On January 1, 2021, new evaluation and management (E&M) coding guidelines for clinical office visits go into effect across the US. These guidelines, which reflect the most significant change in E&M ...

ICD-10-CM coding can be challenging for coders in the outpatient setting. It is important to remember that the Official ICD-10-CM Guidelines for Coding and Reporting provide a road map to ensure ...

Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing for ...

For far too long, health insurers have been treating people with mental health and substance use disorders like second-class citizens. A federal court recently ruled that this must stop. Employers and ...

Payers are blaming “aggressive provider coding” for driving up medical costs, but health systems are pushing back on that narrative, arguing that the real issue lies not in upcoding, but in ...

Measurement frameworks can shift anecdotal validation to trackable results, offering proof that behavioral healthcare can generate tangible ROI. Despite decades of evidence linking behavioral health ...

A federal judge ruled Tuesday that United Behavioral Health breached its fiduciary duty to patients by using unreasonable and overly restrictive guidelines to make coverage decisions for tens of ...