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What Medical Coders and Billers Must Know in Revenue Cycle Management

7 Medicare Billing Codes Triggering Unexpected Charges (2026 Update)

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Below are the seven Medicare billing codes most likely to trigger surprise charges in 2026.

1. HCPCS G2211 – The Complexity Add-On

This is the most common surprise code appearing on 2026 Medicare bills.

G2211 is an add-on code reported with office visit codes 99202–99215 when a physician manages long-term or complex conditions. Although the payment increase is modest, approximately $16 to $20, it can still trigger coinsurance or deductible liability, especially for patients who have not met their Part B deductible.

CMS has expanded its use to home visits and assisted living settings, meaning patients may see this charge even when the physician travels to them.

2. HCPCS G0463 – Hospital Outpatient Clinic Facility Fee

This code represents a facility fee for hospital resources. In 2026, CMS restructured reimbursement for off-campus hospital clinics, but patients are still frequently billed a separate specialist cost share.

3. CPT 99453 and 99454 – Remote Patient Monitoring Setup

Patients who receive digital devices such as:

  • Blood pressure cuffs

  • Glucose monitors

  • Smart scales

may see these two codes:

  • 99453 – Initial device setup

  • 99454 – Monthly monitoring services

In 2026, average reimbursement ranges from $22 to $47. Patients are often surprised to learn they are being billed monthly, even if device usage is inconsistent or minimal.

If the device is not actively used, patients should question the ongoing monitoring charge.

4. CPT 99490 – Chronic Care Management (CCM)

This code applies when patients have two or more chronic conditions, such as diabetes and hypertension.

CPT 99490 covers at least 20 minutes per month of non-face-to-face care coordination by clinical staff. Under the 2026 Advanced Primary Care models, this code is being used more aggressively.

Many seniors are surprised by this charge because no in-person visit occurred, yet coinsurance still applies.

5. CPT 90480 – Vaccine Administration Fee

While vaccines themselves are often covered at zero cost, the administration fee may still appear.

CPT 90480 includes counseling and administration services. In some cases, particularly when vaccines are administered by out-of-network providers or pharmacies, patients may see residual processing charges.

Differences in billing methodology between providers can lead to confusion and unexpected statements.

6. New Enhanced Urgent Care G-Codes

In 2026, CMS introduced new Enhanced Urgent Care add-on codes, allowing facilities to bill extra for treating patients with higher complexity.

If local urgent care has rebranded as an Enhanced facility, even a routine visit, such as for a sinus infection, may now result in higher charges compared to a traditional physician office.

7. Modifier 25 – The Double Service Trigger

Although not a standalone code, Modifier 25 is a frequent cause of patient confusion.

It is appended when a significant, separately identifiable evaluation and management service is performed on the same day as a procedure.

Example:

  • Office visit for medication management

  • Same-day minor procedure or vaccine

Insurers now apply automated enforcement rules, which can result in two separate patient cost shares when Modifier 25 is used correctly.

These billing surprises are not isolated mistakes. They reflect a broader shift in Medicare reimbursement and a growing dependence on precise, compliant medical coding. As payment models evolve, both patients and providers must become more informed, proactive, and vigilant.

The information provided in this blog post is intended for educational and informational purposes only and should not be construed as medical, legal, coding, billing, or reimbursement advice. Healthcare regulations, payer policies, coding guidelines, and Revenue Cycle Management (RCM) requirements are subject to change.

Readers are advised to consult official and authoritative sources, including the Centers for Medicare & Medicaid Services (CMS), World Health Organization (WHO), American Medical Association (AMA), and American Health Information Management Association (AHIMA) for the most current and applicable guidance.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer

Comprehensive medical coding and billing training by Medesun equips healthcare professionals with advanced skills in compliance, documentation accuracy, denial prevention, and revenue integrity, ensuring confidence and excellence across evolving reimbursement models and regulatory requirements.

Why U.S. Healthcare Must Prepare for ICD-11 Now

Global Healthcare Runs on ICD-11—U.S. Healthcare Still Doesn’t

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Why U.S. Healthcare Should Move to ICD-11 — Now, Not Later

(Coding Is No Longer Just About Payment)

The Quiet Storm in Healthcare Coding

For decades, medical coding in the United States has been viewed primarily as a billing function—a means to justify reimbursement, support claims, and comply with payer rules. But that era is ending.

Healthcare today is driven by data, analytics, population health, AI, global research, and interoperability. In this environment, the limitations of ICD-10-CM are becoming increasingly visible.

This is where ICD-11 enters—not as a cosmetic upgrade, but as a fundamental redesign of how health information is captured, shared, and analyzed.

The question is no longer if the U.S. will move to ICD-11.
The real question is how prepared we are—and what happens if we delay too long.

Coding Is Not Just for Payment Anymore

Historically, U.S. healthcare coding focused on:

  • Claims submission
  • DRG/APC assignment
  • Risk adjustment
  • Compliance and audits

Today, coding directly impacts:

  • Public health statistics
  • Disease surveillance
  • Clinical research
  • AI and machine learning models
  • Value-based care analytics
  • Global health comparisons

If coding data is incomplete, vague, or outdated, every downstream system—clinical, financial, and analytical—suffers.

ICD-11 was designed with this reality in mind.

What Makes ICD-11 Different (and Powerful)

1. True Interoperability (Built for the Digital Age)

ICD-11 is natively digital, not a paper classification adapted to computers.

Key interoperability strengths:

  • Designed to work seamlessly with EHRs, registries, APIs, and AI systems
  • Compatible with SNOMED CT, LOINC, ICHI, and other global terminologies
  • Supports post-coordination, allowing codes to be combined for richer meaning

ICD-10 was adapted for computers.
ICD-11 was built for computers first.

