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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OIG Audit Flags $15.2M in Sacroiliac Injection Coding Errors
A new OIG audit found Medicare improperly paid $15.2M for sacroiliac joint injections, nearly a quarter misclassified as therapeutic instead of diagnostic.
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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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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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LLM Hallucinations in Medical Coding: What emtelligent’s Study Found
A new study shows general LLMs fabricate nearly 1 in 3 medical codes. emtelligent’s clinical AI hit 89.85% F1 with zero hallucinations—here’s what coders need to know.
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FY2027 ICD-10-PCS: AI Codes and Custom Devices Arrive Oct 1
FY2027 adds 101 new ICD-10-PCS codes, including AI-assisted procedure codes and custom implant codes. Here’s what inpatient coders and CDI teams must know before October 1.
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AI-Generated Radiology Reports: What Coders Need to Know
Aidoc earned FDA Breakthrough Designation for AI-drafted radiology reports. Here’s what that means for ICD-10-CM coding, CDI specificity, and CPT billing.
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Abridge Moves Into Medical Coding: What the AHIMA Deal Means
Abridge just partnered with AHIMA to build medical coding and CDI into its ambient AI platform—backed by Eli Lilly. Here’s what this platform shift means for coders.
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Black Book’s 2026 CDI Software Rankings: What They Mean
Black Book’s 2026 RCM evaluation ranks the top CDI and coding-automation vendors. Here’s what the rankings mean for medical coders and CDI teams.
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