How AI reads a clinical note and picks the right CPT code
See how AI parses clinical notes, scores E/M complexity, links diagnoses to procedures, and selects defensible CPT and ICD-10 codes.
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Codex
Medical coding and revenue cycle guidance
Practical articles on ICD-10 specificity, CPT documentation, denial management, and AI's impact on coding workflow for ambulatory practices.
Orthopedic claim denials: five reasons they happen and the coding clues that prevent it
Learn how laterality, modifiers, medical necessity, bundling, and diagnosis pairing errors lead to orthopedic claim denials.
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ICD-10 specificity: why detail in the chart means more money in your account
How ICD-10 specificity affects documentation requests, prior authorization, Medicare Advantage risk adjustment, and revenue.
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From EHR to ERA: tracing a claim through the revenue cycle
Trace a claim across four systems, from signed chart to ERA. See where coding, eligibility, and payer errors compound.
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Family medicine vs. specialty coding: why the complexity is different
Primary care coding spans diagnostic breadth, while specialty coding concentrates procedure rules. Mixed practices can miss both when workflows stay unchanged.
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E/M documentation guidelines 2026 update: what changed and why it matters
The 2026 E/M update extends the MDM framework and clarifies select code sets. See where incomplete MDM documentation can lower an otherwise supported E/M level.
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Understanding CMS hierarchical condition categories for risk adjustment
Learn how annual CMS resets, RAF scoring, V28 changes, and specific documentation affect HCC capture in Medicare Advantage risk adjustment.
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The hidden cost of one-day coding lag in a busy clinic
A 3.5-day coding backlog leaves nearly $12,000 in claims unbilled each morning. See how same-day coding changes AR timing and filing risk.
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Chart abstraction quality: how coders spot gaps before a claim leaves the office
How coders review charts for diagnosis, procedure, laterality, E/M, and documentation gaps that can delay or deny an ambulatory claim.
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Why clinics with strong coding accuracy get fewer audits
Strong coding accuracy creates a consistent billing profile, helping clinics reduce outlier signals and identify modifier, documentation, and E/M risks before payer review.
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