Effective Date: October 2025
NOTE: Remission and Resolved from a coding stand point is different.
ππΎππΎππΎ Stay Tuned For More ππΎππΎππΎ
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In 2026, expect some updates for ICD-10-CM. There's 487 NEW diagnoses; 38 code revisions and 28 deleted codes.
ππΎ Stay tuned for more updates ....
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Great news! CMS proposes to expand telehealth services. Also, a major shift for 2026 CMS will allow direct supervision to be fulfilled remotely (ONLY for audio/video communication). DOES NOT include Audio only services. ππΎFollow for more updates!
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π¨ Think you know medical coding?
π₯π» Test your skills in this interactive game! Play now & see if your staff has what it takes to code like a pro!
πwww.educaplay.com/learning-resources/12759...
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UPDATE G2211 (November 2024):
CMS is finalizing payment for G2211 when used with 99202-99215 and Annual Wellness Visits (AWV), Vaccine Admin, and IPPEs performed in an outpatient setting. THIS IS TENTATIVE
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We have two courses for those ready to take their career to the next level!
20-week
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Medical Books included!
cimcprogram@gmail.com
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We are in the process of building our Youtube page and we need your help! Follow our Youtube page for information and coding updates as well.
NEW ENROLLMENT starts soon, stay tuned!
www.youtube.com/@chesterinte...
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#CIMCNEWSLETTER #Comingsoon ππΎ
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CMS announced some changes in the standard monthly premiums for Beneficiaries:
2025 Medicare Parts A & B Premiums and Deductibles
www.cms.gov/newsroom/fac...
Wanna know more?!?! Stay tuned for our newsletter
Also, check our pinned #skeet for clarification on HCPCS code G2211
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Pre-exposure Prophylaxis (PrEP) using antiretroviral drugs to prevent #HIV is now covered preventive service under Medicare Part A, B or DME
Special Notice: The USPSTF recommendations for HIV infection screening is being updated.
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Code this case!
A patient is admitted with severe generalized abdominal pain. The provider diagnosis statement on discharge is:
abdominal pain, d/t acute gastritis:
a) K29.00
b) K27.9
c) K27.00
d) None of the above
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Patient has been diagnosed with Autosomal dominant limb girdle muscular dystrophy.
Claim: G71.0
Denied- Invalid diagnosis
The appropriate code: G71.031
Tip:
Make sure your EHR is up to date w/ the most current codes
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Invalid diagnosis code: The principal diagnosis field is blank, there are not diagnoses entered on the claim, or the entered diagnosis code is not valid for the selected version of the program (updated ICD-10-CM code)
Example: ππΎ
Top 10 claim denial per CMS
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Did you know the number 1 claim denial is due to invalid Diagnosis code? π§΅
When using the diagnosis code, be sure it supports the level of severity, laterality, and status of condition for specificity.
Definition:ππΎ
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Do you know how to use add-on code G2211? Maybe we can help and all it cost is $5.00.
PayPAL link for full pre-recorded session: www.paypal.com/ncp/payment/...
Here's a demo:
go.screenpal.com/watch/cZXI0L...
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Code this case...
This document is published by the OIG every year. It focuses on Medicare fraud and abuse for that year. On CMS website
What is it?
A: OIG E/M documentation guidelines
B: Model Compliance Plan
C: The Federal Register
D: The OIG's Workplan
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Question to the providers: Would you like a monthly or quarterly medical coding, compliance and documentation tips newsletter? How much would you pay?
We have a monthly newsletter that we offer. If you and your practice are interested DM me.
Answer: D57.00 #medsky #medicalcodingsky #cimc