2. More Codes, More Specificity, Less Guesswork

ICD-11 contains:

  • Far more clinical concepts
  • Better differentiation of severity, laterality, anatomy, etiology, and manifestations
  • Structured logic instead of fragmented code expansions

Example (conceptual):

  • ICD-10 often forces coders to choose approximate codes
  • ICD-11 allows precise clinical storytelling

This means:

  • Better clinical documentation alignment
  • Reduced “code stretching”
  • More accurate representation of patient complexity

3. Post-Coordination: A Game Changer

One of the most powerful ICD-11 features is post-coordination.

Instead of searching for one “perfect” code, coders can:

  • Start with a base disease code
  • Add extension codes for:
    • Severity
    • Laterality
    • Temporal factors
    • Anatomical detail
    • Causation

Result:

  • Richer data without exploding code lists
  • Better analytics and AI training datasets

This is impossible to achieve cleanly in ICD-10.

ICD-10 vs ICD-11: High-Level Comparison

Feature ICD-10-CM ICD-11
Design Philosophy Administrative & billing-focused Digital, clinical & analytical
Interoperability Limited Native & global
Code Structure Rigid, pre-coordinated Flexible, post-coordinated
Global Alignment U.S.-specific adaptation Global standard
AI / Analytics Ready Weak Strong
Maintenance Model Manual updates Continuous digital updates

Why ICD-11 Matters for Healthcare Statistics & Policy

Coding data feeds:

  • National morbidity and mortality statistics
  • Disease burden analysis
  • Health economics research
  • Pandemic tracking
  • Resource allocation

If diagnosis data is:

  • Overgeneralized
  • Inconsistent
  • Non-interoperable

Public health decisions become distorted

ICD-11 improves:

  • Accuracy of disease prevalence reporting
  • Comparability across countries
  • Long-term trend analysis

This is not a billing issue.
This is a national health intelligence issue.

The AI Reality: ICD-10 Is a Bottleneck

AI in healthcare depends on:

  • Clean, structured, granular data
  • Standardized terminology
  • Global compatibility

ICD-10:

  • Creates ambiguity
  • Limits clinical nuance
  • Forces AI models to “guess”

ICD-11:

  • Enables machine-readable meaning
  • Supports advanced analytics
  • Aligns with modern data science practices

If the U.S. wants leadership in AI-driven healthcare, ICD-11 adoption is inevitable.

The Panic Factor: Why Waiting Is Risky

Delaying ICD-11 adoption will result in:

  • Skills gap for coders and HIM professionals
  • Costly, rushed transitions later
  • Fragmented analytics between global partners
  • Reduced competitiveness in health research

Other countries are already moving forward.

The longer the U.S. waits, the steeper the learning curve becomes.

What the U.S. Should Do Now (Practical Steps)

  1. Start ICD-11 education early
  2. Train coders beyond “code lookup” into clinical logic
  3. Pilot ICD-11 in:
    • Research
    • Public health
    • Analytics environments
  4. Build dual-system competency (ICD-10 + ICD-11) during transition years
  5. Prepare HIM leaders for data governance, not just billing

Final Thought: ICD-11 Is a Mindset Shift

ICD-11 is not just:

  • More codes
  • New numbers
  • Another compliance task

It represents a shift from:

“Coding for claims” → “Coding for healthcare intelligence”

The real risk is not ICD-11 itself.
The real risk is treating it as just another code update.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer

PMBAUSA LLC provide CMC-ICD-11 Training and Credential

Official WHO ICD-11 URLs

🔹 ICD-11 Browser (Main Platform)

👉 https://icd.who.int/browse11
Interactive ICD-11 browser with full classification

🔹 ICD-11 Home Page (WHO)

👉 https://www.who.int/standards/classifications/classification-of-diseases
Overview of ICD-11, purpose, and global adoption

🔹 ICD-11 Coding Tool

👉 https://icd.who.int/ct11
Smart search tool for finding ICD-11 codes

🔹 ICD-11 Implementation & Resources

👉 https://icd.who.int/icd11refguide/en
Official reference guide, rules, and coding guidance

🔹 ICD-11 API / Digital Integration

👉 https://icd.who.int/icdapi
For EHRs, interoperability, and system integration

🔹 ICD-11 Training & Education (WHO)

👉 https://www.who.int/teams/classification-of-diseases/training
Official WHO learning resources

Disclaimer The information provided is intended for educational and informational purposes only and should not be considered medical, legal, coding, or reimbursement advice. Coding guidelines, policies, and regulatory requirements are subject to change. Readers are advised to refer to official and authoritative sources, including the World Health Organization (WHO), Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), and American Health Information Management Association (AHIMA) for the most current and accurate guidance.

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Why AI Is No Longer Optional for Medical Coders and Billers in 2026

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Why AI Is No Longer Optional for Medical Coders and Billers

Medical Necessity, Denials, and the Rise of Agentic AI in Revenue Protection

Most hospital leaders clearly understand the financial risk associated with prior authorization failures. However, a far more complex and costly source of revenue leakage is now drawing serious attention across the healthcare industry — claim denials tied to medical necessity.

Unlike technical denials, medical necessity denials are harder to predict, more difficult to appeal, and significantly more expensive to resolve. Even when a procedure is properly authorized, reimbursement can still be denied if the diagnosis codes, clinical rationale, or documentation do not adequately support the service.

This growing challenge is precisely where Artificial Intelligence, particularly agentic AI, is transforming the role of medical coders and billers.

Prior Authorization Is Not Reimbursement Assurance

Prior authorization determines whether a service is covered and considered appropriate before care is delivered. However, authorization does not guarantee payment.

Medical necessity denials occur after services are rendered, when payers retrospectively review documentation to determine whether the care was clinically justified. These reviews often apply entirely different criteria than those used during authorization.

For coders and billers, this creates a dangerous gap — one that manual workflows struggle to close.

