Medical Specialties

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


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recent articles

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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 I know many consultants encourage this approach, but I hope to convince you that this is an outdated practice, and...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:

Understanding UCR Inpatient Fees

Find-A-Code uses Usual, Customary, and Reasonable (UCR) fees as established by the Veterans Administration (VA) to help determine the amount paid for inpatient medical services based on the diagnosis and the geographic area. This article addresses information and pricing for facility fees based on Diagnosis Related Groups (DRGs). The UCR rates included in FindAcode.com come directly from the VA and are divided up into varying per diem (daily) rates as defined by the VA. Be aware that different payers may have different payment methodologies as defined by individual contracts

Remote Patient Monitoring under OIG Scrutiny

by  Wyn Staheli, Director of Content - innoviHealth

The Office of Inspector General (OIG) recently released a report entitled “Billing for Remote Patient Monitoring in Medicare Analyzing Medical Practices’ Billing Patterns”. Remote physiologic monitoring services (codes 99091, 99453, 99454, 99457, and 99458) were carefully reviewed because of the significant increase from 2023 to 2024 in the number of patients receiving these services (27% increase) as well as a 31% payment increase during the same time period.
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