Guidelines for Avoiding Fraud and Consequences for Fraud in Medical Coding and Billing Medical coding and billing are integral parts of healthcare administration. These processes help ensure that healthcare providers are reimbursed for their services and that claims...
How a Medical Coder Can Stand Out in a Competitive Job Market Amidst AI, Outsourcing, and Experienced Competition The landscape of medical coding is rapidly changing, driven by advancements in artificial intelligence (AI), the rising trend of outsourcing, and the...
Guidelines for Coding and Billing Mechanical Ventilation Mechanical ventilation (MV) is a critical intervention used to support or replace a patient’s respiratory function when they are unable to breathe adequately on their own. It is commonly used in intensive care...
Guidelines for Coding and Billing Mohs Surgery Mohs micrographic surgery (MMS) is a highly specialized procedure for treating skin cancer, especially basal cell carcinoma (BCC) and squamous cell carcinoma (SCC). It involves the systematic removal of cancerous tissue...
Understanding the Difference Between Aftercare and Follow-up: Guidelines for Medical Coding In medical coding, understanding the distinction between aftercare and follow-up care is essential for accurate documentation and appropriate billing. These terms are often...
Guidelines for Coding and Billing in Orthopedics Orthopedic coding and billing are critical components in the healthcare industry, particularly as they involve highly specialized procedures, treatments, and diagnostic services. Ensuring correct medical coding and...
Guidelines for Medical Coding and Billing for Workers' Compensation Claims Workers' compensation (WC) is a vital part of the healthcare system, providing benefits and coverage for employees who sustain injuries or illnesses during the course of employment. Proper...
Upcoding and Bundling Guidelines for Coders and Billers: Ensuring Accurate and Ethical Billing Practices In the healthcare industry, accurate medical coding and billing are essential to ensure that healthcare providers receive appropriate reimbursement for services...
Guidelines for Anatomical Modifiers in Medical Coding In medical coding, anatomical modifiers are essential tools used to specify the exact location or side of the body where a medical procedure or service was performed. These modifiers provide additional clarity in...
For medical coding related to Social Determinants of Health (SDOH) in 2025, the primary codes used will be from the ICD-10-CM Z code range (Z55-Z65) which capture various aspects like education, employment, housing, economic circumstances, social environment, and...