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06/15/2026
Take note of the differences between the proposed and final versions of the ICD-10-CM code set. The ICD-10-CM Coordination & Maintenance Committee added six new codes that describe a personal history of gender transition (Z87.8901-Z87.8909 and Z87.893) that were not featured in the April release of the proposed codes.
 
06/15/2026
A case involving two entities that often manage medical practices taken over by private equity firms — the management services organization (MSO) and the professional corporation (PC) — raises concerns that other such practices may be vulnerable to stronger, even disastrous, legal and regulatory oversight and discipline.
06/15/2026
Medically unlikely edits (MUE) can trigger denials of otherwise flawless claims and in some cases the denials can’t be appealed. Give staff the new batch of MUEs for procedure codes that were introduced this year.
06/15/2026
Question: What are some tips for properly documenting E/M visits as it relates to medical decision-making (MDM), particularly when it comes to improving communication with providers?
06/15/2026
Patient relationship category modifiers aren’t mandatory, but they have gained popularity since CMS introduced them in 2018. Providers submitted approximately 170,000 Medicare Part B claims with a patient relationship modifier in 2018. The most recent CMS data shows that providers submitted more than 50 million claims with a patient relationship modifier in 2024.

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