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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 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…
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 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…
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 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…
As the healthcare industry adapts to rapid changes, health information management (HIM) professionals are at the forefront of improving patient care and operational efficiency. Dolbey is excited to announce that we will be attending AHIMA24, the American Health Information Management…
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…