Medical Coding

2021 CPT Code Set Simplifies E/M Coding, Adds COVID-19 Tests

by Jacqueline LaPointe

The American Medical Association (AMA) implemented major changes to the 2021 Current Procedural Terminology (CPT) code set in an effort to simplify coding and documentation of office visits and...

Providers Confused by COVID-19 Coding, Claim Requirements

by Jacqueline LaPointe

Erratic claim volumes and confusion over COVID-19 coding and claim requirements are the top issues impacting revenue cycle operations, according to a new survey of financial leaders at US hospitals and...

New CPT Code Expands COVID-19 Coding, Billing to Antigen Tests

by Jacqueline LaPointe

The American Medical Association (AMA) recently updated Current Procedural Terminology (CPT) to enable proper COVID-19 coding and billing of antigen tests performed on patients suspected of being...

What Providers Need to Know About COVID-19 Coding and Billing

by Jacqueline LaPointe

The COVID-19 pandemic is putting strain on the healthcare system, but accurately capturing data and documenting cases of the novel coronavirus can help ease the burden on providers. For more...

AMA Offers Checklist for E/M Coding and Documentation Changes

by Samantha McGrail

The American Medical Association (AMA) recently issued a checklist for physician practices to use when adopting evaluation and management (E/M) coding and documentation changes slated to take effect...

Hospital Upcoding Behind Increase in Inpatient Spending in MA

by Jacqueline LaPointe

Higher prices and hospital upcoding drove the nearly 11 percent increase in commercial inpatient spending in Massachusetts, according to a new preliminary report from the Health Policy Commission...

94% of Users Would Buy Computer-Assisted Coding Solution Again

by Jacqueline LaPointe

Computer-assisted coding solutions did not live up to user expectations when first released, but a new KLAS research report showed that hospitals and health systems are just now starting to see a...

Clinical Documentation and Coding Top Revenue Cycle Vulnerability

by Jacqueline LaPointe

Hospital leaders are concerned that their organization’s clinical documentation and coding processes are vulnerable to errors that could result in lost or decreased revenue, according to a recent...