What’s the difference between M51.09 and M51.04? It’s just one number, right? Well, for these two ICD-10 codes, that one number means the difference between a specified and unspecified code. It also ...

Learn how to improve coding assignments with clear documentation, better structure, and professional formatting for higher grades and clarity.

How often have you heard this phrase, “If it wasn’t documented, it wasn’t done?” The first concept I convey to physicians is that each specific medical record is unique in its own way and must ...

Developers have every reason to not document their work unless they are forced to — and IT managers have every reason to not make them do it. One of the top enterprise IT complaints is that a serious ...