E/M to Telehealth: Breaking Down the Latest Coding Updates

Medical coding is never static. Each year, new rules, updated codes, and stricter compliance requirements shape how providers document and bill for care. For hospitals, practices, and healthcare leaders, keeping up isn’t optional—it’s essential to avoid denials, protect revenue, and ensure compliance with federal regulations.

But here’s the challenge: falling behind on coding updates can cost organizations thousands in lost reimbursements and expose them to audit risk. That’s why education, proactive auditing, and expert coding support are more important than ever.

At MRS (Medical Management & Reimbursement Specialists), we specialize in helping organizations not just keep pace with these changes, but turn compliance into a strength.

What’s New in Medical Coding

Here are some of the most important changes shaping the coding landscape this year:

1. Evaluation & Management (E/M) Documentation Rules
CMS continues to refine its focus on medical decision-making and time-based coding. Providers must document complexity of care rather than relying on boilerplate history and exam notes.

2. Telehealth Coding Expansion
Telehealth is now a permanent fixture in patient care. With new CPT and HCPCS codes introduced in 2025, accurate coding for remote services is under heavy payer scrutiny.

3. ICD-10-CM Updates
New and revised codes cover conditions ranging from cardiovascular disease to mental health disorders. Missing these updates can result in costly claim rejections.

4. Crackdown on Copy-Paste Documentation
Federal programs are intensifying oversight on cloned EHR notes. Accurate, original documentation is critical to reducing compliance risks.

5. Increased Audit Activity
With evolving payer requirements, more organizations face targeted audits. Without the right coding accuracy and compliance checks, revenue is at risk.

Why These Changes Matter

Every coding update affects how providers get paid and how compliant they remain. Even small mistakes in documentation or code selection can:

• Trigger claim denials and delayed reimbursement
• Expose providers to compliance penalties
• Reduce audit readiness
• Impact patient trust and organizational reputation

Staying compliant isn’t just about “knowing the codes.” It’s about having the right systems, audits, and education in place to adapt as regulations shift.

How MRS Keeps You Compliant

This is where MRS makes the difference. We partner with healthcare organizations nationwide to ensure they’re not only aware of coding changes but fully prepared to implement them.

Expert Coding & Billing Services
Our certified coders apply the latest guidelines with precision, reducing denials and strengthening revenue integrity.

MRSAuditQ Auditing Platform
With real-time scoring, compliance tracking, and audit-readiness insights, MRSAuditQ helps providers identify risks early and stay ahead of payer scrutiny.

Denial Management
When denials happen, our team resolves them quickly and analyzes root causes to prevent repeat issues.

Coding Education & Training
We deliver tailored education to providers and staff, empowering them to document and code correctly in line with the newest updates.

Medical coding will always change, but compliance doesn’t have to feel like a moving target. By combining expert coding, powerful auditing tools, denial management, and hands-on education, MRS keeps your organization compliant, confident, and financially strong.

If your team needs support navigating the latest coding updates, MRS is here to help you turn regulatory challenges into opportunities for better accuracy, revenue protection, and peace of mind.

Ready to find out what’s happening in the billing and coding world?

Let us help you strengthen your coding operations and build a smarter revenue cycle.

Visit www.mrsnh.com or reach out to robin@mrsh.com to schedule your internal audit today.

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