Non-Chemo IV Drug & Hydration Coding — Step-by-Step First, confirm documentation Route, drug/substance, start & stop times for each infusion, and each push given. IV access site(s) used (one site vs. two distinct sites). Clinical reason for hydration (not just...
How to Code Operative Reports (OP Reports) Efficiently: Steps, Guidelines & Tips Operative (OP) reports are some of the most detailed documents in a patient’s medical record. They describe the procedures performed during surgery, the techniques used, findings,...
How Coders Can Code Accurately and Meet High Production Standards Accuracy and productivity are the twin pillars of success in medical coding. Whether you’re a new graduate or a seasoned CPC, balancing these two expectations can be challenging—but it’s entirely...
ICD-10-CM Chapters: What’s Included, Guidance, and Coding Tips The ICD-10-CM manual is organized into 21 chapters, each covering a specific range of codes tied to body systems, conditions, or circumstances. Understanding what belongs in each chapter—and the rules that...
ICD-10-CM updates for FY 2026 (effective October 1, 2025) with implications for coding, compliance, and operational readiness. Each fiscal year, the ICD-10-CM code set is updated to reflect evolving clinical practice, new diagnoses, and to improve specificity in...
Why AI Resume Screeners Matter In today’s hiring landscape, many employers in healthcare and medical coding use Applicant Tracking Systems (ATS) powered by artificial intelligence (AI) to filter resumes before they ever reach a recruiter or coding manager. If your...
Why AI Is Not Ready to Take Over All Medical Coding Jobs in the Future Artificial intelligence (AI) has made incredible advances in healthcare technology, and medical coding is no exception. From natural language processing (NLP) that interprets physician notes to...
Telehealth / Remote Care Coding: 2026 Updates, Challenges, and Practical Tips for medical coders, compliance professionals, and clinicians. Use this as a reference or checklist—always confirm with final CMS/payer rules and local policies before implementation. The...
How to Become a Federal IDR Arbitrator: Guidelines & Tips The Federal Independent Dispute Resolution (IDR) process, established under the No Surprises Act (NSA), helps resolve payment disputes between health plans and providers for certain out-of-network services....
Big Update to PSI-09: New Exclusion Codes & What It Means for Coding / Quality Reporting What is PSI-09 PSI-09 is one of AHRQ’s (Agency for Healthcare Research and Quality) Patient Safety Indicators: the rate of postoperative hemorrhage or hematoma requiring...