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Articles
    Briefings on APCs Archives
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    Briefings on APCs

    A detailed breakdown of CY 2025 OPPS changes and updates

    March 1, 2025
    On November 1, 2024, CMS released its final rule describing calendar year 2025 policies and rates for Medicare’s Outpatient Prospective Payment System and the final rule was published in the Federal Register. This article is a comprehensive overview of all the major highlights, allowing coders to stay informed about key updates and navigate the changes throughout the year.
    Briefings on APCs

    ICD-10-CM coding for diabetes mellitus

    March 1, 2025
    With the prevalence of diabetes mellitus among the population expected to grow, an overview of the disease may help you keep track of how to code instances of it. This article will cover the different types of diabetes mellitus and a few tips when coding it.
    Briefings on APCs

    Denial trends favorable on 59-appended procedural services

    March 1, 2025
    Practices upped their use of modifier 59 (Distinct procedural service) in recent years, adding nearly 1 million 59-appended claims to the most frequently reported same-day procedural codes.
    Briefings on APCs

    This month’s coding Q&A

    March 1, 2025
    Our experts answer questions about time-based coding, pelvic fracture treatment, and binge eating disorder.
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