RCM Compliance & Coding Updates 2025 – What Every Provider Needs to Know?

  • E/M Coding Focus: 2025 shifts focus to patient complexity, not time. Train teams to document details accurately for proper reimbursement.
  • Telehealth Updates: Now permanent with clarified CPT modifiers and stricter documentation—accurate coding prevents revenue loss.
  • AI in Coding: AI assists coders by suggesting accurate codes, reducing errors, and speeding up claim submissions.
  • Prior Authorization Automation: Real-time tracking and automation lead to 30% fewer denials and 40% faster approvals.
  • Audit Readiness: Expect more audits—especially in E/M, telehealth, and medical necessity. Regular internal checks keep you safe.
  • Strong Documentation: Consistent, clear documentation aligned with coding rules reduces denials and ensures compliance.
  • Risk Adjustment Coding: Accurate coding for chronic and complex conditions ensures fair reimbursement—review and train annually.
  • Practolytics Advantage: AI-driven automation, smart insights, and hands-on support simplify RCM—boosting revenue, speed, and peace of mind.

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