How AI Changes Medical Necessity Validation

AI applied to medical necessity does not replace coders. Instead, it augments human expertise by embedding clinical and payer logic into the pre-claim workflow.

Agentic AI supports medical necessity by:

  • Reviewing both structured and unstructured clinical documentation

  • Evaluating whether ICD diagnosis codes truly support the CPT procedures billed

  • Flagging mismatches, weak clinical justification, or missing documentation

  • Applying payer-specific coverage policies at the point of coding

  • Identifying denial risk before claims are submitted

The objective is simple but powerful — prevent avoidable denials by getting claims right the first time.

Why Hospitals Are Shifting Focus to Medical Necessity AI

Medical necessity denials typically require peer-level review and are far more complex than technical rejections. They often surface weeks after services are provided, making correction time-consuming and costly.

With staffing shortages, increasing audit pressure, and constantly evolving payer rules, healthcare organizations can no longer rely solely on post-denial correction strategies.

AI-driven medical necessity validation offers a proactive alternative by giving coding, CDI, and revenue integrity teams early visibility into documentation gaps.

A Real-World Use Case That Matters to Coders

In one real-world implementation, a national diagnostics provider applied AI to review referrals and order documentation before claim submission.

The AI agent:

  • Checked CPT and ICD combinations against payer rules

  • Flagged cases lacking sufficient clinical support

  • Allowed coders and billers to correct documentation gaps early

The real value was not just automation — it was assurance. Coders gained confidence that claims were aligned with payer expectations, reducing uncertainty, rework, and appeals.

Where AI Fits in the Revenue Cycle

AI-driven medical necessity validation operates upstream of billing, between documentation and coding — the most flexible and impactful stage of the revenue cycle.

When applied correctly, AI can:

  • Integrate with EHR and RCM platforms

  • Flag high-risk claims before submission

  • Improve first-pass claim acceptance rates

  • Reduce appeal workloads and rework hours

  • Support coders, CDI specialists, and revenue integrity teams

The result is faster reimbursement, fewer denials, and stronger documentation alignment.

Why Medical Coders and Billers Must Understand AI

As payers become more sophisticated, coders and billers who rely only on manual processes face increasing risk. AI is no longer a back-office experiment — it is becoming a core competency in modern medical coding and billing.

Professionals who understand:

  • How AI reviews documentation

  • How payer logic is applied algorithmically

  • How to validate and override AI suggestions when clinically appropriate

will be the ones who remain relevant, trusted, and in demand.

CAIMC® — Preparing Coders for the AI-Driven Future

The CAIMC® – Certified AI Medical Coder credential is designed to bridge the gap between traditional coding skills and AI-enabled workflows.

CAIMC® focuses on:

  • AI-assisted coding concepts

  • Medical necessity validation logic

  • Documentation integrity and compliance

  • Human-AI collaboration in real-world coding environments

As agentic AI becomes embedded in revenue cycle operations, coders and billers with AI literacy will play a critical role in protecting reimbursement and compliance.

Raising the Bar on Documentation and Reimbursement Accuracy

Healthcare organizations can no longer afford to address medical necessity denials after claims are submitted. The cost is too high, and the complexity is increasing.

AI brings clinical and financial logic together before submission, allowing teams to act early — when corrections are still possible.

For medical coders and billers, AI is not a threat. It is a tool for precision, confidence, and career longevity.

MEDESUN Medical Coding Academy provides AI Integrated Medical Coding Training .

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer
Assuring the best services,
Medesun Healthcare Solutions
Disclaimer – This content is for educational and informational purposes only. It does not constitute legal, regulatory, or professional advice. Outcomes may vary based on payer policies, documentation, and organizational practice
Medical coder reviewing E/M claim audit alerts and payer policy updates for Anthem Blue Cross 2026

Medical Coders Alert: Anthem’s E/M Policy Could Change Everything

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Expert insights from Dr Santosh Guptha, CEO Medesun, bringing 21 years experience, 45 certifications, world record holder in medical coding and billing.

Anthem Blue Cross E/M Policy 2026: Why Medical Coders Must Pay Attention Now

A Major E/M Policy Change Is Coming — And It Impacts Coders Directly

Medical coders and billers should be on high alert.

The California Medical Association (CMA) has formally urged Anthem Blue Cross to rescind a newly announced Evaluation and Management (E/M) claim review policy scheduled to take effect on February 15, 2026. CMA warns that the policy could lead to improper downcoding, delayed payments, and a significant increase in administrative burden for physician practices.

For medical coders, this policy is not just a payer update — it is a workflow, compliance, and revenue integrity issue.

What Is Anthem’s New E/M Claim Review Policy?

According to Anthem’s November 13 provider notice, physicians who are identified as billing higher-level E/M codes compared to peers with similar risk-adjusted patients will be subjected to additional claim scrutiny.

Key concern for coders:
The review appears to rely only on claim-level data, not full medical record review.

Claims flagged under this policy may be:

  • Automatically downcoded to a lower E/M level

  • Suspended until medical records are submitted

  • Rejected for reimbursement unless resubmitted at a lower E/M level

This directly places coding accuracy, documentation quality, and E/M defensibility under the microscope.

Why Medical Coders Should Be Concerned

1. Lack of Transparency Creates Coding Risk

CMA states that Anthem has not clearly disclosed:

  • Which E/M codes are affected

  • What benchmarks or algorithms define “higher than peers”

  • How the “appropriate” E/M level will be determined

Without transparency, coders cannot predict payer behavior, making clean-claim submission more difficult.

2. Conflict With National E/M Coding Standards

This is a critical point for coders.

Since 2021, E/M levels are determined by:

  • Medical Decision Making (MDM), or

  • Total Time spent on the date of service

These standards are defined by:

  • AMA CPT® guidelines

  • CMS E/M rules

Automatic downcoding without reviewing the medical record ignores these rules and undermines the E/M framework coders are trained to follow.

