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From ACDIS News In the last week, CMS released the fiscal Year (FY) 2025 ICD-10-CM code update and Official Guidelines for Coding and Reporting, which are effective October 1, 2024 through September 30, 2025. The update includes new codes such as Z51.A, Encounter for sepsis aftercare, which will give coders the opportunity to report when…
By Kristi Pollard for Haugen Consulting Group ** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly. Fiscal year (FY) 2025 starts on October 1 and there are several changes on the…
By Amanda Norris for Health Leaders Media CMS recently released the fiscal year (FY) 2024 Inpatient Prospective Payment System (IPPS) final rule. Along with its yearly payment rate changes, the final rule placed a focus on promoting high-quality care and rewarding hospitals that deliver such care to underserved populations. Notably, CMS finalized a higher severity level designation for…
By Susan Chapman, MA, MFA, PGYT for For the Record After the COVID-19 pandemic began in 2020, patients and providers turned to virtual care to continue to seek and provide care safely. The United States Government Accountability Office (GAO) reported that in the early days of the pandemic, millions of provider visits were postponed or…
By Amanda Norris for Health Leaders The CDC just released upcoming changes to both the ICD-10-CM diagnosis code set and the official coding guidelines. The new changes include 42 diagnosis code additions, seven deletions, and one code revision. All changes will go into effect April 1, which should give revenue cycle leaders time to train staff and…
By Jay Asser for Health Leaders Coming off the heels of the COVID-19 pandemic, providers are doubling down on software investments and prioritizing revenue cycle management to alleviate macroeconomic challenges, according to a report from Bain & Company and KLAS. The research finds that 45% of providers accelerated software investment over the past year, with 10% pulling…
From AMA CHICAGO — The American Medical Association (AMA) today announced an editorial update to Current Procedural Terminology (CPT)®, the nation’s leading medical terminology code set for describing health care procedures and services, that includes eight new codes for the bivalent COVID-19 vaccine booster doses from Moderna and Pfizer-BioNTech. The updated boosters are adapted for the…
From For the Record The American Medical Association (AMA) recently announced an editorial update to CPT, the nation’s leading medical terminology code set for describing health care procedures and services, that includes new product and administration codes assigned to the Moderna COVID-19 vaccine for children 6 months through 5 years old. The provisional CPT codes are…
By Dawn Crump, MA, CHC, SSBB for For the Record Wonder Woman has a golden lasso. Captain America has an impenetrable shield. Thor has a lightning hammer. Just as these magical tools bolster superheroes’ defenses, insights gleaned from internal audits are your organization’s superpower to prevent revenue recoupment and drive down risk. Audits identify revenue…
Andeis Robezienks for AMA Recognition of the impact that social determinants of health (SDOH) have on patients’ outcomes is growing, as is the desire to incorporate SDOH factors into patient-care plans. But awareness of an existing data infrastructure that could help physician practices do so is limited. “The clinical care we provide only accounts for…