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01/19/2026
Your billing practitioners work hard, especially when they perform critical care services. Training your clinical and coding staff with real-world examples can make sure your providers get full credit for their work.
01/19/2026
Your physicians and qualified health care professionals won’t get full payment for critical care services if their documentation falls short or coders miss key elements. During the 2025 Advanced Specialty Coding Virtual Summit: Anesthesia, Marcy Garuccio, ACS-AN, CANPC, CPMA, CPC, SME, AAPC Fellow and Laura McNeill, M.D., ABA, ASE, shared a critical care scenario. Read the case, decide which service or services McNeill can report and then check your answer below.
01/19/2026
Despite the record-breaking government shutdown in 2025, CMS released the 2026 National Correct Coding Initiative (NCCI) manual and the April ICD-10-CM code updates on time. The NCCI manual changes went into effect Jan. 1, and the ICD-10-CM update will go into effect April 1. You won’t find massive changes in the updates, but make sure your teammates know what’s new.
01/19/2026
Comprehensive metabolic and lipid lab panels ranked high on the list of lab panels reported in place of service 11 (Office), according to a review of Medicare Part B claims data.
01/19/2026
A new CMS model offers opportunities for providers willing to replace fee-based payment for treatment of some chronic care patients with “outcome-aligned payments” based on clinical results, and to use new technology resources to do it. Even if you choose not to participate, you and your patients may still benefit from their involvement in the program via other providers.
01/19/2026
A $50 billion windfall in federal funds supporting “rural transformation” has just been handed out by CMS. If you have something to offer rural health providers in the way of care or networks, you don’t have to be a certified rural health clinic (RHC) or federally qualified health center (FQHC), or even rural, to get in on it.
01/19/2026
Make sure you add the latest list of designated health services (DHS) to your practice’s compliance plan. The new list went into effect Jan. 1.
01/19/2026
Question: Would a possible threat to a limb meet the requirement for a critical care service?
01/19/2026
Whether practices performed an organ- or disease-oriented lab panel with a simplified or more complex laboratory test, the comprehensive metabolic panel (80053) dominated lab panels performed in place of service 11 (Office) for the years 2020 to 2024.

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