Risk adjustment involves billing diagnosis information that is properly supported in the medical record. It estimates the expected annual cost of care and aligns payments to the complexity of a patient’s conditions. Because payments rise with diagnosis severity, an...
With the Lymphedema Treatment Act from 2024 now in effect, payer coverage for lymphedema treatment has expanded. While this is a positive development for patients, it also increases the risk of inadvertent billing errors and potentially inappropriate billing...
When it comes to healing, sometimes our skin needs a little more than a kiss it and make it better approach. Complex, non-healing, or chronic wounds require clinical interventions to jump start the body’s natural healing process. These specialized procedures are...
Recent actions by the Centers for Medicare & Medicaid Services (CMS), including targeted spending reviews and the Comprehensive Regulations to Uncover Suspicious Healthcare initiative, known as CRUSH, reflect a measurable shift in federal oversight expectations....
The American Dental Association (ADA) introduced significant updates to the Current Dental Terminology (CDT) code set in 2026. These changes reflect an industry shift toward advanced technology and a more nuanced approach to patient care. However, if these new codes...