3. Increased Denials, Appeals, and Rework

From a revenue cycle perspective, this policy could:

  • Increase medical record requests

  • Delay claim payments

  • Drive up appeals and rework

Industry data shows:

  • $40–$75 cost to providers per appealed claim

  • $50–$150 cost to payers per appeal

For coders, this means more follow-ups, more corrections, and more pressure — without added reimbursement.

What CMA Is Asking Anthem to Do

CMA is urging Anthem to:

  • Rescind the policy before Feb. 15, 2026

  • Replace broad penalties with targeted education

  • Collaborate with identified outliers instead of applying blanket claim actions

The message is clear:
Educate, don’t penalize. Audit with transparency, not algorithms alone.

What Medical Coders and Billers Should Do Now

Immediate Action Steps

Medical coders should:

  • Strengthen E/M documentation reviews, especially MDM elements

  • Ensure time-based coding is clearly supported when used

  • Prepare for payer scrutiny driven by analytics, not charts

  • Educate providers on clear MDM risk, data, and complexity language

  • Track Anthem-specific denials and downcoding trends

  • Ensure hire skilled medical coders who has undergone best medical coding training

This policy reinforces a reality coders must accept:

E/M coding is no longer just about guidelines — it is about defensibility.

The Anthem E/M policy controversy highlights a growing trend:
Payers are using peer comparison and claim analytics to drive reimbursement decisions.

For medical coders, success in 2026 and beyond will depend on:

  • Deep understanding of E/M MDM rules

  • Audit-ready documentation

  • Payer-specific compliance awareness

  • Proactive education, not reactive appeals

Coders are no longer just code assigners —
they are becoming revenue protection and compliance professionals.

FIMC-EM Fellowship in E/M Coding helps coders master documentation, compliance, audit readiness, payer rules, and accurate E/M level selection with confidence.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer
Assuring the best services,
Medesun Medical Coding Academy
Dislcaimer –

This content is intended for educational purposes only. It does not constitute legal, medical, or billing advice. Coding, reimbursement, and payer policies vary and change frequently. Always consult official CMS, CPT, and payer guidelines for accurate and current information.

“New rules in lab tests billing 2026 CMS explained for medical coders and billers by Medesun Medical Coding Academy”

2026 CMS Lab Billing Changes Every Medical Coder and Biller Must Understand

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Starting January 1, 2026, the Centers for Medicare & Medicaid Services (CMS) finalized major updates to the Clinical Laboratory Fee Schedule (CLFS) that are changing how laboratory services are billed across the United States.

For years, many lab-related services were bundled—the cost of collecting a specimen was quietly included in the price of the test itself. In 2026, CMS has moved toward a specimen-first, unbundled billing model. The result? More line items on lab bills, even when the visit itself hasn’t changed.

1. Specimen Collection Fees Are Now Separately Payable (36415 & G0471)

One of the most visible 2026 changes is the expanded use of separately payable specimen collection codes.

Under the CY 2026 CLFS Annual Update, CMS now allows distinct payment for:

  • 36415 – Routine venipuncture
  • G0471 – Collection of a specimen from a single patient by a laboratory

Previously, the labor, supplies, and staff time required to collect a specimen were often bundled into the lab test payment. In 2026, CMS has explicitly recognized specimen collection as a standalone service.

What patients  are seeing

  • A separate charge (often $5–$15) labeled:
    • “Venipuncture”
    • “Specimen collection”
    • “Blood draw”

This is not an error—it reflects CMS’s intent to make specimen handling costs visible and traceable.

2. Professional vs. Technical Components: More Tests Are Split

Another important shift in 2026 is the expanded application of Professional (PC) and Technical (TC) components to diagnostic services.

  • Technical Component (TC)
    Covers:

    • Equipment
    • Reagents
    • Laboratory technologist time
  • Professional Component (PC)
    Covers:

    • Physician or pathologist interpretation
    • Clinical judgment and reporting

While this split has long been familiar in imaging (X-rays, CTs), CMS is now applying it to more high-complexity laboratory tests.

Why this matters

  • A physician or pathologist can bill separately for interpretation
  • Especially relevant when the interpreting provider is not located at the same facility as the lab equipment

3. Clinical Laboratory Travel Fees Are No Longer Hidden (P9603 & P9604)

For homebound patients, nursing facility residents, and long-term care populations, CMS has clarified billing for laboratory travel.

Newly emphasized 2026 codes include:

  • P9603 – Travel allowance, per mile
  • P9604 – Travel allowance, flat rate

These codes apply only when a lab technician travels to the patient to collect a specimen.

Why CMS made this change

  • Rising fuel costs
  • Specialized transport requirements
  • Increased staffing expenses

Previously, these costs were often absorbed by labs or buried within broader care bundles. In 2026, they are separately reportable laboratory services.

4. Advanced Diagnostic Laboratory Tests (ADLTs): Always Unbundled

CMS continues to treat Advanced Diagnostic Laboratory Tests (ADLTs) as a special category.

These tests often involve:

  • Genetic sequencing
  • Molecular diagnostics
  • Algorithm-based result interpretation

Key 2026 rules

  • ADLTs are exempt from the 15% annual payment reduction cap
  • Pricing is based on market-based data, not a fixed government rate
  • Typically billed as standalone services

 

5. “Reasonable Charge” Basis Services: Variable Pricing Returns

While most lab services follow fixed CLFS rates, CMS has moved certain tests in 2026 to a “Reasonable Charge” basis.

This includes some:

  • Specialized cytology tests
  • Certain Pap smear-related services

Payments are adjusted annually using the Consumer Price Index (CPI), which increased 1.9% for 2026.

