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05/04/2026
Medical coding message forums can help coders find the answers to tough coding scenarios and keep claims moving. But remind everyone on your team to make sure their request for help doesn’t create compliance risks or endanger their employment.
05/04/2026
A new proposed rule covering interoperability and prior authorization for drugs would, essentially, impose prior authorization requirements on payers in major federally funded health care programs for outpatient drugs. These proposed requirements are similar to those imposed by the 2024 final rule for non-drug items and services — except this rule is a tad more friendly to providers.
05/04/2026
HHS recently released updated model notices of privacy practices (NPP), introducing changes that go well beyond revising standard privacy notice templates. The recent update includes revisions to the health care provider and health plan NPPs, as well as the Part 2 patient notice.
05/04/2026
Understand the ins and outs of coding procedures for the middle ear to ensure that you’re capturing the work taking place — and the CPT code associated with it. From tympanoplasties to tympanostomies, middle ear procedures can take multiple variations depending on scope of work, and code choice must follow suit.
05/04/2026
Watch the claims results associated with telemedicine modifier 95 and audio-only modifier 93: The denial rates for high-volume codes and places of service raise caution signs for each of them.

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