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Semaglutide and Tirzepatide: Why Drug Type Matters for Coding

by Kristi Pollard | Apr 14, 2026 | All Posts, Inpatient Coding, Outpatient Coding, Profee Coding

With the use of semaglutide and tirzepatide going mainstream, it’s starting to create some real coding challenges. Coding Clinic, First Quarter 2026, addresses some of these issues – specifically around adverse effects and long-term use. At the center of it all is one...

Auditor Insights | Avoid E/M Time Pitfalls: Carve Out Additional Services

by Susan Bonham | Mar 31, 2026 | All Posts, Auditor Insights

Time-based E/M coding can be tricky, and audits often reveal a common mistake: including separately reported services in the total time. CPT® guidelines are clear—time spent on other billable services, travel, or general teaching unrelated to the patient’s management...

Haugen Academy Expands Education Portfolio with Clinical Documentation Integrity (CDI) Training

by Haugen Academy | Mar 17, 2026 | All Posts

New CDI-specific education helps align clinical indicators, provider documentation, and compliant coding practices.  [Denver, CO] — [March 17, 2026] — Haugen Academy has expanded its education portfolio to include clinical documentation integrity (CDI)-specific...

Auditor Insights | Tissue Transfer Coding: Why Measuring Both Defects Matters

by Deanna Upston | Feb 27, 2026 | All Posts, Auditor Insights

Accurate coding for adjacent tissue transfer procedures (CPT® 14000–14032) is essential—but are your operative reports giving payors what they need? Recent client questions and claim denials highlight a common documentation gap that coders should address. ...

Auditor Insights | Anesthesia Services for ESI & Facet Joint Injections: OIG Flags $177M in At-Risk Payments

by Shea Lunt | Dec 9, 2025 | All Posts, Auditor Insights

A recent OIG audit found that a Medicare Administrative Contractor (MAC) paid physicians for anesthesia services administered during facet joint injection sessions—even when documentation did not support medical necessity. The report estimates Medicare could have...

Medicare Telehealth Flexibilities Just Expired — And We’re Watching

by Shea Lunt | Oct 2, 2025 | All Posts

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:...
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