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Four months after an epic hack that affected thousands of provider practices across the country, Change Healthcare started sending breach notifications to covered entities. This offers some assurance to practices that may have felt at sea in the interim — but experts caution they still have work to do.
Include a refresher on the connection between medical necessity and diagnosis coding when you train your team on the FY2025 update to the ICD-10-CM code set. The Centers for Disease Control and Prevention (CDC) typically releases the final code list in mid- to late June, and will include 250 new codes if the CDC adopts all of the proposed changes.
The emergency department (ED) is a demanding setting that challenges coders and providers alike. Information must be synthesized quickly to make life-or-death decisions. Therefore, in a field in which accomplishing thorough documentation can be challenging, representing the rendered services accurately can be even more difficult. To get it right, review the basics of critical care coding and check out common questions coders may have about the topic.
Watch out for turbulence when turning to modifier 25 (Significant, separately identifiable E/M service) for E/M services submitted on the same date as a procedure. Several of the most frequently reported E/M codes, including level one established visit code 99211, garnered double-digit denial rates.


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