Oracle Health Puts AI Coding Suggestions Inside the EHR
Oracle Health’s Clinical AI Agent now suggests professional fee codes at the point of care — a sign coding AI is moving inside the EHR itself.
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Cardiology’s 2026 CPT Reset Tests Static Coding Rules
Cardiology’s 2026 CPT set brought 288 new codes and 84 deletions across PCI, echo, and remote monitoring. Static rule engines can’t keep pace — here’s what agentic AI changes.
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XiFin-Notable Deal Signals Coding’s Agentic AI Shift
XiFin’s Series B investment in Notable Systems replaces OCR-based document intake with agentic AI. Here’s what that shift means for coders and denial-prone claims heading into 2027.
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ModMed’s Agentic RCM Launch Signals Where AI Coding Is Headed
ModMed’s agentic RCM platform folds coding guidance into denial prevention and appeals — a sign that coding accuracy and revenue recovery are converging.
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Why Quarterly NCCI Edits Expose Gaps in Static Coding Rules
NCCI PTP edits version 32.2 took effect July 1, 2026 with roughly 4.4 million edit pairs. Static rule engines routinely miss the update window — here’s what that costs coders.
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CMS’s 2025 PEPPER Flags Psychiatric Facility Coding Risk
CMS’s newly released 2025 PEPPER for inpatient psychiatric facilities flags under- and over-coded claims — here’s what it means for coding accuracy and audit risk.
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OIG Home Health Audit: The Case for Coding Automation
OIG’s Deistic Home Health audit found 37% of sampled claims failed billing, coding, or documentation rules. Here’s what automated coding validation would have caught.
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CMS RAPID Coverage Pathway: The Medical Coding Gap
CMS’s RAPID pathway can post a Medicare coverage decision the same day a device wins FDA authorization — but HCPCS codes and payment rules still take months to catch up.
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CMS’s Malnutrition Mandate Raises Coding Audit Stakes
CMS is mandating malnutrition quality reporting by 2028 while OIG audits keep finding malnutrition codes unsupported. Here’s what coders need to know.
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CMS Q2 2026 HCPCS Update: 15 New Drug Codes for Oct. 1
CMS’s Q2 2026 HCPCS decisions add 15 new drug and biosimilar codes for October 1 and deny two closely watched revision requests.
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