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Learn how the CMS final rule is working to standardize electronic healthcare data exchange, why it matters for the indus...
04/01/2026

Learn how the CMS final rule is working to standardize electronic healthcare data exchange, why it matters for the industry, and what professionals should be paying attention to moving forward. Read more here:

Say goodbye to outdated manual processes. On March 20, 2026, the Centers for Medicare & Medicaid Services (CMS) finalized the Administrative Say goodbye to outdated manual processes.

Consider this your official nudge to send to the boss.
04/01/2026

Consider this your official nudge to send to the boss.

Small credentialing errors can lead to big revenue delays. In this article, explore five common mistakes, a six-phase cr...
03/30/2026

Small credentialing errors can lead to big revenue delays. In this article, explore five common mistakes, a six-phase credentialing process, and practical best practices to help keep providers enrolled, compliant, and ready to bill.

Protect your practice’s revenue through strategic credentialing management. When healthcare organizations invest in physician recruitment, it’s crucial to Protect your practice’s revenue through strategic credentialing management.

03/26/2026

Ready to turn your interest in medical coding into a real career path? The Mattycal Coder is breaking down how AAPC’s Job-Ready Program can help you build the skills, confidence, and experience to get started.

Learn more here: https://hubs.la/Q048vVgR0

Nicole Langevin is the winner of our March cartoon contest! She’ll receive an on-demand webinar of her choice.Thanks to ...
03/25/2026

Nicole Langevin is the winner of our March cartoon contest! She’ll receive an on-demand webinar of her choice.

Thanks to everyone who followed along and joined the fun this month. Stay tuned for a new cartoon caption contest in April.

03/25/2026
Choose high-impact sessions at HEALTHCON 2026! With 80+ sessions across the revenue cycle, a little preparation goes a l...
03/24/2026

Choose high-impact sessions at HEALTHCON 2026! With 80+ sessions across the revenue cycle, a little preparation goes a long way. Focus on sessions that align with both your personal growth and your organization’s goals:

- Topics that align directly with your role
- Priorities that support department or system-wide goals
- Ideas you can implement immediately

Start planning your experience—take the session survey: https://hubs.la/Q04858hg0

Not registered? Secure your spot today: https://hubs.la/Q04854HP0

With 17 new PLA codes (0614U–0630U) taking effect, MAC Novitas Solutions (JH & JL) has made its stance clear: claims sub...
03/24/2026

With 17 new PLA codes (0614U–0630U) taking effect, MAC Novitas Solutions (JH & JL) has made its stance clear: claims submitted without supporting medical records will be rejected, no exceptions. Orders, test results, progress notes, and any documentation supporting medical necessity must accompany the claim. Miss it, and your team is looking at rejections and resubmissions. Get your documentation workflows in order now. Read the full update: https://hubs.la/Q0483SHs0

As previously reported, among the HCPCS Level II quarterly update are 17 new proprietary laboratory analysis (PLA) codes (0614U-0630U) that go into effect Documentation requirement applies to the new PLA codes 0614U-0630U, along with other PLA codes and oncology analysis code 0020M.

Coders working in urology are starting to see a new procedure code: C9761. In the latest episode of The Pulse, Calyxo ex...
03/23/2026

Coders working in urology are starting to see a new procedure code: C9761. In the latest episode of The Pulse, Calyxo explains how the code was created, how physician and facility reporting differ, and where prior authorization challenges may occur.

LISTEN NOW:

A new kidney stone procedure is bringing up questions around physician coding, facility billing, prior authorization, and denials.

The shots were falling at our annual office basketball shootout. 🏀 With 32 team members competing, the energy was high!I...
03/19/2026

The shots were falling at our annual office basketball shootout. 🏀 With 32 team members competing, the energy was high!

In the end, returning champion Kyle Connors, Director of Sales & Marketing Analytics, came through once again, edging out Thomas Amrein, Growth Account Manager, in the final round. Kyle also won the shootout in 2023, so it’s safe to say he knows his way around the office court.

In risk adjustment, incomplete documentation goes far beyond missed codes. It lowers risk scores, increases audit exposu...
03/17/2026

In risk adjustment, incomplete documentation goes far beyond missed codes. It lowers risk scores, increases audit exposure, and undermines the accuracy of patient care data. The solution is collaboration. When coders and providers align around MEAT criteria and accurate HCC capture, they tell the complete story of the patient together. Read the full article and learn how to bridge the documentation gap: https://hubs.la/Q04777dX0

When coders and providers work together, everyone wins. Risk adjustment coding is only as strong as the documentation it’s built on. Yet, in many When coders and providers work together, everyone wins.

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