CMS announced it is adding 80 new procedure codes to the fiscal year (FY) 2026 ICD-10-PCS code set, available for discharges occurring from April 1 through September 30, 2026, ...Read More »
CMS recently published a fact sheet detailing improper payments across Medicare and Medicaid programs in fiscal year (FY) 2025, including overpayments, underpayments, and payments that lacked...Read More »
Q: What are some documentation gaps in behavioral health encounters?
A: Many times, we see a lack of specificity regarding symptoms, severity, and treatment details required for accurate ICD-10-CM coding, as well as incomplete...Read More »
Generative artificial intelligence (AI) offers benefits in medicine but poses risks to medical trainees, including skill loss and outsourcing reasoning that can potentially undermine clinical competence and patient safety, according to a recent...Read More »
According to a clinical review published in the Journal of the American College of Cardiology, atherosclerotic cardiovascular disease remains a leading cause of morbidity and mortality worldwide, with acute myocardial...Read More »
Q: I primarily work in the neurosurgery review lane within CDI and am seeking further guidance on best practices for capturing loss of consciousness (LOC) status in cases of traumatic subdural or subarachnoid hemorrhage. Current definitions of LOC appear broad and can be challenging...Read More »
Q: What are some documentation gaps in behavioral health encounters?
A: Many times, we see a lack of specificity regarding symptoms, severity, and treatment details required for accurate ICD-10-CM coding, as well as incomplete...Read More »
