• HIPAA: Safeguards patient health information during billing and claims processing.
• False Claims Act: Prevents fraudulent claims and upcoding.
• Stark Law & Anti-Kickback Statute: Govern financial relationships to avoid conflicts of interest.
• CMS Guidelines: Outline Medicare/Medicaid billing requirements.

For healthcare providers, coders, and billers, staying current with these updates is essential to ensure proper documentation, optimize revenue, and maintain compliance with regulatory standards. In this article, we explore the latest ICD-10-CM updates, their implications for your practice, and how to implement changes smoothly.