Medical Coding Data
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Standards of Quality

Editorial Standards, Fact-Checking & Data Verification Policy

Our rigorous methodology for ingesting, validating, and updating official healthcare coding data and Medicare reimbursement rules.

1. Authoritative Federal Data Sourcing

Medical Coding Data maintains a strict data integrity policy: 100% of our core code sets, descriptors, tabular guidelines, relative value units (RVU), and code pair edits originate directly from federal agency releases. We do not synthesize artificial codes or scrape unverified third-party websites.

Our primary regulatory sources include:

  • Centers for Disease Control and Prevention (CDC) & NCHS: ICD-10-CM annual tabular modifications and official coding guidelines.
  • Centers for Medicare & Medicaid Services (CMS): HCPCS Level II quarterly files, Medicare Physician Fee Schedule (PFS) Final Rules, and National Correct Coding Initiative (NCCI) edit tables.
  • American Medical Association (AMA): CPT regulatory framework and coding conventions.

2. Code Verification & Quarterly Update Cycle

Healthcare coding rules evolve on strict regulatory cycles. Our engineering team monitors the CMS and CDC electronic registers daily. Code databases and tools are updated according to the following schedule:

  • Annual ICD-10-CM Update: Effective October 1 of each federal fiscal year (FY).
  • Annual Medicare Fee Schedule Update: Effective January 1 of each calendar year (CY).
  • Quarterly HCPCS and NCCI Edits: Effective January 1, April 1, July 1, and October 1.

3. Error Correction Protocols

If a discrepancy, typographical error, or retroactive CMS policy adjustment is identified, our editorial and engineering team investigates within 24 hours. Corrective updates are deployed immediately to the live database, accompanied by a timestamped update note.

Healthcare professionals and compliance officers may submit discrepancy notices through our Report a Data Error form.