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The New Front Line of Revenue Integrity: When AI Crosses into Clinical Practice

The boundaries of clinical judgment have always been clearly defined. They belong to the provider, and are supported by documentation, clarified through compliant queries, and governed by regulatory standards that ensure the integrity of the medical record. What has remained constant is accountability. That accountability is now being challenged. On

Penny Jefferson, MSN, RN, CCDS, CCDS-O, CCS, CDIP, CRC, CHDA, CRCR, CPHQ, ACPA-C May 11, 2026

CMS

The Medicaid SDP “False Plateau:” Why Hospitals May See a Surge Before the Cliff

Recent guidance from the Centers for Medicare & Medicaid Services (CMS) on Medicaid State Directed Payments (SDPs) has been widely interpreted as a tightening of

Timothy Powell, CPA, CHCP April 14, 2026

AHIMA

Query Practice Brief Update: Is the Scope of Querying Too Broad?

Bear with me as I begin this article with the origins of health information (HI) professionals and the American Health Information Management Association (AHIMA). HI

Cheryl Ericson, RN, MS, CCDS, CDIP May 11, 2026

CMS

Single-Path Coding: Removing Roadblocks to Productivity

As professional coders, we know it is hard to know everything about every type of coding, from inpatient to outpatient, from long-term care to post-acute

Christine Geiger, MA, RHIA, CCS, CRC May 11, 2026

CMS

The New Front Line of Revenue Integrity: When AI Crosses into Clinical Practice

The Medicaid SDP “False Plateau:” Why Hospitals May See a Surge Before the Cliff

Query Practice Brief Update: Is the Scope of Querying Too Broad?

Single-Path Coding: Removing Roadblocks to Productivity

CMS Proposes Knee and Hip Replacements

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Mastering Breast Biopsy Billing: Guidance-Driven Coding for Accurate Reimbursement

Mastering OB GYN Coding Accuracy: Precision Coding for Compliance and Reimbursement

2026 ICD-10-CM/PCS Coding Clinic Update Webcast Series

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