Event date June 22nd, 2026
1 CEU expires 6-30-2027
Guest presenter Dr. Robert Oubre
This educational activity provides a focused review of cardiac arrhythmias with an emphasis on atrial fibrillation and related rhythm disorders.
Precision in Spine Surgery Coding: Distinguishing Laminectomy from Discectomy Procedures | Webinar
Event date June 11th, 2026
1 CEU expires 6/30/27
Guest presenter Kim Pollock
Join nationally recognized coding consultant Kim Pollock for a focused, high‑impact 60‑minute webinar designed to demystify one of the most challenging areas in spine procedure coding: accurately distinguishing laminectomy from discectomy and applying the correct CPT® codes with confidence.
Can I Get Paid For…Removal of Sutures or Staples
In 2023, the AMA developed two new codes for removal of sutures or staples not requiring anesthesia. In years prior, we typically billed only an E/M service. These two new codes are add-on codes to E/M services. However, these codes have zero work RVUs assigned to them and have a very low payment. # + 15853 Removal of […]
CMS Split/Shared Services Rules | Reference Sheet
In 2024, CPT® expanded its definition of split/shared services, CMS updated their requirements. Neither CMS nor CPT® made changes to this policy in 2025 or 2026. Split/shared services are evaluation and management services (E/M) services performed jointly between a physician and a non-physician practitioner (NPP), also called advanced practice nurses or physician assistants. CMS pays […]
Documenting and Scoring the Data Element of MDM | Webinar
Rcorded May 21st, 2026
1 CEU expires 5/30/27
Though the 2021/2023 changes to E/M coding eliminated much of the counting and confusion from the process of selecting an E/M level, Data scoring arguably became more complicated due to these changes, which has resulted in ongoing uncertainty as to when certain aspects of Data should be credited.
Mandatory MIPS, 2 Conditions, 7 Specialties, Some Locations
The title makes it all clear, right? No? I didn’t think so. This article is an overview of CMS’s Ambulatory Specialty Model. CMS is implementing a mandatory, disease-specific reporting model beginning in the CY 2027, reporting due March 31, 2028. Who will be required to report? And for what conditions? Physicians who work in the […]
Telehealth Visit with a Patient at Home: Office Visit or Home Visit?
CPT® codes for patients at home in a residence: New patient: 99341, 99342, 99344, 99345 Established patient: 99347−99350 These codes are used to report services in a patient’s home or in a residence. “Home may be defined as a private residence, temporary lodging, or short -term accommodation (eg, hotel, campground, hostel, or cruise ship).” These […]
The Prime Directive of HCC coding
The Department of Justice, Office of Public Affairs released a notice on Jan. 14, 2026 stating that the government had entered into a settlement with Kaiser Permanente, et al for false claims related to HCC coding. The government contended that Kaiser had overbilled CMS by a billion dollars over a nine-year period. Kaiser agreed to […]
The Ideal Audit Review Meeting
Do you hope for the perfect audit review meeting? You audit an entire team of providers who either have 100% accuracy or they don’t, but they greet your feedback with grace and humility. It helps when you of direct communication and real curiosity and engagement with the medical team, but results are not guaranteed. Auditing […]
Coding vs. Clinical Validation
Understanding Distinct Roles, Responsibilities, and Qualifications in Healthcare Documentation Two critical functions are often misunderstood or conflated: medical coding and clinical validation. While both are essential to accurate documentation, appropriate reimbursement, and regulatory compliance, they are fundamentally different disciplines that require distinct skill sets, credentials, and areas of expertise. Confusing these roles—or allowing one professional […]
In Focus: CPT® Coding for Revascularization Procedures – Lower Extremities | Webinar
Recorded April 16th, 2026
1 CEU expires 4/30/27
Guest presenter Shannon McCall of HCPro
CY 2026 ushered in a revamp of the prior Endovascular Revascularization of the Lower Extremities (CPT® 37254-37299) to reflect current practices, complexities, and technology.
Depression Coding and Hierarchical Condition Coding (HCC)
Introduction | Depression coding in HCC In fee-for-service medicine: Diagnosis coding establishes the medical necessity for a service. At times, it may be the reason for a denial, particularly for diagnostic tests or procedures. Services with national or local coverage policies often have specific diagnosis codes that are required for payment. In V28 of HCC, […]
HCC Coding for Medical Practices | Webinar
Recorded March 19th, 2026
1 CEU expires 3/30/27
Risk adjustment coding is a hot topic for Medicare Advantage Organizations and medical practices with risk-based contracts. It’s one of the pillars of payment for Value Based Care. At this webinar, participants will learn how Hierarchical Condition Categories work based on ICD-10-CM rules.
E/M Frequency Data for Dermatology
For dermatologists, revenue in the office is generated by procedures and office visits. Often, both are provided on the same day. See the dermatology section of our specialty page for articles about the use of modifiers 25, 51, and 59. Frequency distribution for new and established patients 2024 E/M data released at the end of […]
E/M Frequency Data for Surgical Specialties
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. Unfortunately, there aren’t specialty designations for breast, bariatrics, or trauma surgery, and those surgeons are usually enrolled using the category for general surgery. There are specialty designations for vascular surgery, plastic surgery, thoracic, and surgical oncology. The data below […]
E/M Frequency Data for Psychiatrists
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. This is the data for psychiatrists. The data below is from 2024 released in late 2025. Office services Psychiatry New OV 2024 99202 0.74% 99203 8.05% 99204 38.58% 99205 52.63% Established office visits 2024 99211 0.73% 99212 4.33% 99213 […]
E/M Frequency Data for Infectious Disease, Pulmonary Medicine and Cardiology
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. Infectious disease, pulmonary medicine and cardiology are all specialties with active inpatient services, and of course, busy office services. That’s why I’ve elected to show them together. The data below is from 2024, released in late 2025. Office services […]
Cerumen Removal
There are two codes for cerumen removal 69209 Removal impacted cerumen using irrigation/lavage, unilateral 69210 Removal impacted cerumen (separate procedure), 1 or both ears Key points Document the medical necessity for cerumen removal (patient’s complaints, diminished hearing, physical exam) Document the results: was the procedure successful? Whether it is a clinical staff member or practitioner […]
Removal of a Foreign Body
Integumentary 10120 Incision and removal of foreign body, subcutaneous tissues; simple 10121 Incision and removal of foreign body, subcutaneous tissues; complicated Note that incision is required. Musculoskeletal From Principles of CPT® Coding, “If fascia is penetrated and a foreign body to be removed is within the fascia, subfascia or muscle, use an anatomic-specific code in […]
Remote Physiologic Monitoring Treatment Management Services
The remote physiological monitoring section describes providing equipment and data collection, initial set up and education on the use of the equipment, and treatment management based on the data that was measured. The codes are confusing because they are sorted/divided in confusing ways. Codes 99453, 99445 and 99454 are for the initial set up and […]
Remote Therapeutic Monitoring
There are two sets of codes in the CPT® code set for Remote Therapeutic Monitoring (RTM). The first set is for the monitoring itself, and includes codes for initial set-up and patient education and for the device supply or data transmission. The second set of codes is for treatment management services based on the data […]
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