Category Archives: Coding & Billing

ICD-10-CM Changes for 2025

Changes to the International Classification of Diseases, 10th Edition, Clinical Modification (ICD-10-CM) occur every year, and for 2025, the update includes 252 new codes, 36 code deletions and 13 code revisions.5  The fact that these codes are for 2025 can … Read Full Post

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2024 ICD-10-CM Changes Are Weeks Away

Every year, CMS issues clarifications, additions and deletions to diagnosis codes that become effective on October 1st.  For 2024, CMS announced 395 new diagnosis codes, 25 deletions and 13 revisions. Although there are many changes in wording, synonyms and instructional … Read Full Post

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Just Following Orders isn’t a Defense to Fraud

A case from North Carolina highlights what we see too often:  healthcare entrepreneurs and providers committing fraud, paying monetary penalties and even facing incarceration. But rarely do we see the penalties travel down the ladder to a company’s employees. A … Read Full Post

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Medical Practice Owes for COPD & Morbid Obesity False Claims

Over the years, we’ve written many a blog post on risk adjustment compliance, advising our readers on ways to work successfully with this payment paradigm.  And yet, almost every week, the Office of Inspector General (OIG) publishes notices regarding false … Read Full Post

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CMS Issues Revised ABN for Use by June 30th

The Centers for Medicare and Medicaid Services (CMS) has issued a revised advance beneficiary notice (ABN) form.  The new form has an expiration date of 1-31-26 and will be mandatory on 6-30-23. You may continue to use the ABN form with … Read Full Post

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Primary Diagnosis Quiz

Let’s play a game…. I am going to list the diagnoses on the Assessment section of a specialist’s consult note in the order he listed them, and you try to guess the provider’s medical specialty: Paroxysmal atrial fibrillation Coronary artery … Read Full Post

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ICD-10-CM Adds 1468 Codes for 2023

Every year, we’re curious to learn about the changes to ICD-10-CM codes that become effective on October 1st, and this year, there are many interesting additions.  Of course, our company looks at codes primarily through the risk adjusted payment lens, … Read Full Post

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HEDIS Reminder: Medication reconciliation

HEDIS, or the Healthcare Effectiveness Data and Information Set, is a collection of statistics that reflects health plan (and provider) performance in meeting specific quality metrics.  One important metric is the post discharge medication reconciliation (Category II code 1111F).  Obviously, … Read Full Post

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Fractures & Coding the 7th Character

ICD-10-CM turned coding on its head when implemented in October 2015.  The coding convention was so unlike the mostly numeric, five-character codes we were accustomed to in ICD-9.  Now I wonder how we ever got along without the coding upgrade! … Read Full Post

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Principal Care Management

Although chronic care management has been a CMS-covered care model for managing patients with multiple chronic conditions, this year, codes for a similar program were created.  Principal care management (PCM) is a “sister” model – if you will – geared … Read Full Post

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