Independent educational publication · Managed by Dr. Meriyala Santosh Kumar Guptha, Trainer/Author
Medical Coding, Billing & Healthcare Reimbursement Updates
Stay informed about changes in ICD-10-CM, CPT, HCPCS, CMS regulations, HCC risk adjustment, medical billing, reimbursement, payer policies and healthcare revenue cycle management.
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Managed by Dr. Santosh Kumar Guptha
ICD-10-CM Coder Alert
The FY 2027 ICD-10-CM code set applies to discharges and encounters from October 1, 2026. Industry summaries of the release report 190 new, 30 deleted and 4 revised codes.
Read moreCMS & Medicare What Changed?
CMS finalized the FY 2027 inpatient rule (CMS-1849-F), effective October 1, 2026. Here is what changed for hospital payment, MS-DRGs, and the new CJR-X model.
Read moreAI & Coding Guide
How computer-assisted, autonomous and LLM-based coding tools work, where they help, where they fail, and the governance and human validation every organization needs.
Read moreCDI Guide
What CDI programs do, how documentation affects severity, quality and payment, and how to write physician queries that are compliant and non-leading.
Read moreCPT Guide
How the AMA updates CPT each year, how Category I, II, III and PLA codes differ, and a practical checklist for implementing CPT changes on January 1.
Read moreHCC / Risk Adjustment Guide
How CMS-HCC risk adjustment works, what changed with V28, how RAF scores are built, and the documentation and compliance standards HCC coders must meet.
Read moreICD-11 Guide
What ICD-11 is, how its structure differs from ICD-10 — stem codes, extension codes, postcoordination, the Foundation and linearizations — and its status in the U.S.
Read moreMedical Billing Guide
Rejections versus denials, how to read CARC and RARC codes, the most common root causes of denials, and a prevention framework for billing teams.
Read moreOur recurring explainer format: what happened, what changed, the effective date, who is affected, and what to do now.
CMS & Medicare What Changed?
CMS finalized the FY 2027 inpatient rule (CMS-1849-F), effective October 1, 2026. Here is what changed for hospital payment, MS-DRGs, and the new CJR-X model.
Read moreMedicalCodingUpdates.com helps healthcare professionals understand important changes in medical coding, billing, reimbursement, risk adjustment, compliance and revenue cycle management. It is an independent educational publication — not a government website and not affiliated with CMS, AMA, AAPC, AHIMA or WHO. Every update names its primary source, shows when it was published and last updated, and separates fact from interpretation.
This site is managed by Dr. Meriyala Santosh Kumar Guptha, Trainer/Author. More about us · Editorial policy
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