Jennifer McNamara

Abdominal trauma—whether from blunt-force impacts or penetrating injuries—often necessitates urgent surgical intervention. For coding professionals, these cases present distinct challenges: you must accurately capture exploratory procedures, organ repairs, wound closures, and any follow-up interventions. Below, we break down the critical CPT® codes, NCCI bundling rules, and best practices to ensure precise, compliant documentation. Core Procedures … Read more

Urology combines diagnostic precision with therapeutic expertise to address disorders of the urinary and male reproductive systems. Accurate CPT® coding and strict adherence to Medicare’s National Correct Coding Initiative (NCCI) bundling rules are essential to secure compliant reimbursement and to reflect the true complexity of care delivered. The following sections examine five high-volume urologic interventions—bladder … Read more

Precise diagnosis coding forms the foundation of compliant billing and efficient revenue cycle management. Core ICD-10-CM guidelines—like Excludes 1 vs. Excludes 2, acute-before-chronic sequencing, and etiology-before-manifestation conventions—are not optional; they’re built into payer edits and policies. When coders master these rules, claims flow smoothly. Administrators support ongoing education. Physicians chart with coding in mind. Denials … Read more

Every spring CMS drops a new batch of proposed ICD‑10‑CM/PCS changes inside the IPPS rule. The FY 2026 packet (released April 11, 2025) is a whopper: Clinicians, coders, and revenue‑cycle pros have until June 10, 2025 to weigh in before CMS locks everything for the October go‑live. Diagnosis Codes You’ll Actually Use Hot Topic Why It Matters Proposed Code(s) Type 2 Diabetes in Remission Finally … Read more

As we approach Public Health Week, it’s crucial to understand the role Social Determinants of Health (SDOH) play in shaping health outcomes. These factors—such as housing, income, and social support—affect how individuals experience health, yet they often go undocumented in clinical care. In this post, we’ll explore the significance of SDOH coding, how it affects … Read more

This April, we shine a spotlight on pathologists and the vital role they play in healthcare. As we dive into the intersection of billing, coding, and pathology, we’ll explore how precision in coding directly supports diagnostic excellence and ensures accurate reimbursement for the services provided by pathology teams. Here’s what we’ll cover: The Role of … Read more