor...

Claim denials cost hospitals billions each year...

Whether a hospital’s year-end falls in September,...

The Center for Medicare and Medicaid Services has...

New Technology Add-on Payments or NTAPs represent...

Among other things, accurate CPT coding for...

The Center for Medicare and Medicaid Services has...

The Center for Medicare and Medicaid Services has...

Selecting the correct CPT code for lumbar...

Accurate ICD-10-PCS and CPT coding for procedures...

A colonoscopy prompted by a positive Cologuard...

A review of 20,805 inpatient encounters found...

Beginning January 1, 2027, CPT will retire the...

Taking a proactive approach to coding quality...

Type 5 diabetes is a newly recognized form of...

Accurate ICD-10-PCS coding for Impella pump...

Health Information Associates (HIA) was...

Clinical validation of diabetic ketoacidosis...

This blog is part of our series: Operational...

This blog is part of our series: Operational...

This blog is part of our series: Operational...

This blog is part of our series: Operational...

ICD-10-PCS coding for vertebral corpectomies...

Clinical Documentation Integrity (CDI) ensures...

Artificial intelligence is transforming...

As artificial intelligence expands into...

Artificial intelligence is rapidly being...

Artificial intelligence is quickly expanding...

Artificial intelligence is rapidly making its way...

Health Information Professionals Week is a...

Health information professionals are far more...

Health Information Professionals Week highlights...

Accurate clinical validation of Type 2 myocardial...

Accurate ICD-10-CM coding for traumatic fractures...

Patient Safety Indicators (PSIs) are more than...

Clinical Documentation Improvement (CDI) review...

Accurate ICD-10-CM coding for hemolytic disease...

Acute respiratory failure is frequently...

When two pressure ulcers occur in the same...

MedPAR (Medicare Provider Analysis and Review) is...

CMS Hospital Compare is a public reporting...

Premier benchmarking is widely used by hospitals...

PEPPER reports help U.S. hospitals identify...

CMS has released the updates to the ICD-10-PCS...

Medical coding productivity standards require...

Ambulatory Surgery Centers (ASCs) continue to...

CMS and the CDC have released the updates to the...

Every year, the Centers for Medicare and Medicaid...

Understanding when and how to use CPT modifiers...

Respiratory Syncytial Virus

Respiratory Syncytial...

Ex utero intrapartum (EXIT) procedures present...

This is a series of blogs about the importance of...

Facial feminization surgery includes a range of...

Complex coding scenarios often lead to delays,...

Provider documentation is the foundation of...

Accuracy is the foundation of quality coding....

The 2026 updates to CPT and the Hospital...

This is a series of blogs about the importance of...

Interventions for endovascular revascularization...

Accurate diagnosis coding relies on recognizing...

Halloween brings fun, fright—and a rise in...

This is a series of blogs about the importance of...

Accurate coding depends on precise, complete...

This is a series of blogs about the importance of...

Providing patients with access to new...

What Is a Postoperative Complication?

A...

This is a series of blogs about the importance of...

This blog explores swing bed coding in ICD-10-CM,...

When coding demands shift, knowing your staffing...

The Resource Based Relative Value Scale (RBRVS)...

The FY 2026 updates to ICD-10-PCS have been...

Diabetes Mellitus, also known as diabetes, is a...

This is a series of blogs about the importance of...

What is Sepsis?

Sepsis is a serious, potentially...

When reporting codes for percutaneous...

Anemia is a common, treatable condition that is...

A comprehensive checklist for creating effective,...

How to identify hidden gaps in your coding...

Acute respiratory failure occurs when the lungs...

Pneumonia is a medical condition that can vary...

This is a series of blogs about the importance of...

Malnutrition is a significant health concern for...

Struggling with unresolved claims edits and...

Vizient scores are a key benchmarking tool for...

The LeFort I osteotomy procedure is a type of...

The Center for Medicare and Medicaid Services’...

This is a series of blogs about the importance of...

This Coding Tip is intended to provide guidance...

Correct selection of ICD-10-CM codes for...

In the complex landscape of healthcare revenue...

The question asked in a physician query may be...

Fluctuations in patient volumes, coder...

This is a series of blogs about the importance of...

CMS’ first quarter update to HCPCS Level II codes...

Assigning diagnosis codes for diagnostic...

The recent update to the Hierarchical Condition...

Capturing the implantation and insertion of...

Federally Qualified Health Centers (FQHCs) serve...

The 5th character of an ICD-10-PCS code reports...

