While most observers of the Centers for Medicare & Medicaid Services (CMS), the release Wednesday of its final payment rule for inpatient and long-term care hospitals, caught many off-guard, expecting…
This article was inspired by an article I read by Cynthia Tang and Richard Pinson (https://libmaneducation.com/coding-of-possible-malignancy-diagnoses-when-the-pathology-report-is-pending/). They expressed their concern about Coding Clinic’s advice to code an uncertain malignancy diagnosis…
Artificial intelligence (AI) has emerged as a game-changing technology with the potential to revolutionize health care. Specifically, artificial intelligence-based predictive and prognostic tools in the field of personalized medicine, are…
Navigating the complex terrain of medical billing can be fraught with expensive and frightening pitfalls. From minor transcription errors to major coding misunderstandings, mistakes in this area can result in…
A proposed 3.3% cut to physician pay would threaten access to care and efforts to bring more clinical oversight into nursing homes, advocacy groups are warning. A 2024 draft pay…
A transformation is underway in medical coding as automation permeates medical billing. It raises many questions, such as what kind of skill sets will be needed for this new generation…
A Request for Information has been published in the Federal Register (Federal Register :: National Committee on Vital and Health Statistics; Meeting and Request for Information) asking comments on ICD-11…
Medicare improperly paid practitioners at a higher non-facility rate for services provided to skilled nursing facility (SNF) or hospital inpatients, leading to over $22 million in over-payments, a report from…
The U.S. Supreme Court ruled on a False Claims Act (FCA) case last week. As you probably know, the FCA makes it illegal for a healthcare provider to submit for…
Hierarchical Condition Categories (HCCs) and value-based care have been a major focus for healthcare organizations during recent years. As many of you may know, the Centers for Medicare & Medicaid…
The last several years have been tumultuous for the healthcare industry. Providers are continuing to face challenging profit margins, increased costs, staffing shortages and burnout. At the same time, consumers…
Amid the many challenges health care leaders face today, it can be easy to lose sight of some recent advances that could significantly change patient care. Here’s a look at…
The pace of innovation is picking up as health IT vendors seek to integrate artificial intelligence into their offerings for provider operations, medical testing, patient engagement and other use cases.…
Odds are, you are making these mistakes and missing out on revenue Q: What are the most common coding mistakes physicians make? A: As I work with providers across the…
The Seattle-based startup is using GPT among other AI cloud technologies to reduce healthcare's administrative costs, improve productivity and elevate the daily job experience for human talent. "Our AI Virtual…
The healthcare system might stand to undergo a few adjustments before we turn things over to the machines. There’s a moment early in the 1993 blockbuster film Jurassic Park when…