By: Juan Arredondo and Briauna Driggers

Medical coding serves as the backbone of healthcare reimbursement and compliance. Accurate coding ensures that healthcare providers receive appropriate reimbursement for services rendered and adhere to regulatory standards. In the realm of medical coding, one indispensable tool is the modifier. 
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Medical coding modifiers are alphanumeric characters added to procedure codes to provide additional information about a service or procedure. This article explores the definition of modifiers in medical coding, why they are vital, and when and how to employ them effectively.

By: Ron DiGiaimo, MBA, FACHE | Orest Boyko, MD, PhD | John Montville, MBA, FACHE, FACMPE, FACCC, COA | Bri Driggers

“AI” is the hottest buzzword for 2023 – and maybe all of the 2020s. Some discussions of Artificial Intelligence (AI) have included additional wording at the start of the phrase such as “Assistive”, “Augmented”, “Autonomous”, or “Adoption”. Regardless of the viewpoint, AI is on everyone’s mind, and it’s got many people divided on their perception of it. As with many technological innovations and advancements, the healthcare community is excited by innovation if they are early adopters, or reticent on this innovation and willing to be late adopters who tend to be in the majority of providers.  

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Palmetto Releases Radiation Therapies LCD/LCA

Medicare Administrative Contractor (MAC) Palmetto GBA released a new Radiation Therapies Local Coverage Determination (LCD), Local Coverage Article (LCA) and an article with Response to Comments on October 19, 2023.