While many people make plans for a new year, it's also time to prepare for the new 2020 Current Procedural Terminology (CPT) codes. That means reviewing CPT coding changes, learning new codes, removing deleted codes, and understanding the revised codes and definitions.

On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law (often called the “Stark Law”). The law prohibits physicians from making referrals for certain healthcare services...

As we get ready to say goodbye to another year of audits and investigations, compliance officers around the country have worked or are working to determine their audit elements for calendar year 2020, in response to the HHS and OIG 2020 Work...

We undertook this study because of concerns that Medicare Advantage organizations (MAOs) may use chart reviews to increase risk adjusted payments inappropriately. Unsupported risk adjusted payments are a major driver of improper payments in the...

Machine learning models can be trained to predict chronic diseases such as dementia using electronic medical record (EMR) data, according to a new study published in Artificial Intelligence in Medicine.

In response to the recent occurrences of vaping related disorders and in consultation with the World Health Organization (WHO) Framework Convention on Tobacco Control, the WHO Family of International Classifications (WHOFIC) Network...

Sushovan Guha, MD, PhD, is a gastroenterologist and physician executive director at Banner Digestive Diseases Institute in Phoenix. He shared his thoughts on the uses of artificial intelligence in gastroenterology with Becker's ASC Review.

At the September meeting of the ICD-10 Coordination and Maintenance (C&M) Committee, members discussed ICD-10-CM proposals for codes for identification of specific synthetic opioids and revisions to the sepsis/severe sepsis codes. Other diagnosis code proposals included cytokine release syndrome...

As we talk about preparing for the transition from ICD-10 to ICD-11, it is important to realize the importance of data. Healthcare data is important today for population health, determining risk adjustment factors for Hierarchical Condition Categories (HCCs)...