Independent educational publication · Managed by Dr. Meriyala Santosh Kumar Guptha, Trainer/Author
Every verified update and guide, newest first. Filter by topic, or use search for older items.
AI & 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 moreICD-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 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 moreCareer Updates Guide
The main career paths in medical coding and billing, which certifications fit which roles, the skills employers look for, and how AI is changing the work.
Read moreCMS & Medicare Guide
ICD-10-CM, PCS, CPT, HCPCS, NCCI and CMS payment rules all change on different cycles. This guide maps the coding year so you know what to watch and when.
Read moreMedical Billing Guide
Coding translates documentation into standard codes; billing turns those codes into claims and payment. Here is how the two roles differ, overlap and depend on each other.
Read moreCompliance Guide
What 'reasonable and necessary' means under Medicare, how NCDs and LCDs define coverage, when an ABN is required, and how coding and documentation support medical necessity.
Read moreCompliance Guide
What the National Correct Coding Initiative does, how procedure-to-procedure edits and medically unlikely edits work, and when an NCCI-associated modifier is appropriate.
Read moreRevenue Cycle Guide
A plain-language map of the healthcare revenue cycle — front end, mid-cycle and back end — and how to calculate the KPIs leaders use, from days in A/R to DNFB.
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