Modifier 26 vs. Modifier 51: What They Mean and When to Use Each

Modifier 26 and modifier 51 both affect how services are reported for payment, but they serve different purposes. Using the wrong modifier, or placing it on the wrong claim line, can trigger ...

What Causes Medical Coding Revenue Leakage, and How Can Teams Address ...

When I worked in revenue integrity, the question was whether the account accurately reflected the documented care. Were the right charges, codes, and modifiers present? Had anything been missed?

HCC Coding Explained: RAF Scores, MEAT, and How to Make Every Diagnosi...

HCC coding is how Medicare Advantage and other risk-based programs adjust payment for how sick patients are. CMS combines HCC-mapped diagnosis codes with demographic facto...

FY2027 ICD-10-CM Updates: What Revenue Cycle Teams Need to Know Before...

On October 1, 2026, the FY2027 ICD-10-CM update takes effect for all discharges and encounters from that date forward. By the numbers, it is a quieter year: 190 new ...

Coding in the AI Era: The Next Generation of Expertise

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

Autonomous Medical Coding on Your EHR's Roadmap: What to Ask Before Yo...

The appeal of waiting for an EHR-native solution is understandable: you already own the system, your coders know the workflow, and one vendor can be easier to defend to a CFO than two....

2026 Medicare Payment Changes: Key Updates RCM Teams Must Know

In 2026, the Centers for Medicare & Medicaid Services (CMS) reduced work relative value units (RVUs) by 2.5% across nearly 7,000 non-time-based physician services, a c...

Autonomous Coding: Accountability and Governance

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

How Autonomous Medical Coding Helps Health Systems Reduce Denials

Most coding-related denials are decided before a claim ever reaches the payer. A code that doesn't fully reflect the documented care, a missing modifier, or a diagnosis-procedure mismatch gives pay...

Vascular Territory Coding Changes in 2026: What Revenue Cycle Teams Ne...

When assessing and treating patients with lower-extremity occlusive vascular lesions, health systems need to use the correct 2026 vascular territory codes. The 2026 update to the CPT code set inclu...

Building an Audit Process That Actually Reflects Reality

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

Autonomous Coding: Defining and Measuring Accuracy

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