This is a series of blogs about the importance of...

This is a series of blogs about the importance of...

Medical coding audits ensure the accuracy,...

When coding for an obstetric patient, the...

Diabetes is a systemic condition, meaning its...

Cerebral Anatomy

When selecting ICD-10-PCS body...

This is a series of blogs about the importance of...

Paravertebral facet/facet joints (also known as...

Navigating the complexities of medical billing...

Part 2 of this blog series focused on how ChatGPT...

The first piece in this blog series examined...

ICD-10-CM has codes to report a patient’s...

The introduction of artificial intelligence (AI)...

Clinical validation is an integral part of coding...

In the world of medical coding audits, choosing...

Recrudescence of stroke, also called stroke...

The Department of Justice (DOJ) has recently ...

ICD-10-PCS coding for the insertion, replacement...

Professional fee (profee) coding is essential for...

CMS strives to provide its beneficiaries with...

Recent updates to ICD-10-CM, effective October 1,...

Current treatment for traumatic arterial injury...

Alzheimer’s is a progressive, irreversible...

There are approximately 6.3 million fractures...

What is COPD?

Chronic Obstructive Pulmonary...

In the ICD-10-CM Alphabetic Index under the main...

CPT code +69990 Microsurgical techniques...

Coding for treatment of cerebral aneurysms may...

With the implementation of ICD-10-CM came more...

It is difficult for coders to know when to report...

Health Information Associates (HIA), known for...

Fetal positioning within the uterus is not of...

A common misconception among coders is that...

Medicare Advantage Plans (Medicare part C) use...

Queries written in a multiple-choice format...

Hierarchical Condition Categories (HCCs) which is...

The focus of this coding tip is on the excision...

One of the most common mistakes that medical...

Each year, CMS updates the National Correct...

As a coder, you may wonder why it is so important...

As coders, we see physicians document “elevated...

In the world of medical coding, experience...

Medical coding errors are not just simple typos;...

Tissue findings interpreted by a pathologist are...

Medical coding audits are essential for...

Let's look at the different types of abuse,...

Medical coding audits are crucial to ensuring...

August marks Ambulatory Surgery Center Month, a...

Drug and alcohol use continues to rise in the...

Medical coders are constantly reading—physician...

As more patients are being treated at home and as...

Most coders have probably noticed a rise in the...

How do coders report uncontrolled DM in ICD-10-CM?

Avoiding common mistakes during medical coding...

How can HIAlearn help close skills gaps across...

Several factors can contribute to the struggle of...

When Coding Departments are not running smoothly,...

Denial mismanagement can lead to financial loss,...

There are several reasons why you might want to...

If you're looking to move away from spreadsheets...

To make your medical coding audit budget go...

Partnering with a quality coding consulting...

So you failed your last medical coding audit, now...

HIA recently announced its internal Learning...

On December 21, CMS released the following...

Coding audits can help target and address...

When Coding Departments are not running smoothly,...

Can cardiac arrest and cardiogenic shock be coded...

New Technology Add-On Payments (NTAP) for 2023

In...

IPPS Changes for FY2023

In the previous two parts...

ICD-10-PCS Procedure Code Changes

This is Part 2...

This is Part 1 of a 4-part series on the 2023...

What is Pulmonary Hypertension?

Pulmonary...

How do coders report diabetic ketoacidosis in...

Reporting Endarterectomy in addition to the...

What is Clostridium Difficile Enterocolitis?

...

Cerebral Infarction Definition

Coders are instructed, at this time, to follow...

With the proliferation of COVID-19 cases, we...

Updates as of 1/01/21:

As you may know, assigning...

Updates from 1/19/21 in green font.

We have seen many updates and changes to COVID-19...

“Multiple choice query formats should include...

In order for coders to correctly report the use...

The rules about coding probable, possible and...

In order for coders to correctly report the use...

Until recent years queries were not designed for...

What should a coder do in this scenario? Patient...

New Technology-ICD-10-PCS Section “X” DRUGS

...

Other Heart Failure Coding

For FY2018 there is a...

Other Heart Failure Coding

For FY2018 there is a...

In order to assign the correct ICD-10-PCS code,...

Stress getting to you? Is stress making you...

In this coding tip, we discuss the proper...

One of the updates to the ICD-10-CM Official...

In ICD-10-PCS two codes are required to...

A capsule endoscopy is less invasive than the...

Biopsies are coded to the root operations...

Please see the following post for the most recent...

Viral Sepsis is defined as a systemic infection...