2026 CMS Lab Billing Changes Every Medical Coder and Biller Must Understand
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...
ASC Coding in 2026 New Opportunities for Outpatient Coders
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...
The Great Outsourcing Wave: How CMS 2026 Policies Boost Indian Medical Coding and RCM Jobs
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...
Colonoscopy Screening Coding Essentials – Expert Insights by Dr. Santosh Kumar Guptha
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...
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...