MedKoder, LLC

02/11/2026

UHC is implementing automated pre-payment enforcement for certain lab tests in outpatient and independent lab settings.

Practices in NC, NE and RI should map impacted tests now and validate frequency rules.

👉 See the full UHC 2026 lab policy update and get the complete guide: https://medkoder.com/uhc-2026-reimbursement-policy-changes-what-providers-need-to-know-now/

Learn how UHC’s 2026 reimbursement policy changes impact coding, billing and compliance. Get the full PDF with timelines and implementation tips.

02/11/2026

Sample-based audits and real-time coding analytics aren’t just different approaches...they represent fundamentally different outcomes.

Sample-based audits look at a small portion of your data after the fact. They tell you what already went wrong.

Real-time coding analytics analyzes your coding data as it happens, giving you visibility into patterns, risks and opportunities before they become problems.

That shift means:
🔹 Greater visibility across your entire organization
🔹 Continuous, proactive insight instead of delayed snapshots
🔹 Strategic risk identification, not just reactive fixes

If you’re still relying on sample reviews alone, you’re only seeing part of the picture.

Read our full article to learn why sample-based coding reviews are no longer enough and how real-time analytics can transform your coding performance 👇
https://medkoder.com/why-sample-based-coding-reviews-are-no-longer-enough/

02/09/2026

2026 UHC updates are not just policy changes...they’re operational risks if ignored.

Claim edits, modifier logic, documentation standards and diagnosis scrubbing all need alignment before Q1-Q2 effective dates.

MedKoder helps teams stay compliant, accurate and defensible.

👉 Read the full UHC 2026 policy overview and download the PDF: https://medkoder.com/uhc-2026-reimbursement-policy-changes-what-providers-need-to-know-now/

02/02/2026

UHC will reduce payment to 40% of the allowable when G0463 is billed with modifier PO for off-campus provider-based departments.

Facility teams should review modifier PO logic and off-campus definitions to avoid revenue leakage.

👉 Read the full UHC 2026 reimbursement update and download the PDF: https://medkoder.com/uhc-2026-reimbursement-policy-changes-what-providers-need-to-know-now/

01/29/2026

If a provider bills radiology and E/M on the same DOS, the professional component is only reimbursed when a full interpretation report is attached.

A simple review note inside the E/M will no longer support separate payment.

Documentation standards are now reimbursement standards.

👉 Get the full 2026 UHC documentation rules and timelines here: https://medkoder.com/uhc-2026-reimbursement-policy-changes-what-providers-need-to-know-now/

01/26/2026

UHC is expanding Excludes1 enforcement across all claim types.

If mutually exclusive diagnoses appear together, your claim may edit or deny.

Outpatient, professional and facility teams should begin scrubbing for ICD-10 Excludes1 conflicts now.

👉 See what’s changing and download the full UHC 2026 policy PDF: https://medkoder.com/uhc-2026-reimbursement-policy-changes-what-providers-need-to-know-now/

01/22/2026

UHC is aligning with CMS standards.

Starting February 1, 2026, anatomical and laterality modifiers (LT/RT, FA/F1–F9, TA/T1–T9, etc.) will be required for many surgical and radiology codes.

Missing modifiers = delayed or denied reimbursement.

Now is the time to audit your modifier logic and claim scrubbing workflows.

👉 Read the full breakdown and get the UHC 2026 policy guide here: https://medkoder.com/uhc-2026-reimbursement-policy-changes-what-providers-need-to-know-now/

hashtag hashtag hashtag hashtag hashtag hashtag hashtag hashtag

Learn how UHC’s 2026 reimbursement policy changes impact coding, billing and compliance. Get the full PDF with timelines and implementation tips.

01/05/2026

Healthcare organizations are entering 2026 under more pressure than ever with shrinking margins, increased audits and growing documentation complexity.

At MedKoder, we help organizations move forward with confidence through smarter medical coding, automation and compliance-focused technology that protects revenue and reduces risk.

If 2026 is the year you prioritize accuracy, efficiency and defensibility, we’re ready to help.

Let’s make this the year of Medical Coding with Financial Peace. Schedule a conversation with our team to see how MedKoder can support your goals in 2026. 👉 https://medkoder.com/consultation/

Book a meeting with MedKoder to explore how we can solve your coding, compliance or audit needs.

12/23/2025

We’re proud to share that MedKoder has been ranked #2 out of 55 medium-sized companies, and in the top 3% overall, in this year’s America’s Best Workplaces certification by Best Companies Group.

This national recognition is based entirely on feedback from our team, reflecting their experience with our benefits, culture, leadership, PTO and day-to-day work environment.

This achievement belongs to our people. It’s a direct result of the strong culture we continue to build together every day.

Congratulations to the entire MedKoder team on another national honor! We’re proud of what we’ve accomplished and excited for what’s ahead in 2026.

Thank you for making MedKoder a place people truly love to work!

Interested in joining our team? Take a look at our open positions 👉 https://medkoder.com/careers/

Explore exciting career opportunities in medical coding, auditing and healthcare tech innovation.

11/07/2025

The CY 2026 Medicare Physician Fee Schedule (CMS‑1832‑F) is here, and it’s packed with updates that will impact your practice and coding workflows.

Key takeaways:
🔹 Dual conversion factors: $33.57 for QPs, $33.40 for non-QPs
🔹-2.5% efficiency adjustment for non-time-based services
🔹 Permanent telehealth & virtual supervision (streamlined approvals, no visit limits)
🔹 New behavioral health integration codes & digital mental health coverage
🔹 Specialty supply & Part B drug payment updates, plus rural clinic flexibilities

👉 These changes are more than numbers...they affect reimbursement, compliance and patient access. MedKoder’s coding and compliance experts can help your team prepare for these operational impacts.

Read the full CMS fact sheet: https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-medicare-physician-fee-schedule-final-rule-cms-1832-f

10/24/2025

Even experienced coders rely on Coding Clinic updates to stay current. Risk Adjustment Encoder makes it easy to review official guidance and apply it confidently. Learn more about the RA Encoder here 👉 https://www.medkoder.com/affiliate/idevaffiliate.php?id=103_2_3_1

10/20/2025

Each year, ICD-10-CM updates reshape how we code, document and capture patient data. The 2026 updates introduce 487 new codes, 38 revisions and 28 deletions.

Our free on-demand presentation, presented by Angela Clements CPC,CPMA,CEMC,CCS, walks through the full set of changes.

Watch the full presentation NOW: https://medkoder.com/2026-icd-10-cm-updates-presentation/

Watch MedKoder’s on-demand presentation on the 2026 ICD-10-CM updates. Hosted by Angela Clements for coders, auditors, and compliance teams.