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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 traditional AI to its next generation, Generative (Gen) AI. When applied correctly, Gen AI can…
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 Association of Healthcare Revenue Integrity (NAHRI), CMS finalized a 2.83% reduction to the conversion factor.…
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 young people by launching key initiatives and programs. Cathy Fraser, chief people officer at WelbeHealth,…
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 as inpatients, but later reclassified as outpatients receiving observation services. This rule is the result…
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 that the former refers to one’s psychological experience, or sense, of gender while the latter…
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 data collection and usage. This initiative is part of the AHIMA broader campaign, Data for…
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 bring. These front-line workers play a crucial role in disaster response, but that responsibility comes…
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 reported. The update was primarily focused on the low wage index hospital policy, which since…
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 Black Book’s survey of health information management professionals: 1. Ninety percent of those surveyed said…
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 following redeterminations, the process where states rechecked beneficiaries’ eligibility for the safety-net program after a…