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Slow AI? As tech gets controversial, consider low-impact use

07/06/2026

If you’re worried that bringing artificial intelligence (AI) into your practice will create more problems than solutions, note that there are many AI health care products and services available that don’t impact sensitive clinical operations or add risk.

Incident-to compliance requires a look beyond the basic rules

07/06/2026

by: Julia Kyles, CPC

You’ve trained staff on the essentials of incident-to billing, such as the direct supervision requirement and the fact that the incident-to services must follow an initial visit and plan of care by the supervising provider. But you must look beyond the guidance in the CMS internet-only manual to ensure your incident-to claims are compliant.

Preventive care: Reporting the heart of health care for wellness

07/06/2026

by: Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC

Preventive care is a system of tests and treatments designed to keep healthy people healthy. These services include the administration of immunizations and vaccines, as well as counseling for smoking cessation and nutritional guidance. As a secondary aspect, it enables the detection of serious illnesses early in their development, when damage is at its least and resolution is less traumatic and expensive.

Doc’s license suspended due to arrest? With right terms, you can cut them loose

07/06/2026

by: Roy Edroso

Question: We have a physician whose license is temporarily suspended due to pending criminal assault charges that, while not optimal, are not directly related to the practice of medicine. Plus, he hasn’t been convicted. Do we have to keep him on staff? And if we do and the suspension is lifted, what are our options then?

Part B News features a new CEU Center: Here’s what to know

07/06/2026

by: HCPro staff

Dear Customer: As previously communicated, DecisionHealth is launching a new CEU quiz online platform to replace CourseWebs, which has been sunset...

Fewer claims with modifier 25 won’t automatically reduce denials

07/06/2026

by: Julia Kyles, CPC

Don’t assume your denial rate for claims with modifier 25 (Significant, separately identifiable evaluation and management [E/M] service by the same physician or other qualified health care professional on the same day of a procedure or other service) went down if you reported fewer claims with the modifier.

The art of coding: Think like an auditor to defend modifier 25

06/29/2026

by: Julia Kyles, CPC

Train yourself and members of your coding and clinical teams to think like an auditor before you report modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service).

FY2027 ICD-10-CM guidelines clarify genetic disorders, DES reporting

06/29/2026

by: Laura Evans, CPC

The revised FY 2027 ICD-10-CM Official Guidelines, issued June 16, add genetic disorders to existing guidelines in Chapter 17 and give new guidance for reporting Z codes for exposure to diethylstilbestrol (DES).

Heads up: New No Surprises rule may block some IDR claims

06/29/2026

by: Roy Edroso

A new final rule pertaining to the No Surprises Act (NSA) makes filing independent dispute resolution (IDR) requests easier for providers in some ways. But certain tweaks also make it easier for payers to thwart provider claims, so practices should take extra care to bullet-proof their claims ahead of time.

MedPAC wants higher PFS payments; don’t get your hopes up

06/29/2026

by: Roy Edroso

The June report from the Medicare Payment Advisory Commission (MedPAC) suggests more generous reimbursement to Part B providers under the physician fee schedule (PFS). But they didn’t offer a clear path forward, and it’s unlikely to have a near-term effect.

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