Medical billing and coding requires healthcare organizations to pay attention to details that can change over time, across payers, and even based on where a patient receives care. A code that worked correctly for a claim last month may create a problem today because a health plan changed how it interprets that code or requires additional information. Telehealth Shows How Quickly Requirements Can Change Telehealth provides a good example. During the early stages of COVID-19, t

Medical billing and coding sits at the intersection of clinical care, documentation, reimbursement, payer requirements, credentialing, and compliance. Every claim represents a series of decisions about what service was provided, who provided it, where it was provided, how long it lasted, which code applies, and whether the payer has additional requirements that must be satisfied before payment.