What this means for patients

  • Charges may vary by:
    • Region
    • Facility
    • Practice setting
  • Predicting out-of-pocket costs becomes more difficult for “routine” screenings

CMS’s broader goal is transparency and site-neutral payment accuracy. By unbundling specimen collection, travel, interpretation, and analysis, policymakers can better track where healthcare dollars are actually spent.

For patients and providers, however, this means:

  • More line items
  • More codes on the Explanation of Benefits (EOB)
  • A greater need for billing literacy

Final Thoughts from a Medical Coder

Having coded through decades of CMS changes, I can say this clearly:
2026 is not about overbilling—it’s about visibility.

But visibility only helps when coding is accurate, compliant, and ethical.

Whether you are a:

  • Patient reviewing your bill
  • Provider adapting workflows
  • Medical coder updating rule sets

Understanding these CLFS changes is no longer optional—it’s essential.

References (2026)

  1. Official CMS & Federal References

    1. CMS – Clinical Laboratory Fee Schedule (CLFS)
      https://www.cms.gov/medicare/payment/clinical-laboratory-fee-schedule

    2. CMS – CY 2026 Medicare Physician Fee Schedule (PFS) Final Rule
      https://www.cms.gov/medicare/payment/physicianfeesched

    3. Federal Register – Medicare Payment Policies (Final Rules)
      https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services

    4. CMS Medicare Claims Processing Manual – Chapter 16 (Laboratory Services)
      https://www.cms.gov/regulations-and-guidance/guidance/manuals/internet-only-manuals-ioms

    5. CMS – Specimen Collection & Venipuncture Billing Guidance
      https://www.cms.gov/medicare-coverage-database

    6. CMS – Advanced Diagnostic Laboratory Tests (ADLTs)
      https://www.cms.gov/medicare/payment/clinical-laboratory-fee-schedule/adlt

    7. CMS – P9603 & P9604 Travel Allowance Codes (Laboratory Services)
      https://www.cms.gov/medicare/medicare-fee-for-service-payment/clinical-lab-fee-schedule

    8. CMS – CPT® & HCPCS Coding Updates
      https://www.cms.gov/medicare/coding

For ongoing updates, audits, and medical coding education, follow MedesunGlobal.com.

This content is for educational purposes only and does not constitute medical, legal, or billing advice. Coding and reimbursement rules may vary by payer and are subject to change. Always refer to official CMS guidelines, CPT® manuals, and payer policies for accurate and current information.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer
Medical Coding Jobs

ASC Coding in 2026 New Opportunities for Outpatient Coders

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On Nov 21, CMS finalized the 2026 Hospital Outpatient Prospective Payment System OPPS and Ambulatory Surgical Center ASC rule

  • The rule focuses on

    • Expanding outpatient care

    • Reducing inpatient only services

    • Improving hospital price transparency

    • Strengthening safety and accountability

  • These changes increase workload and job demand for coders billers auditors and compliance teams

Hospital Outpatient and ASC Changes

  • CMS is phasing out the inpatient only list over three years

  • In 2026

    • 285 procedures removed from the inpatient only list

    • 289 procedures added to the ASC covered list

    • Most procedures are musculoskeletal and surgical

  • Medicare can still pay for these procedures in hospital outpatient departments when clinically appropriate

Impact

  • More surgeries will shift to outpatient and ASC settings

  • Higher demand for OPPS APC coding skills

  • Increased focus on medical necessity documentation

  • CMS continues the two midnight policy review exemption for procedures removed from the inpatient only list

  • This remains in place until CMS confirms the procedures are more common in ASCs

Impact

  • Reduced immediate audit pressure

  • Documentation accuracy remains critical

  • Outpatient payment rates will increase by 2.6 percent in 2026 for hospitals meeting quality reporting requirements

Impact

  • Strong link between quality reporting and revenue

  • Clean claims and correct coding become more important

  • ASC payment rates will continue to use the hospital market basket update

  • CMS will continue monitoring outpatient procedure migration

Impact

  • Growth in ASC coding and billing roles

  • Increased demand for surgery and anesthesia coding expertise

  • CMS will align payments for certain outpatient services across hospital outpatient departments and off campus facilities

  • This supports site neutral payments

Impact

  • More payer edits related to place of service

  • Higher risk of denials if site selection is incorrect

  • CMS will continue the two tier payment system for intensive outpatient program services

  • One payment tier for three services per day

  • Higher tier for four or more services per day

Impact

  • Accurate service counting and documentation required

  • Increased outpatient behavioral health billing activity

  • CMS estimates the rule will save Medicare and beneficiaries billions by reducing unnecessary services

Impact

  • Increased audits

  • Greater focus on payment integrity and compliance

Hospital Price Transparency Updates

  • Hospitals must now publish actual consumer friendly prices, not estimates

  • Noncompliance can result in civil monetary penalties

Impact

  • More internal audits of charge data

  • Coding and billing accuracy directly affect compliance

  • From Jan 1 2026, hospitals must include in machine readable files

    • Median allowed amount

    • 10th percentile allowed amount

    • 90th percentile allowed amount

  • Enforcement of some requirements delayed to Apr 1 2026

Impact

  • Increased data validation work

  • Billing and finance teams must align remittance data

  • Hospitals must attest that pricing data is accurate complete and current

  • All payer specific negotiated charges must be included

Impact

  • Higher accountability for errors

  • Coding billing and contract mismatches can create risk

  • Hospitals must list the name of a senior executive responsible for pricing data accuracy

Impact

  • Greater leadership oversight

  • Less tolerance for billing and coding errors

  • CMS requires hospitals to include Type 2 NPIs in pricing files

Impact

  • Accurate facility identifiers become critical

  • Errors affect reporting and comparisons

  • Hospitals that accept CMS noncompliance findings may receive reduced penalties, except in serious violations

