Reducing Payment Denials through Intelligent Denial Code Management
Reducing Payment Denials through Intelligent Denial Code Management Payment denials persist as a significant revenue challenge within the healthcare sector. Even with the implementation of electronic health records (EHRs), advanced billing software, and improved payer connectivity, healthcare organizations continue to experience substantial financial losses each year resulting from avoidable claim denials. A key factor contributing […]
Z Codes in HCC Coding: When and How to Use Them
CPT Z Codes in HCC Coding: When and How to Use Them In the world of ICD-10 Z codes and Z codes in medical coding, Z codes represent a unique category of diagnosis codes that capture health-related factors not classified as diseases or injuries. Although many clinicians and coders are familiar with traditional clinical codes […]
End of the Year Policy and Procedural Updates in Telehealth Medical Coding
End of the Year Policy and Procedural Updates in Telehealth Medical Coding In December 2025, telehealth medical coding guidelines are shaped by a critical divergence between new AMA standards and CMS telehealth 2025 policies. While the AMA introduced new telehealth CPT codes 2025, Medicare continues to rely on traditional E/M codes, creating significant telehealth coding […]
CPT® 2026 UPDATE OVERVIEW: WHAT’S NEW, REVISED, AND DELETED?
CPT® 2026 UPDATE OVERVIEW: WHAT’S NEW, REVISED, AND DELETED? Introduction: What Is CPT® and Why It Matters CPT® (Current Procedural Terminology) is the foundational classification system for CPT codes in medical coding, maintained by the American Medical Association (AMA). These codes define medical, surgical, and diagnostic services reported across the U.S. healthcare system and form […]
Most Commonly Used CPT Codes in Gastroenterology
Most Commonly Used CPT Codes in Gastroenterology Gastroenterology coding is a complex area of GI medical coding, involving many procedures, frequent audits by payers, and strict documentation requirements. Even a small error in Current Procedural Terminology (CPT) codes for procedures like colonoscopy, esophagogastroduodenoscopy (EGD), or endoscopic retrograde cholangiopancreatography (ERCP) can lead to claim denials, delayed […]
Common Procedure Code Denial Categories and Strategies to fix the AR denials
Common Procedure Code Denial Categories and Strategies to fix the AR denials Missing or Incorrect Modifiers (CO 4 / PR 55): One of the most common medical billing denials, where procedure codes are submitted without required modifiers to indicate laterality (RT/LT), multiple procedures (-51), or distinct services (-59). These errors directly impact medical billing AR […]
Will AI Replace Radiology Coding? Conrad AI’s Role in Automation
Will AI Replace Radiology Coding? Conrad AI’s Role in Automation Introduction: The Future of Radiology Coding in the AI Era In today’s healthcare system, radiology billing and coding plays a crucial role in ensuring providers are reimbursed correctly for diagnostic and interventional imaging services. As medical imaging volumes grow, coding complexity rises — leading many […]
A Comprehensive Overview of Evaluation & Management (E&M) Coding
A Comprehensive Overview of Evaluation & Management (E&M) Coding Introduction: What is E&M Coding? Evaluation & Management (E&M) coding often referred to as evaluation and management codes, represents the structured system used to bill for patient encounters that involve evaluation and management rather than a procedure — e.g. office visits, hospital consultations, telemedicine, or follow-up […]
PAIN MANAGEMENT MADICAL CODING UPDATES
Pain Management Medical Coding Updates Pain management coding in 2025 involves specific guidelines from the AMA CPT manual and the Centres for Medicare & Medicaid Services (CMS), with key changes focusing on new fascial plane block codes, updated chronic pain management (CPM) HCPCS codes, and enhanced telemedicine rules. These updates highly impact pain management coding […]
Fever in Medical Coding Automation: Accurate ICD-10 Codes, AI Automation & Best Practices
Fever in Medical Coding Automation: Accurate ICD-10 Codes, AI Automation & Best Practices Fever is one of the most common clinical symptoms recorded in AI in healthcare, yet it remains one of the most frequently miscoded conditions in medical coding automation. Since they directly affect claim acceptance, reimbursement accuracy, and revenue cycle management (RCM) efficiency, […]
