** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
Webinar Q&A: NICU E/M Coding and Beyond
This page addresses follow-up questions and additional information pertinent to our webinar NICU E/M Coding and Related Services. ** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research subsequent official...
Webinar Q&A: Coding Integumentary Procedures Performed in the Emergency Department
This page addresses follow-up questions and additional information pertinent to our webinar Coding Integumentary Procedures Performed in the Emergency Department.** The coding information and guidance are valid at the time of publishing. Learners are encouraged to...
Simple or Complex? Determining the Right Code for Incision and Drainage Procedures
Coding for incision and drainage (I&D) procedures can be tricky when determining if documentation supports billing the simple code 10060 versus the complex code 10061. The challenge? There are no strict, black-and-white rules. In fact, a 2006 CPT Assistant stated...
Medicare Telehealth Flexibilities Just Expired — And We’re Watching
As of October 1, 2025, the much-talked-about Medicare telehealth flexibilities are no more. With Congress failing to pass a FY 2026 spending bill, the government shutdown triggered a snap rollback to the restrictive pre-pandemic rules for Medicare. That means:...
Beyond the Code: How AI is Elevating the Role of Medical Coders
Artificial Intelligence (AI) is transforming industries at an unprecedented pace, and healthcare is at the center of that evolution. For medical coders, the rise of AI often sparks anxiety. Will technology replace us? But the truth is far more promising: AI is not the...
Late-September Reminder: Medicare Preventive Services Updates
As September winds down, it’s a good time for healthcare teams to review important Medicare preventive service updates. The August 2025 Medicare Learning Network (MLN) newsletter highlighted several key changes that impact patient care and audit compliance. ...
2025 Update: Expanded Billing Opportunities for G2211
As of January 2025, CMS has expanded the use of HCPCS code G2211, marking an important change for providers, coders, and auditors working with E/M services. What Changed Previously, G2211 could not be reported on the same day as an E/M billed with modifier 25 for...
Webinar Q&A: 2026 Hospital Payment Update
This page addresses follow-up questions and additional information pertinent to our webinar 2026 Hospital Payment Update: A Coder's Guide to MS-DRG Changes. ** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research...
Webinar Q&A: E/M Services FAQs: From the Office to the ICU and Everything in Between
This page addresses follow-up questions and additional information pertinent to our webinar E/M Services FAQs: From the Office to the ICU and Everything in Between.** The coding information and guidance are valid at the time of publishing. Learners are encouraged to...
Prescription Drug Management: MAC Guidance Isn’t the Same Everywhere
When providers document Prescription Drug Management in an evaluation and management (E/M) service, the assumption is often that a prescription refill counts as “risk.” The reality is more complicated. Medicare Administrative Contractors (MACs) each define it...
