The Impact of Generative Artificial Intelligence on Health Care
By Susan Chapman, MA, MFA, PGYT for For The Record Artificial intelligence (AI) is an evolving technology that’s increasingly being employed across the health care industry. Like many technologies, AI continues to evolve, moving from what’s commonly referred to as…
2025 MPFS final rule contains 2.93% reduction to overall payments
By ACDIS for CDI Strategies The 2025 Medicare Physician Fee Schedule (MPFS) final rule was released on November 1 and contains a number of billing modifications to payment rates, services, telehealth rules, and other such services. According to the National…
How this healthcare organization is reshaping Gen Z retention
By Madeline Ashley for Becker’s Hospital Review As more healthcare leaders turn their focus to Gen Z, Menlo Park, Calif.-based WelbeHealth, an organization that provides older adults care through its PACE program, has cracked the code to hiring and retaining…
CMS Introduces New Appeals Process for Medicare Beneficiaries Reclassified from Inpatient to Outpatient
By Tiffany Ferguson, LMSW, CMAC, ACM for RACmonitor On Oct. 11, the Centers for Medicare & Medicaid Services (CMS) issued a final rule (CMS 4204-F) establishing a new appeals process for Medicare beneficiaries who are initially admitted to a hospital…
Coding for Gender-Affirming Health Care
By Susan Chapman, MA, MFA, PGYT for For The Record Gender identity is how individuals perceive themselves, be it different or the same as the sex they were assigned when they were born.1 Gender identity differs from gender expression in…
Improving SDOH Collection and Usage: Success Stories From Three Health Systems
From For the Record As health care organizations increasingly recognize the critical link between patient health and social determinants of health (SDOH), a new initiative aims to showcase the innovative strategies employed by three leading health systems to enhance SDOH…
Nurses on the Front Lines of Natural Disasters: Coping With the Mental Toll
By Laura Brummett for Nurse.com When natural disasters like recent back-to-back Hurricanes Helene and Milton occur, healthcare professionals brace for the inevitable surge in demand for care. Nurses are often first responders to the chaos and destruction that such storms…
FY 2025 IPPS rates changed last minute due to court decision
From ACDIS CDI Strategies To comply with a summer court order, the fiscal year (FY) 2025 Hospital Inpatient Prospective Payment System (IPPS) was revised a day before its implementation on October 1 to reduce payments for low wage hospitals, JustCoding…
What’s keeping medical coders up at night?
By Andrew Cass for Becker’s Hospital CFO Report Regulatory challenges, evolving coding practices and ethical concerns are the critical issues facing medical coders, according to an Oct. 18 report from Black Book Research. Here are five things to know from…
Elevance lowers guidance on ‘unprecedented’ Medicaid challenges
By Emily Olsen for HealthCare Dive Executives said the increased costs pressuring its Medicaid business would improve after states updated payment rates to better match member acuity. Dive Brief: Dive Insight: Elevance isn’t the only payer flagging challenges in Medicaid…
