The AMA’s 2026 CPT code set introduces new codes for AI-augmented services in radiology, diagnostics, and pathology. Learn what these updates mean for independent physician groups, how they affect compliance and reimbursement, and what RCM teams can do now to prepare for this major industry shift.
The transition from ICD‑10 to ICD‑11 represents a significant change for U.S. healthcare practices. ICD-11 is already in effect globally, the U.S. has not yet set an official implementation date. Nonetheless, proactive preparation is vital for independent physicians and small group practices to ensure a smooth transition, maintain revenue flows, and avoid operational disruption. Learn what is changing, what to expect, and how to prepare for the transition.
Obstetricians and gynecologists (OB/GYNs) face unique coding challenges due to the complexity of pregnancy-related services, preventive care, and surgical procedures. This guide provides best practices for OB/GYN medical coding to enhance efficiency, reduce claim denials, and optimize revenue.
Learn how significant losses to a primary care practice can occur when medical coding is not processed accurately, jeopardizing the financial health of the organization.
January 24, 2025 - Each year, the American Medical Association (AMA) updates Current Procedural Terminology (CPT) codes to reflect advancements in medical technology, evolving practices, and new procedures. The CPT code set evolves through a transparent editorial...
For endocrinology specialties, accurate coding ensures proper reimbursement, streamlines billing processes, and provides a clear record of patient care. It’s crucial to stay on top of medical coding for maximum reimbursement. Learn what ICD-10 and CPT Codes, plus Modifiers are used for endocrinology services.
Medical coding for behavioral health is notably intricate due to the nuanced nature of mental health diagnoses, varied therapy types, and evolving guidelines. In this guide, we’ll cover the complexities of behavioral health coding and provide you with a detailed reference to navigate the unique challenges associated with this specialty.
Appropriate billing for professional services in a hospital environment is dependent on the correct identification and classification of medical services delivered. Learn the most common challenges faced by hospital-based physicians and how to overcome them.