Medical billing and coding systems ensure that health providers get paid for their services. Learn the steps in medical ...

You can prevent costly claims denials by following these guidelines. The Centers for Medicare & Medicaid Services (CMS) recently issued instructions clarifying current diagnosis coding guidelines for ...

In a recent study posted to the medRxiv* preprint server, researchers evaluated the use of U09.9, an International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code ...

Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...

Payments to Medicare Advantage (MA) plans are adjusted by a risk-score model that is calibrated on diagnostic and demographic data from traditional Medicare beneficiaries and then applied to MA ...

The PAWSIC Skin Failure Codes Position Paper (PSFCPP), Version 1.1, published September 30, 2026, explains why skin failure ...

Gulf War illness (GWI), the chronic, debilitating condition linked to military service in the 1990-1991 Gulf War, will receive a dedicated diagnostic code in the October 2025 release of the ...

Getting to know the codes for psychiatric services and using them appropriately can pay financial dividends. Some patients become depressed because of a physical illness. Others develop physical ...

Claim denial rates vary significantly by payer type -- whether they be public or private, or what insurance company owns them and where they are located -- but the ...

The authors updated a diagnosis list to identify low-acuity emergency department visits by veterans and applied it to examine trends and predictors of veterans’ low-acuity utilization. Objectives: ...