Impact

  • Compliance prevention becomes a priority

  • More routine internal checks

CMS Hospital Star Ratings Change

  • From 2026

    • Hospitals in the lowest safety quartile cannot receive a 5 star rating

  • In future years

    • Poor safety performance may lead to automatic rating downgrades

Impact

  • Quality and safety documentation gain importance

  • Accurate coding supports valid quality reporting

What This Means for Careers

  • Outpatient coding jobs will grow faster than inpatient roles

  • ASC coding billing and QA demand will increase

  • Denials appeals and AR workloads will rise

  • Audit and compliance roles will expand

  • India based RCM teams benefit from increased outsourcing

  • CMS 2026 OPPS and ASC rule means

    • More outpatient volume – More demand for Medical Coders

    • More compliance work, 

    • Demand more for Surgery Coders

    • More audits and documentation review

    • More jobs for skilled medical coders and billers

For students and professionals, outpatient expertise compliance knowledge and certification are the keys to success in 2026 and beyond.

Reference-https://www.beckershospitalreview.com/finance/cms-finalizes-2026-physician-fee-schedule-12-notes/

Disclaimer:
This article is for educational and informational purposes only. It reflects industry interpretations of current CMS policies and should not be considered legal, regulatory, or reimbursement advice. Guidelines and regulations may change, and readers should refer to official CMS publications for final guidance.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer
Assuring the best services,
Medesun Healthcare Solutions
Medical Coding Jobs

The Great Outsourcing Wave: How CMS 2026 Policies Boost Indian Medical Coding and RCM Jobs

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The year 2026 is a defining milestone for the global healthcare industry. Major policy reforms in the United States related to reimbursement, audits, prior authorization, risk adjustment, price transparency, and artificial intelligence are reshaping how healthcare organizations function.

While these changes increase compliance pressure for US providers, they create massive long term opportunities for India, especially for skilled medical coders and billers.

For professionals trained through MEDESUN, this transition represents career stability, higher salaries, and global relevance.

Increased Outsourcing of US Medical Coding and Billing to India

As US healthcare providers face rising compliance costs and stricter regulations, outsourcing has become a strategic necessity. India continues to be the preferred global destination for US healthcare revenue cycle management services.

Indian teams are increasingly handling

  • High volume US medical coding

  • Backlog and audit clean up projects

  • HCC and risk adjustment coding

  • Prior authorization and utilization review

  • Denial management and appeals

India Impact

  • More US healthcare projects routed to Indian RCM companies

  • Consistent hiring of trained US medical coders and billers

  • Expansion of offshore delivery centers in major Indian cities

Shift Toward Policy Aware and Certified Medical Coders

The 2026 policy environment introduces more audits, stricter documentation rules, and payer specific compliance requirements.

US clients now expect Indian vendors to provide

  • Experienced medical coders

  • Quality analysts and audit professionals

  • Documentation and compliance reviewers

India Impact

  • Clear salary differentiation between certified and non certified coders

  • High demand for CPC, CCS, CRC, CPMA, FIMC, CAIMC and HCC certified professionals

  • Certification and experience become mandatory for career growth

Rapid Growth of HCC and Risk Adjustment Careers in India

Value based care models and Medicare Advantage scrutiny are driving explosive demand for accurate HCC coding and RAF validation.

High growth roles include

  • HCC medical coder

  • Risk adjustment auditor

  • Prospective and retrospective review specialist

  • Risk adjustment QA analyst

India Impact

  • Strong hiring in Hyderabad, Chennai, Bangalore, Pune, and Noida

  • Premium compensation for experienced HCC coders

  • Long term career security in risk adjustment roles

Medical Billing and AR Jobs Will Continue to Grow

Despite automation myths, stricter US healthcare policies actually increase billing and AR workloads.

With tighter prior authorization rules, higher denial rates, and complex claim edits, Indian billing teams play a critical role in

  • Accounts receivable calling and follow ups

  • Denial analysis and appeal drafting

  • Claim resubmission and payer communication

India Impact

  • Expansion of medical billing and AR teams

  • Strong entry level opportunities for freshers

  • Defined career pathways from AR to billing to coding and QA

AI Will Enhance Medical Coding Jobs Not Eliminate Them

Artificial intelligence is transforming workflows by assisting coders with

  • Code suggestions

  • Documentation gap identification

  • Pre screening of medical records

However, final responsibility remains with human coders due to audit risk, legal accountability, and CMS compliance requirements.

India Impact

  • High demand for AI assisted medical coders with compliance expertise

  • Emergence of hybrid roles such as AI assisted coder and audit reviewer

  • Decline only for non skilled button based coding roles

Strong Growth in Medical Coding Training and Certification

As compliance expectations rise, US clients increasingly insist on certified and audit ready professionals.

High demand training areas include

  • CPC, CCS, CRC certification programs

  • HCC and risk adjustment specialization

  • IP DRG and OPPS coding mastery

  • AI assisted medical coding and compliance education

India Impact

  • Rapid expansion of medical coding academies and fellowships

  • Faster placements for certified MEDESUN trained professionals

  • Higher trust from global healthcare organizations

India Medical Coding Job Market Outlook 2026 to 2028

  • US medical coding jobs will show strong growth in India

  • HCC and risk adjustment roles will grow at a very high rate

  • Medical billing and AR jobs will remain stable and expanding

  • QA and audit analyst demand will increase significantly

  • AI assisted coding roles will emerge as a high value career path

The 2026 US healthcare policy changes are positive for India.

They result in

  • Increased outsourcing to India

  • More compliance driven healthcare work

  • Higher demand for specialized and certified professionals

  • Long term and sustainable careers in medical coding and billing

Only non certified and non upskilled roles may decline.

