CMS Releases Proposed Rule for IRFs

Published: Wed, 04/03/24

Link to all things medical coding & billing

CMS Releases Proposed Rule for IRFs

On March 27, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for Inpatient Rehabilitation Facilities (IRFs) that would update payment policies for the 2025 fiscal year (FY) and add four new items as Standardized Patient Assessment Data elements, modify an additional item, and remove the Admission Class item from the IRF-PAI (Patient Assessment Instrument).

4 ways generative AI is transforming healthcare

In the face of ever-rising healthcare costs, technology could offer a reprieve. Indeed, physicians across the country are interested in learning about the potential benefits of AI for themselves and their patients. A recent survey by the American Medical Association (AMA) found that 65% of physicians believe AI offers advantages, particularly when it comes to tools that...

How to Report New Code Category W44

One of the goals of medical coding is documenting encounter notes to the highest degree of specificity. ICD-10-CM had some existing codes for documenting foreign bodies entering through a natural orifice.

Code range T15 through T19 helped document such conditions, but these codes simply referred to a non-specific foreign body. However, the recent update...

How AI is Becoming a Staple in Medical Coding, Auditing

Troves of data flow through the healthcare revenue cycle. Yet, many providers struggle to make sense of the codes and clinical documentation to not only submit clean claims but also understand patient encounters that occur within their organizations.

Medical coding and clinical documentation are ripe...

How AI is transforming medical coding for physicians and coders

Revenue cycle management performance has never been more important. And recent advances in technology, particularly artificial intelligence, offer much potential for healthcare's administrative functions. The RCM function could lay the foundation to harness technology to contribute to better hospital and health system performance, said Jay Aslam...

CMS extends MIPS deadline to April 15 amid fallout of Change cyberattack

Due to ongoing concerns with the impact the Change Healthcare cybersecurity attack is having on physician practices, the Centers for Medicare and Medicaid Services (CMS) has extended the 2023 MIPS data submission deadline until April 15. Notably, this attack on our nation’s health care...

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