Getting our hands in-deep with how AI is actually bringing changes in Medical Coding Automation, it is required the proper understanding of what the basics of what Medical Billing and Coding actually are.

The Centers for Medicare & Medicaid Services (CMS) has released a second set of revisions to Chapter 10 of the Medicare Claims Processing Manual providing instructions to home health agencies for claims submission under...

From the same folks who brought you the Electronic Submission of Medical Documentation (esMD), there is a new initiative from the Centers for Medicare & Medicaid Services (CMS) known as the Medicare Fee-for-Service (FFS) Documentation Requirement Lookup Service (DRLS) pilot.

As reported by the American Hospital Association and other organizations, starting in 2020, the Centers for Medicare & Medicaid Services (CMS) will be adding outpatient total knee arthroplasty (TKA) to the list of episodes in the Bundled Payment for Care Improvement (BPCI) advanced program.

Not all individuals have the same illnesses, and even for the same chronic diseases, how any patient is affected varies. In determining payments for care, Medicare introduced modifiers to gauge and report on the associated severity of illness. Often, the chicanery...