A 'TsunamAI' Of Change Is Coming To Healthcare

Published: Wed, 07/24/24

Updated: Wed, 07/24/24

Link to all things medical coding & billing

A 'TsunamAI' Of Change Is Coming To Healthcare

In the last 50 years, there have been significant developments that have forever improved the delivery of healthcare. Consider imaging (MRI/CT scans), minimally invasive surgery, anti-viral therapies, precision medicine (e.g., CRISPR and gene editing) and near or complete eradication of diseases like polio and smallpox. As we look back 50 years from...

FY 2025 ICD-10-PCS: New Technology Code for Bioengineered Human Acellular Vessel

Current treatment for traumatic arterial injury of the extremities consists primarily of replacement with autologous venous or synthetic graft. However, the need for emergent repair or the unsuitability of a patient’s veins makes harvesting an autologous graft less than ideal and synthetic grafts have a higher...

Remote monitoring code changes could make it into CY2026 fee schedule, at the earliest

The American Medical Association’s coding panel, which is responsible for creating medical billing codes, is set to meet September 19-21 in Albuquerque where it will consider yet another proposal to lower the requirements for providers to get paid for remote monitoring. Remote monitoring was scarcely mentioned in the CMS proposed...

CMS proposes new payments for digital health under CY2025 PFS draft rule

The Centers for Medicare & Medicaid Services' proposed calendar year 2025 physician fee schedule rule, out Wednesday, proposed an assortment of new payments and coverage for digital health services, including digital therapeutics, telehealth and audio-only telehealth services. It did not, however, address the bulk of Medicare telehealth waivers expiring at...

CMS Rolls Out Largest-Ever Navigator PPACA Enrollment Grant Offering

An unprecedented number of individuals are now enrolled in Patient Protection and Affordable Care Act Marketplace health insurance plans – and federal officials this week signaled that the trend can likely be expected to continue. The Centers for Medicare & Medicaid Services (CMS) recently announced the availability of half a billion dollars in grants over...

Release of 2025 OPPS Proposed Rule: Focuses on Payment Adjustments, Health Equity, and Maternal Health

While CMS (the Centers for Medicare & Medicaid Services) usually releases new rules in the afternoon, on July 10 they chose to release the 2025 Outpatient Prospective Payment System (OPPS) Proposed Rule before 9 a.m. At 984 pages, the rule contains the usual adjustments to payment rates for both hospital outpatient services and ambulatory surgery center...

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