Radiology Coding for Nuclear Medicine Diagnosis and Procedures
Radiology Coding for Nuclear Medicine Diagnosis and Procedures Nuclear medicine is becoming more documentation-driven as healthcare organizations expand the use of PET/CT, SPECT, HIDA, bone, renal, thyroid, and myocardial perfusion studies. For coding teams, the challenge is no longer just identifying a radiology CPT Code. The real task is connecting the clinical indication, diagnosis, imaging […]
How Radiology Coding Connects Imaging Technique to Correct CPT Procedure
How Radiology Coding Connects Imaging Technique to Correct CPT Procedure Radiology coding begins with an imaging modality, but payment accuracy is far more than determining if the study is an MRI, CT, X-ray or ultrasound. The correct procedure code must be associated with the imaging modality, body region, protocol, contrast, views, extent of the examination […]
How Coders Handle Pulmonary Nodule Documentation from CT Findings to Claims
How Coders Handle Pulmonary Nodule Documentation from CT Findings to Claims A pulmonary nodule may take only a few words in a CT report, but those words can trigger several coding and billing decisions. With the FY 2027 ICD-10-CM files becoming effective on October 1, 2026, radiology coding teams have another reason to review how […]
How AI Supports Human Medical Coders in Outsourcing Workflows
How AI Supports Human Medical Coders in Outsourcing Workflows Introduction: The New Model of Medical Coding Outsourcing Healthcare organizations in the United States are under increasing pressure to process clinical documentation accurately while keeping claims moving through the revenue cycle. Growing patient volumes, complex documentation, staffing shortages, and changing coding requirements can make traditional workflows […]
Anesthesia Time vs OR Time: Can Coding Software Tell the Difference?
Anesthesia Time vs OR Time: Can Coding Software Tell the Difference? Anesthesia coding requires careful attention to documentation, timing and coding guidelines. One of the challenges for coding teams is to differentiate actual anesthesia time from the total time the patient is in the operating room. Differences between anesthesia start and stop time and OR […]
How Rafodex AI Connects Diagnosis, Documentation, MEAT, and HCC Assignment
How Rafodex AI Connects Diagnosis, Documentation, MEAT, and HCC Assignment AI connects diagnosis, clinical documentation, MEAT evidence, ICD-10-to-HCC mapping, and final HCC assignment by turning unstructured medical records into a traceable coding workflow. It identifies documented conditions, checks whether the record supports MEAT criteria, maps supported ICD-10-CM diagnoses to the applicable CMS-HCC risk adjustment model, […]
How AI Separates Drug, Administration, and E/M Coding in Urgent Care
How AI Separates Drug, Administration, and E/M Coding in Urgent Care Urgent care encounters often combine a drug, its administration, and a separate evaluation and management service in the same visit. Correct coding requires the documentation to clearly support each service and distinguish the clinical work performed. ArtigenTech’s Quikodex AI can analyze the encounter as […]
How AI Extracts Billable Clinical Evidence from ED Documentation
How AI Extracts Billable Clinical Evidence from ED Documentation AI extracts billable clinical evidence from emergency department documentation by analyzing physician notes, procedure records, diagnostic results, medication administration, critical care time, and other encounter data using Natural Language Processing (NLP), machine learning, and clinical language models. The extracted evidence is then mapped to coding rules […]
AI-Based Modifier Validation Using Current Coding Guidelines
AI-Based Modifier Validation Using Current Coding Guidelines Medical coding has evolved beyond assigning diagnosis and procedure codes. Today’s coding professionals must also determine whether a procedure requires one or more medical coding modifiers to accurately represent the services performed. Modifiers communicate additional information about a service without changing the procedure code itself. They indicate circumstances […]
Reducing Radiology Coding Rework with AI-Powered Intelligent Edit Validation
Reducing Radiology Coding Rework with AI-Powered Intelligent Edit Validation One of the leading causes of delayed reimbursement, increased administrative costs, and claim denials is radiology coding rework. Many times coders have to go back to the completed claims and make corrections due to common issues like incorrect radiology CPT codes, missing medical necessity documentation, failed […]
