Why Getting CPT Modifiers Right Matters More Than Ever 

Introduction:  CPT modifiers are a fundamental aspect of medical billing and coding that many healthcare providers overlook, leading to coding errors, denied claims, and delayed reimbursements. At their core, these modifiers are essential for conveying additional details about the procedures performed. Whether it’s indicating that a procedure was done bilaterally or clarifying that it was […]

How AI Improves Modifier Accuracy in Complex Specialties 

Introduction:  At MediCodio, we know that AI in modifier coding is transforming the healthcare industry. As the landscape of healthcare continues to evolve, coding for complex procedures in specialties like gastroenterology, orthopedics, and neurointerventional surgery becomes increasingly challenging. Proper modifier coding is essential to accurately reflect the complexity of these procedures, ensuring correct reimbursement and […]

How to Automate Medical Coding Workflows with LLMs 

Automation is transforming every corner of healthcare, and medical coding is no exception. With the rise of large language models (LLMs), the process of converting clinical text into structured billing codes is now faster, smarter, and more reliable. Today, automated medical coding with AI is not just a trend—it is becoming the industry standard.  This […]

Modifier 59 in Medical Billing, Avoiding Common Errors  

Few modifiers are as widely used—and misused—as modifier 59 in medical billing. In 2025, it remains one of the most controversial and heavily audited modifiers. Used incorrectly, it can lead to denials, overpayments, and even payer recoupments. Used correctly, it can unlock revenue that would otherwise be lost to code bundling edits.  This blog walks […]

What Is Medical Coding? A Comprehensive Guide for 2025 

Introduction  What is medical coding? It’s the process of translating clinical documentation—like diagnoses, procedures, and test results—into standardized alphanumeric codes (e.g., ICD10, CPT, HCPCS). These codes are the foundation of healthcare billing, analytics, and quality reporting. With complexities increasing each year, understanding medical coding is crucial for providers, coders, payers, and administrators alike. In today’s […]

Powering Telehealth Documentation with AI-Enhanced Medical Coding

Introduction Telehealth has rapidly transformed from a niche convenience to a core healthcare delivery method. But as virtual visits become standard practice, they present new challenges in documentation and medical coding. Unlike in-person care, telehealth encounters often lack standard workflows, making it harder to ensure consistent, complete, and compliant coding. Enter AI telehealth medical coding—an […]

Scaling Coding Operations for M&A and Affiliations Using AI and Staffing Solutions

Introduction Mergers, acquisitions, and affiliations are increasingly common in healthcare, as providers seek to expand networks, share resources, and improve care coordination. But while strategic on paper, these transitions often pose serious operational challenges—especially in revenue cycle functions like medical coding. From inconsistent documentation standards to incompatible coding systems and overburdened staff, the revenue cycle […]

Specialty Medical Coding at Scale, AI + Domain Experts in One Platform

Introduction  Specialty medical coding presents unique challenges that general-purpose solutions often cannot address. From nuanced procedural variations in orthopedics to complex chronic care coding in cardiology and oncology, specialty providers require precision, speed, and deep clinical understanding. As case complexity grows, so does the need for a solution that scales without sacrificing accuracy.  That is […]

How MediCodio Is Scaling AI Medical Coding with the Mind Seeker Acquisition 

The U.S. healthcare industry is evolving rapidly, with increasing complexity in regulations, payer requirements, and documentation standards. In this dynamic environment, AI medical coding is no longer a futuristic concept — it’s a present-day necessity. MediCodio, a leader in this space, has taken a bold and strategic step by acquiring the medical coding division of […]

Implementing AI in Medical Coding, Best Practices for Healthcare Organizations 

Introduction  The medical coding landscape is undergoing rapid transformation as artificial intelligence (AI) becomes an integral part of revenue cycle operations. By automating documentation analysis, identifying appropriate codes, and flagging potential compliance issues, AI helps streamline workflows and improve coding accuracy.  However, AI implementation in medical coding isn’t just about choosing the right software—it’s about […]