What Ebix’s New Coding Platform Means for Automated Coding
Ebix’s new A.D.A.M. platform maps health content to ICD-10 and LOINC at scale. Here’s what automated coding at that volume means for medical coders and RCM teams.
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AI Surgical Coding Accuracy: What Procode’s Study Shows
A new peer-reviewed study found Procode’s AI hit 86.7% surgical coding accuracy on operative reports, more than double GPT-5 and human auditors combined.
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Modifier 25 and CMS’s 2027 Same-Day E/M Payment Cut
CMS’s CY2027 proposed rule would pay same-day E/M visits billed with modifier 25 at just 50%. Here’s what the change means for coders and denial teams now.
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Coding Compliance Lessons From CMS’s $203M Fraud Recovery
CMS’s Medicaid Fraud War Room stopped $203M in improper Medicaid payments in just 88 days — here’s what it means for medical coding compliance.
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CPT 2027 Category III Codes: What Medical Coders Must Track
AMA just added 58 new Category III CPT codes for 2027, spanning six specialties. Here’s what medical coders need to track before the January 1 effective date.
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USCDI v7 Medical Coding: What ONC’s New Standard Requires
ONC published USCDI v7 on July 23, 2026, adding 31 data elements, including a new Adverse Events class. Here’s what it means for medical coding and CDI teams.
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Agentic AI Tackles E/M Coding Compliance and Audit Risk
Under-documented E/M levels leave revenue on the table, and over-coded ones invite audits. Agentic AI is closing that E/M coding compliance gap for good.
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Agentic AI Brings Real-Time CDI to Behavioral Health Coding
Behavioral health coders face rising audit risk and thin margins. Agentic AI now flags documentation gaps in real time, before a note or claim goes out.
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Agentic AI Oncology Coding: Taming the Infusion Hierarchy
Oncology’s chemo-injection-hydration hierarchy trips up coders and drains revenue. Here’s how agentic AI oncology coding validates sequencing before claims go out.
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How Agentic AI Prevents RPM Billing Compliance Risks
CMS’s new short-duration RPM code cuts billing to 2 days of data. Agentic AI validation closes the compliance gaps OIG’s 2025 audit already flagged.
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