The IPPS Proposed Rule Demonstrates the Importance of SDoH

Published: Tue, 04/23/24

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The IPPS Proposed Rule Demonstrates the Importance of SDoH

The Centers for Medicare & Medicaid Services (CMS) has issued its 2025 Inpatient Prospective Payment System (IPPS) Proposed Rule, through which it proposes to change the severity designation for several Social Determinants of Health (SDoH) ICD-10-CM codes. The SDoH generally continues to prove to be very important data element across...

Evolution of the International Classification of Diseases

The US is approaching a crossroads regarding the diagnostic coding system that is used in all patient records and information exchanges that support patient care, research, quality measurement, and payment. In 2022, the International Classification of Diseases, 11th Revision (ICD-11)¹ came into effect. In addition, the World Health Organization has...

Proposed 2025 IPPS Rule: CMS Targets Readmission Metrics

When it comes to healthcare policy, even seemingly minor adjustments can have significant ripple effects across the industry. The Centers for Medicare & Medicaid Services (CMS) recently unveiled its proposed changes for the IPPS for the 2025 fiscal year. Among the notable alterations is a heightened...

CMS releases tool to help hospitals with price transparency

CMS recently released a web-based validation tool that assists hospitals with price transparency compliance. The updated V2.0 Online Validator Tool helps hospitals develop machine-readable files to comply with a federal price transparency regulation that went into effect in 2021. The regulation requires, among other obligations, hospitals to publicly post...

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...

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