State Specific Medical Coding Resources

articles, webinars, tips, links, forms, files and other resources for state specific coding, reimbursement and compliance


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recent articles

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Information Sharing with the Feds is Risky Business

by  David M. Glaser, Esq.

Over the last few weeks, a few articles of mine addressed interacting with government agents. One topic that I did not discuss was determining whether you can, should, or must share information with the government.  Unfortunately, it’s not possible to definitively answer that question for every topic, even in...

Government Shutdown Looming as Congress Dithers

by  Matthew Albright

Like most of the world, I procrastinate when paying my bills. I tend to put them off until the very last minute. And that pretty much explains Congress’s strategy last year – and they clearly plan on continuing this approach for 2024. The tough stuff, like funding a government,...

Artificial Intelligence in Healthcare - A Medical Coder's Perspective

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

We constantly hear how AI is creeping into every aspect of healthcare but what does that mean for medical coders and how can we better understand the language used in the codeset? Will AI take my place or will I learn with it and become an integral part of the process that uses AI to enhance my abilities? 

ICD-10-CM Coding of Chronic Obstructive Pulmonary Disease (COPD)

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Chronic respiratory disease is on the top 10 chronic disease list published by the National Institutes of Health (NIH). Although it is a chronic condition, it may be stable for some time and then suddenly become exacerbated and even impacted by another acute respiratory illness, such as bronchitis, RSV, or COVID-19. Understanding the nuances associated with the condition and how to properly assign ICD-10-CM codes is beneficial.

Changes to COVID-19 Vaccines Strike Again

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

According to the FDA, CDC, and other alphabet soup entities, the old COVID-19 vaccines are no longer able to treat the variants experienced today so new vaccines have been given the emergency use authorization to take the place of the old vaccines. No sooner was the updated 2024 CPT codebook published when 50 of the codes in it were deleted, some of which were being newly added for 2024.

2024 CPT Coding Updates...Are You Ready?

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Each year the CPT coding updates are published and coders nationwide rush to ensure they understand the impact they will have on their workflow and organization in general. For the first time in three years, changes to the Evaluation and Management (E/M) codes are minimal. However, the Medicine section, specifically the codes and guidelines for reporting COVID-19 vaccines have significant changes and unfortunately they are not reflected in that shiny, new CPT codebook you just purchased.

New ICD-10-CM Codes for Reporting Coronary Microvascular Dysfunction

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Women are more likely than men to be diagnosed with coronary microvascular dysfunction, a micro coronary artery vessel disease that has similar symptoms as coronary artery disease but no detectable coronary disease.

How Much Interaction Do Coders Have with Providers?

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

How much interaction do you have with providers in your coding role? This question is interesting in that there are many coding jobs that require day-to-day interaction with providers and many others where the coder never interacts with physicians or nonphysician providers.

Updated ICD-10-CM Codes for Appendicitis

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

With approximately 250,000 cases of acute appendicitis diagnosed annually in the United States, coding updates were made to ensure high-specificity coding could be achieved when reporting these diagnoses. While appendicitis almost equally affects both men and women, the type of appendicitis varies, as dose the risk of infection, sepsis, and perforation.

Should I Report the Symptom or Confirmed Diagnoses for Testing?

by  Aimee L. Wilcox, CPMA, CCS-P, CST, MA, MT

Knowing when to report symptom codes has always been a conundrum for coders at one point or another in their career but with the complex EHRs and coding systems used today, requiring a diagnosis be submitted with every physician order for a lab test, image request, etc., it isn't a surprise that the question continues to pop up. So when is it appropriate to report symptom codes?
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