CMS Audits Are Rising HCC Coding Errors Can End Careers and Cost Employers Contracts
Medicare Advantage Audits Are Changing — My Advice After 21 Years in Medical Coding By Dr Santosh Guptha In my 21 years of working in medical coding, auditing, and compliance, I have seen many regulatory shifts. Some created noise. Others...
Medical Coding Transparency: 10 Codes That Deserve Closer Attention in 2026
By Dr Santosh Guptha , CEO-MEDESUN Healthcare Solutions21+ Years Experience in Medical Coding, Billing Audits, and Compliance In my 21 years of working inside hospitals, payer audits, and real-world billing disputes, I’ve learned that unexpected medical bills are rarely caused...
AI in Medical Coding: A $10.8 Billion Opportunity Reshaping Healthcare Revenue
The global AI in medical coding market is valued at USD 3.41 billion in 2025. The market is expected to grow to USD 10.84 billion by 2034. Growth rate is strong, with a CAGR of 13.76% from 2026 to 2034....
Certification or Fellowship in Medical Coding: Which One Builds Real-World Skills
In medical coding, learning never truly stops. As guidelines change, audits increase, and compliance expectations become stricter, coders are constantly upgrading their skills. At this stage, many coders face a common question: Should I do another certification or enroll in...
7 Medicare Billing Codes Triggering Unexpected Charges (2026 Update)
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...
Global Healthcare Runs on ICD-11—U.S. Healthcare Still Doesn’t
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...
Why AI Is No Longer Optional for Medical Coders and Billers in 2026
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...
Medical Coders Alert: Anthem’s E/M Policy Could Change Everything
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...