At MEDESUN, we prepare professionals not just for jobs, but for future ready global healthcare careers through certification driven, policy aligned, and AI enabled medical coding education.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer

References –

https://www.cms.gov/newsroom/press-releases/cms-finalizes-rule-expand-access-health-information-and-improve-prior-authorization-process?

https://www.cms.gov/newsroom/fact-sheets/hhs-notice-benefit-and-payment-parameters-2026-final-rule

https://www.beckershospitalreview.com/finance/cms-finalizes-2026-physician-fee-schedule-12-notes/

 

Disclaimer- The views and insights shared in this article by Dr Santosh Guptha are for educational and informational purposes only. They reflect professional opinions based on industry experience and current policy trends and do not constitute legal, regulatory, or employment advice. Career outcomes may vary based on individual skills, certifications, and market conditions.

Colonoscopy Coding

Colonoscopy Screening Coding Essentials – Expert Insights by Dr. Santosh Kumar Guptha

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Screening and diagnostic colonoscopy services remains a high risk and high impact area for providers, ASCs, and billing teams. With audits increasing and payer scrutiny tightening, coders must clearly understand the distinction between average risk screening, high risk screening, and diagnostic colonoscopy.

What Is Screening Colonoscopy

Screening colonoscopy is performed on a patient without signs or symptoms of colorectal disease. The purpose is early detection and prevention, not diagnosis of an existing condition.

According to Medicare guidelines published by the Centers for Medicare and Medicaid Services CMS, an average risk patient is defined as one who has

No personal history of adenomatous polyps

No family history of colorectal cancer

No history of inflammatory bowel disease

For average risk Medicare beneficiaries, screening colonoscopy is reported using

G0121 for Medicare

45378 for commercial insurance Medicaid exchange marketplace plans and TRICARE

An appropriate ICD 10 CM screening diagnosis code must be linked to support preventive intent

Most payers allow screening colonoscopy eligibility at or after age 50, although some commercial plans may permit earlier screening based on updated preventive guidelines.

For official Medicare guidance coders should regularly review CMS screening policy updates available on the CMS website.

Understanding High Risk Status for Colorectal Cancer Screening

A patient is considered high risk for colorectal cancer screening when one or more qualifying conditions are present. High risk classification allows earlier and more frequent screening, often at intervals less than once every 10 years, depending on payer and clinical guidelines.

Correctly identifying high risk status is critical for medical necessity, proper reimbursement, and audit defense.

ICD 10 CM Codes That Define High Risk Status

The following ICD 10 CM codes commonly support high risk colorectal cancer screening.

Personal History

Z86.010 Personal history of colonic polyps

Z85.038 Personal history of malignant neoplasm of large intestine

Family History

Z80.0 Family history of malignant neoplasm of digestive organs

Z83.79 Family history of other diseases of the digestive system

Inflammatory Bowel Disease

K50.00 through K50.919 Crohn’s disease with site and complication specificity

K51.00 through K51.919 Ulcerative colitis with site and complication specificity

Key Coding and Compliance Tips from Dr. Santosh Kumar Guptha

Patients with any of the above ICD 10 CM codes are classified as high risk

High risk status supports earlier and more frequent screening colonoscopy

Screening frequency must align with payer policy and documentation

History and family history Z codes must be accurately reported to avoid denials

Improper classification of high risk patients as average risk can result in payment recoupments during audits

Documentation should clearly support absence or presence of symptoms to distinguish screening from diagnostic intent

Dr. Santosh Guptha emphasizes that many denials occur not due to incorrect CPT selection, but due to incorrect or missing ICD 10 CM history codes, especially during payer reviews and RAC audits.

Screening colonoscopy coding is not just about choosing the correct CPT code. It requires a strong understanding of risk stratification, payer definitions, and accurate ICD 10 CM history reporting. With increasing audits and evolving preventive care guidelines, coders must stay updated and compliant.

At MEDESUN Medical Coding Academy, these concepts are taught using real world audit scenarios, payer policies, and case based learning, guided by Dr. Santosh Kumar Guptha’s two decades of industry leadership.

For authoritative references, coders are encouraged to review

CMS preventive services and colonoscopy screening policies on the CMS website

Medicare Coverage Determinations and MLN publications

PMBAUSA LLC offers FIMC Gastroenterology Coding, a Fellowship in Gastroenterology Coding designed for advanced specialty training.
This fellowship focuses on real world GI coding scenarios, endoscopy guidelines, and audit ready documentation.
The program is structured for certified coders seeking deeper expertise in gastroenterology reimbursement and compliance.
FIMC Gastroenterology Coding is a voluntary fellowship credential aimed at skill enhancement and professional growth. Visit www.pmbausa.com

AI Medical Coding

Cleveland Clinic’s AI Coding Move and What It Means for Medical Coders – Insights from Dr. Santosh Guptha, Medesun

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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 encounter

They choose from more than 140,000 ICD-10, CPT, and HCPCS codes

Manual coding can take up to one hour per case

The AI solution helps:

Automate routine, repetitive coding tasks

Identify which steps can be automated

Flag cases that require human judgment and clinical reasoning

Early results showed improved speed and accuracy, smoother prior authorizations, fewer delays in care, and a better patient experience.

The Key Insight: AI Does Not Replace Coders — It Redefines Them

What Cleveland Clinic clearly demonstrated is this:

AI handles volume and repetition. Humans handle judgment, compliance, and accountability.

AI can:

Scan documentation faster

Suggest codes

Detect patterns

But AI cannot:

Interpret nuanced clinical intent

Resolve documentation gaps

Defend coding decisions during audits

Apply payer-specific rules intelligently

Understand compliance risk the way a trained coder can

In fact, as AI becomes more powerful, coding errors become more visible, more traceable, and more costly.

This means healthcare organizations will rely more heavily on highly skilled coders, not fewer.

