Death of the Inpatient-Only List is NOT the Death of Medical Necessity

Published: Fri, 02/26/21

For readers of and listeners to RACmonitor and Monitor Mondays, overthinking things is what we do. It’s the only explanation for our hand-wringing over the death of the Medicare inpatient..

Payer Split-Bill Requirement: Separate Claims to Avoid Edit

In December 2020, the Centers for Disease Control and Prevention (CDC) announced six new International Classification of Diseases, Tenth Revision, Clinical Modification...

COVID-19 CPT coding and guidance

New Current Procedural Terminology (CPT^®) codes have been created that streamline the novel coronavirus testing currently available on the United States market.

Two Common Knee Ligament Injuries and Their ICD-10 Codes

Knee ligaments connect the bones and cartilage, and hold and support the knee joint. Any mild tear in ligaments may severely limit the movement of the knees. Most commonly occurring from a sports injury, ligament damage may...

Medical Coding Guidelines for COVID-19 Treatment and Vaccinations

With COVID-19 vaccinations now being administered across the United States, we have compiled this list of medical code sets to account for the treatment and vaccinations for the novel Coronavirus.

3 Ways to Improve Medical Coding Quality for Accurate Reimbursement

While some have said medical coding sits quietly in the middle of the healthcare revenue cycle, it is a key step that, when done inadequately, can impact each part of the revenue cycle after it. Medical coding quality is crucial to ensuring claims get out the door...