Cleveland Clinic’s AI Coding Move and What It Means for Medical Coders – Insights from Dr. Santosh Guptha, Medesun
Cleveland Clinic partnered with Akasa to deploy AI tools within mid-revenue cycle workflows, where patient care documentation is translated into standardized medical codes for: Billing Reporting Continuity of care According to system leadership: Coders may review 100+ clinical documents per...
Medical Coding Errors Will Now Be Public – The Price Transparency Shock
Healthcare in the United States is entering a new phase of transparency and accountability. With renewed efforts by the Trump Administration to strengthen insurer price transparency requirements, healthcare prices are expected to become clearer, more accurate, and more actionable for...
FIMC® Neurology Coding by PMBAUSA – Mastering High-Risk Surgical Coding
Neurosurgery stands at the intersection of clinical complexity, high financial risk, and intense regulatory scrutiny. It is consistently identified by CMS, commercial payers, and the Office of Inspector General OIG as one of the highest-risk medical specialities due to high...
Skilled Nursing Facility SNF Coding Course by PMBAUSA LLC
Skilled Nursing Facility SNF coding is one of the most important and high demand areas in US healthcare medical coding today. With the aging population and increasing need for post acute care, SNFs play a critical role in patient recovery...
Basics of Neurosurgery Coding – ICD-10-CM
Neurosurgery diagnoses are mainly coded from: o Chapter 6 (G00–G99): Diseases of the Nervous System o Chapter 13 (M00–M99): Musculoskeletal system (spine-related conditions) o Chapter 19 (S00–T88): Injuries & trauma (head injury, spinal trauma) • Always identify whether the condition...
2026 Medical Billing Updates: What Medical Coders, Billers, and Providers Need to Prepare For Now
Payers Tighten Reimbursement Policies: What You Need to Know for 2026 and Beyond As the healthcare industry moves deeper into value-based care and cost-containment strategies, major insurers are updating reimbursement policies that significantly impact coding, billing, documentation, and care delivery....