Why Medical Coders Must Upskill Now

With AI entering the coding workflow:

Coders are no longer just code selectors

They are becoming validators, auditors, and compliance experts

Coders must understand how AI thinks, where it fails, and how to correct it

Future-ready coders must be able to:

Review AI-suggested codes critically

Identify undercoding and overcoding risks

Ensure medical necessity is fully supported

Prevent AI-triggered denials and payer flags

Work alongside AI, not compete with it

This is where advanced AI-focused coding education becomes essential.

How CAIMC® from PMBAUSA LLC Prepares Coders for the AI Era

The CAIMC® – Certified AI Medical Coder, offered by PMBAUSA LLC, is designed specifically for this new reality.

CAIMC® does not teach coders to fear AI — it teaches them to master it.

What CAIMC® Focuses On

How AI and NLP are used in medical coding workflows

Where AI makes mistakes in ICD-10 and CPT selection

Human validation of AI-generated codes

Documentation improvement for AI-driven systems

Audit readiness in automated coding environments

Compliance, ethics, and accountability in AI-assisted coding

CAIMC® trains coders to become:

AI-aware coders

Audit-resilient professionals

Revenue-protecting specialists

Future-proof healthcare experts

Why CAIMC® Matters More Now Than Ever

As large health systems like Cleveland Clinic adopt AI:

Employers will prefer coders who understand AI logic

Coders without AI knowledge may struggle to stay relevant

Certification alone is not enough — AI literacy is critical

CAIMC® bridges the gap between:

Traditional medical coding

Advanced healthcare technology

Real-world revenue cycle operations

The Future Belongs to AI-Enabled Coders

AI is not eliminating medical coding — it is raising the bar.

Healthcare organizations want coders who can:

Work faster with AI

Think deeper than AI

Protect revenue where AI cannot

Ensure compliance in an automated world

Cleveland Clinic’s move confirms what the industry already knows:

The future of medical coding belongs to professionals who combine clinical knowledge, coding expertise, and AI intelligence.

With CAIMC® from PMBAUSA LLC, Medesun is proud to help medical coders step confidently into that future.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer

Assuring the best services,
Medesun Healthcare Solutions

Reference – https://www.beckershospitalreview.com/healthcare-information-technology/ai/cleveland-clinic-taps-ai-to-streamline-medical-coding/
https://consultqd.clevelandclinic.org/ai-tools-boost-efficiency-patient-experience

Medical Coding

Medical Coding Errors Will Now Be Public – The Price Transparency Shock

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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 patients and employers. While this change is designed to empower consumers, it also has a direct and significant impact on the medical coding industry.

For medical coders, this is not a threat — it is a major opportunity.

What Is Price Transparency and Why It Matters

Price transparency rules require health insurers and providers to publicly disclose negotiated rates for medical services. These prices are published using machine-readable files that are directly linked to CPT and ICD-10 codes.

In simple terms, the price a patient sees online is only as accurate as the medical code behind it.

As transparency rules become stricter and enforcement increases, errors that were once internal to billing systems will now be visible to:

Patients

Employers

Regulators

Auditors

This dramatically raises the stakes for coding accuracy.

How Price Transparency Impacts Medical Coding
1. Coding Accuracy Is Now Publicly Visible

Earlier, coding errors mainly affected claim payments and internal audits. Under price transparency, incorrect coding can lead to incorrect public pricing, damaging a provider’s credibility and triggering payer reviews.

This puts skilled medical coders at the center of compliance and reputation management.

2. Increased Scrutiny from Payers and Regulators

When insurers publish pricing tied to codes, unusual patterns such as overuse of high-level codes, unbundling, or diagnosis-procedure mismatches become easier to identify.

This will lead to:

More payer audits

More documentation reviews

Greater demand for experienced and specialty-trained coders

3. Strong Documentation Becomes Critical

Clear clinical documentation is essential to justify the codes that drive published prices. Coders must be able to:

Link diagnoses correctly to procedures

Apply bundling and modifier rules accurately

Ensure medical necessity is clearly supported

This elevates the role of coders from data entry professionals to compliance and quality experts.

4. Growing Demand for Advanced and Speciality Coders

As transparency increases, healthcare organizations will look for coders who can:

Handle complex inpatient and surgical coding

Work in audit and quality assurance roles

Understand payer-specific rules and compliance standards

Speciality areas such as neurology, neurosurgery, SNF coding, inpatient DRG coding, and risk adjustment are expected to see especially strong demand.

What This Means for Medical Coders

The future belongs to coders who are:

Highly skilled

Continuously trained

Comfortable with audits and compliance

Able to code accurately in complex scenarios

Price transparency does not reduce the need for coders — it increases the need for better coders.

Medesun’s Role in Preparing Future-Ready Coders

At Medesun, we recognize that healthcare regulations and expectations are evolving rapidly. Our training programs are designed to prepare medical coders not just to pass exams, but to perform confidently in real-world, high-scrutiny environments.

By focusing on:

Advanced specialty coding

Documentation-driven coding

Audit and compliance readiness

Real-time case-based learning

Reference – https://www.cms.gov/newsroom/press-releases/trump-administration-proposes-significant-updates-disclosure-requirements-make-health-care-prices

Medesun ensures that coders are ready for the next phase of healthcare transparency and accountability.

Price transparency is reshaping healthcare economics, and medical coding sits at the heart of this transformation. As pricing data becomes public, accurate coding is no longer optional — it is essential.

For medical coders, this moment represents growth, relevance, and long-term career stability. For healthcare organizations, investing in skilled coders is no longer a choice — it is a necessity.

The future of healthcare transparency depends on the strength of medical coding, and that future has already begun.

Dr. Santosh Kumar Guptha Trainer/Author
CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer

Assuring the best services, MEDESUN Medical Coding Academy
Medical Coding

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