Coding Corner

We use facility and professional claims history to find opportunities to improve coding accuracy. Our courses provide information and resources to help decrease the potential for claim denials.

Featured Course: Facility Coding for Sepsis

Learn about the DRG Coding Guidelines and UnitedHealthcare Clinical Review Guidelines used during clinical validation audits of claims with sepsis-related diagnosis.  

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Facility Coding for Pneumonia 

Facility Coding for Sepsis 

Facility Coding of Acute Respiratory Failure 

Facility Coding of Encephalopathy 

Facility Coding of Malnutrition 

2021 Evaluation and Management (E&M) Changes

Allergy/Evaluation and Management (E&M) Unbundling

Cardiovascular and Evaluation and Management (E&M) Unbundling

Coding for IMRT Services

Coding of Integumentary Repairs

Coding of Mohs Micrographic Surgery

Coding of Photochemotherapy and Laser Treatments

CPT® Category II Codes

Critical Care Upcoding

Diagnostic Radiology Unbundling

Global Surgery Unbundling

Hospital Evaluation and Management (E&M) Services

Laboratory Services

Medically Unlikely Edits Upcoding

Minor Auditory System Procedures (Removal – Foreign Body and Impacted Cerumen)

Moderate Conscious Sedation

Moderate Conscious Sedation, Infusions and Injections and Chemotherapy Unbundling

Nursing Facility Care

Office Evaluation and Management (E&M) Upcoding

Outpatient Rehabilitation Therapy Services

Preventative Evaluation and Management (E&M) Unbundling

Procedure-to-Procedure Code Pairs/Surgery Unbundling
This course is being updated and will be available again soon.

Radiology Unbundling

Telehealth Best Practices Interactive Guide

Two Evaluation and Management (E&M) Service Unbundling

Unbundling and Upcoding of Anesthesia Services

Unbundling of Myocardial Perfusion Imaging