Clean Claim Rate: What It Is, Why It Matters, and How to Improve It

The term clean claim rate refers to how often your claims go through without errors or delays. When that number drops, payments slow down, and your team ends up spen...

Solving the 2026 Coder Shortage: How to Scale Without Hiring

Revenue cycle teams are stretched thin, and the medical coder shortage isn't improving. Hiring takes months, even if you manage to find qualified candidates. Meanwhi...

10 Questions to Ask Autonomous Coding Vendors (And Why They Matter!)

The original version of this blog appears on Libman Education’s website

Navigating the 2026 ER Injury Code Updates: Precision Coding for Flank...

For years, flank pain coding has proven problematic in the healthcare billing process. The new ICD-10 codes for 2026 are set to change that, bringing greater precision to coding for flank pai...

What Is Transparent AI for Medical Coding? Why Black Box Tools Fail th...

Payer audits keep getting more sophisticated, and regulators keep asking harder questions about AI-driven coding decisions. In 2025 alone, total at-risk payer audit amounts increased 30% year-over-...

What Is Downcoding? A Guide for Medical Billing and Compliance

Downcoding can significantly impact your organization’s revenue and patient care. Read on for a deep dive into downcoding and why autonomous...

Building a People-First Approach to Autonomous Medical Coding

The original version of this blog appears on Libman Education’s website

How to Shift RCM from a Process to a Strategic Function in 2026

TLDR: I've been having the same conversation for months now with hospital leaders: Medicare funding pressure that could amount to roughly $45 billion i...

3 Steps to Autonomous Coding Success: Assessing Your Organizational Ch...

The original version of this blog appears on Libman Education’s website

Cutting Through AI Hype: The 3 Tiers of Medical Coding Automation

The original version of this blog appears on Libman Education’s website

When to Use Modifier 25 vs. Modifier 59

Skip to Specific Sections Modifier 25 Overview

CPT Code News: What’s New for Medical Coders and Providers

Current Procedural Terminology (CPT) codes describe medical, surgical, and diagnostic procedures, documenting services provided and enabling billing and reimbursement. The American Medical Associat...
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