By Susan Chapman, MA, MFA, PGYT for For The Record HIM continues to evolve, especially as technological advances like artificial intelligence (AI) are rapidly infiltrating health care. As the health care industry experiences this unprecedented transformation, HIM leaders offer their…
From ACDIS CDI Strategies Upcoding—when higher-level codes are assigned than are justified to increase reimbursements—will remain a major ethical dilemma in 2025 for coders, according to survey data released by Black Book Research. Of more than 4,000 surveyed health information management…
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…
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…
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…
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…
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…
By Alice Brewer for HealthcareDive One clinical affairs expert argues that it’s time to reexamine the federal Hospital-Acquired Condition Reduction Program. The latest list of hospitals facing federal penalties for poor quality has been released. Through hospital quality scores, the…
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…
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.…
