Medical Facilities & Organizations

articles, webinars, tips, links, forms, files and other resources related to coding, reimbursement and compliance for medical facilities and organizations


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MLN Connects Newsletter for May 14, 2026

by  CMS - MLNConnects

Claims, Pricers & Codes - Bone Growth Stimulators Reclassified as Class II Devices: Get Updated Billing Information - MLN Matters® Articles - Acute Kidney Injury & ESRD Billing: Ending the AX Modifier Requirement – Revised - From Our Federal Partners - 2026 Multi-country Hantavirus...

AMA Study on Impact of E/M Changes

Significant changes to the office and outpatient Evaluation and Management (E/M) CPT codes (99201-99215) took place in 2021. In 2023, those changes were applied to many other E/M service codes. In 2025, the American Medical Association (AMA) published the results of a study aimed at seeing just how impactful those changes were.

Electrical Stimulation Guidance

by  Find-A-Code™

Electrical stimulation refers to the use of controlled electrical currents applied to the body to stimulate nerves or muscles for therapeutic or diagnostic purposes. It can reduce pain, trigger muscle contractions, improve circulation, and support nerve function or retraining.

Bipolar Disorders Coding Table

by  Wyn Staheli, Director of Content - innoviHealth

2026 Medicare Physician Fee Schedule and its Potential Reimbursement Impact

On November 5, 2025, CMS officially released the 2026 Medicare Physician Fee Schedule Final Rule (click here to review the press release).There are three significant changes that will affect reimbursement rate including the addition of another conversion factor.

Medicare Improper Payment OIG Report for Intermittent Urinary Catheters

In a report, the Office of the Inspector General found that Medicare improperly paid for catheters and kits. To avoid improper payments, review the Urological Supplies provider compliance tip for more information.

The Demise of the Inpatient-Only List Begins

by  Ronald Hirsch, MD FACP CHCQM CHRI

It finally happened! The Centers for Medicare & Medicaid Services (CMS) finally released the 2026 Outpatient Prospective Payment Final Rule on Friday at 4:15 pm, delaying my Friday night dinner out with my wife by several hours. And the final rule really had no surprises. Of course I went...

Workers Compensation Payment Rates

Workers’ compensation (WC) fees are the reimbursement rates established for medical services provided to employees who suffer work-related injuries or illnesses. Learn more about the fees shown in Find-A-Code.

Acute Encephalopathy and the Coma Scale

by  Cheryl Ericson, RN, MS, CCDS, CDIP

This week, as we continue to explore querying for acute (metabolic or toxic) encephalopathy, I want to examine the Glasgow Coma Scale (GCS) as a clinical indicator for encephalopathy. I know many consultants encourage this approach, but I hope to convince you that this is an outdated practice, and...

CMS Updates their Evaluation & Management Booklet

by  Wyn Staheli, Director of Content - innoviHealth

The Center for Medicare & Medicaid Services (CMS) has made some significant changes to their Evaluation & Management Services Booklet. The following portions of the booklet have been changed to address new and revised policies:
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