Doc in Over His Head with Medical Coding

The AMA will help physicians report and fight insurer downcoding. Here's how practices can find, log and appeal downcodes now, using MGMA's draft bill as the standard.

Fryer burns, carving cuts, holiday heart and, yes, turkey attacks: the codes your coders will need when the Thanksgiving injuries roll in.

New Medicare codes, billing rules and deadlines arrive in the next 14 months. Here's what to set up now.

A family physician argues clinical AI should earn independence task by task, the way medical trainees do, with a physician accountable at every stage.

Taya Gordon says education, appeals and payment alerts top the to-do list before Medicare's 2027 same-day and G2211 changes hit Jan. 1.

Practices face a 2.31% conversion factor cut, a 20% same-day visit reduction and new E/M modifiers starting Jan. 1.

Two Medicare fraud cases, one over Botox and one over COVID-19 test kits, map the chart and claims gaps practices should audit now.

Medicare’s monthly bundled codes pay primary care for work between visits. Most practices have not tried them yet.