While many people make plans for a new year, it's also time to prepare for the new 2020 Current Procedural Terminology (CPT) codes. That means reviewing CPT coding changes, learning…
Among the proposed new rules is one intended to clarify the contentious “Stark Law.” On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to…
Three risks, in particular, are expected to pose a greater liability for providers. As we get ready to say goodbye to another year of audits and investigations, compliance officers around…
WHY WE DID THIS STUDY We undertook this study because of concerns that Medicare Advantage organizations (MAOs) may use chart reviews to increase risk adjusted payments inappropriately. Unsupported risk adjusted…
Machine learning models can be trained to predict chronic diseases such as dementia using electronic medical record (EMR) data, according to a new study published in Artificial Intelligence in Medicine.…
In response to the recent occurrences of vaping related disorders and in consultation with the World Health Organization (WHO) Framework Convention on Tobacco Control, the WHO Family of International Classifications…
Sushovan Guha, MD, PhD, is a gastroenterologist and physician executive director at Banner Digestive Diseases Institute in Phoenix. He shared his thoughts on the uses of artificial intelligence in gastroenterology…
At the September meeting of the ICD-10 Coordination and Maintenance (C&M) Committee, members discussed ICD-10-CM proposals for codes for identification of specific synthetic opioids and revisions to the sepsis/severe sepsis…
It is important to understand the data needs for your organization from a content perspective as you prepare for ICD-11. As we talk about preparing for the transition from ICD-10…
EDITOR’S NOTE: CORRECTION: In the RACmonitor Nov 29, 2019 edition, Dr. Ronald Hirsch noted that resource use data on skilled nursing facilities (SNFs) was not available on the SNF Compare…
Mainstream media reports are already rife with dire predictions for the upcoming flu season, but experts say it’s really too early to tell how severe it will be. The severity…
At the beginning of November, CMS finalized changes to its Medicare payment systems for 2020. Here's a rundown of noteworthy changes CMS made: 1. Included a site-neutral payment policy and…
The RexPay team is excited to announce that November 14 marked the launch of the RexPay app, an all in one solution to help patients to understand, manage, and pay…
Each year on Oct. 1, the new ICD-10 codes become effective. Over the past few years, this has resulted in a few major changes and a few changes that seemed…
New Medicare office-visit coding guidelines take effect Jan. 1, 2021, and are designed to be more intuitive and make unnecessary documentation tasks go away. Experts believe the transition will be…
Correctly documenting what was done for a patient, and why, are essential for the coding systems that have become indispensable to the efficient management of contemporary medical care. Learn how to master this fundamental skill set in a learning module…