ACDIS

Final physician payment rule keeps E/M code changes

By Ron Shinkman for Healthcare Dive Dive Brief: CMS on Friday issued its 2020 final rules for the Physician Fee Schedule, including a streamlining of evaluation and management services (E/M) reporting that was rolled back from an earlier proposal in a change providers applauded. The final rule, which is mostly unchanged from the proposed rule…

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Preparing Noncoders for New 2020 Codes

By Maureen Kelly and Fred Wulf for For the Record In August, the Centers for Medicare & Medicaid Services (CMS) published the Final Rule for fiscal year 2020’s inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS) code set changes. IPPS updates take effect for discharges occurring from October 1, 2019, through September…

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The Qualification Question

By Selena Chavis for For the Record On what side of the clinical validation argument do HIM professionals fall? Are seasoned coding professionals competent or trained well enough to interpret clinical terms and concepts from the medical record? This question was posed on a Talk Ten Tuesdays podcast last year, and the robust response received…

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Clinician burnout: Physicians name the technologies they think could best solve it

By Mike Miliard for Healthcare IT News SANTA CLARA – At Health 2.0 on Monday, National Coordinator for Health IT Dr. Don Rucker listed a litany of challenges faced daily by physicians and nurses, and contributing to the ongoing scourge of clinician burnout: onerous documentation requirements, boilerplate electronic health records and the “monster burdens” of…

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How Will FY2020 IPPS Proposed Rule Affect Hospital CDI Programs?

By Shannon Wiggins for HIT Consultant In April, Centers for Medicare and Medicaid Services (CMS) released the fiscal year (FY) 2020 inpatient prospective payment systems (IPPS) proposed rule. The proposed rule notably includes approximately 1,500 complications or comorbidities (CC)/major complications or comorbidities (MCC) designation changes and 324 changes to International Classification of Diseases (ICD)-10-CM codes, along…

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6 Expectations Millennials Have For Their Healthcare

By Joe Harpaz for Forbes You may have seen recent news headlines proclaiming that millennials are killing napkins. Or that they’re ending plastic drinking straws, the beer industry or even homeownership. While these stories may be a bit extreme, there’s no doubt millennials are shaking things up, considering they make up nearly 23% of the…

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How AI can transform hospital revenue cycle management — 5 thoughts

Scott Becker and Ayla Ellison for Becker’s Hospital Review Artificial intelligence is making big waves across many industries, and healthcare organizations are exploring ways to harness AI’s transformative power. Many hospitals and health systems are already leveraging AI to improve care, support clinical decisions and boost clinician satisfaction. However, the role of AI in healthcare…

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Surprise medical bills becoming more frequent and costly

By Shelby Livingston for Modern Healthcare Surprise out-of-network billing and related patients’ costs are increasing among inpatient admissions and emergency department visits to in-network hospitals, according to a study published Monday in JAMA Internal Medicine. Stanford University researchers found that from 2010 through 2016, 39% of 13.6 million trips to the ED at an in-network…

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