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ICD-10-CM FY 2026 Code Updates: What Coders Need to Know Before October 1, 2025
Effective for discharges and encounters from October 1, 2025, through September 30, 2026, this release introduces 487 new diagnosis codes, 38 code revisions, and 28 code deletions. (1).webp)
CMS Halts Eight MIPS Improvement Activities for 2025: What Providers Need to Know
This decision, rooted in the Improvement Activities Suspension Policy finalized in the CY 2021 Physician Fee Schedule Final Rule, signals a possible shift in CMS’s long-term priorities for clinician performance evaluation. (1).webp)
Rethinking Risk Coding in 2025: Why Commercial Plans Are Redefining the HIM Playbook
Risk-adjusted payment is no longer just a Medicare Advantage concern—commercial insurers are reshaping how coding, documentation, and compliance strategies must evolve.
CMS Launches Aggressive Medicare Advantage Audit Strategy: What Providers Must Know
This move carries major implications for Medicare Advantage organizations, providers, and Health Information Management (HIM) professionals..webp)
CMS Proposes Major Overhaul to Readmission Penalties: What HIM Professionals Must Know
CMS is proposing five major changes that will significantly affect hospitals' readmission management strategies, requiring essential adjustments to prevent readmissions..webp)