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11/04/2024
The use of generative artificial intelligence (AI) in health care continues its rapid expansion. But a recent investigation of one product’s possible flaws serves as a reminder that the technology remains immature and in many cases guardrails are required, especially when it impacts patient care.
11/04/2024
Take note of tips for using modifier FS (Split or shared services) from top reporters as the modifier approaches its third year of active status. CMS implemented the modifier as part of a major revision to its rules for split/shared services, on Jan. 1, 2022. The modifier dictates payment, so accuracy is crucial to prevent overpayments, underpayments and compliance problems.
11/04/2024
A little-noticed feature of the proposed 2025 Medicare physician fee schedule (PFS) having to do with the reporting and return of overpayments could be finalized soon, and it might change the timetable for refunds that you owe.
11/04/2024
Question: How should compliance leaders navigate the complexities of data sharing and interoperability initiatives while maintaining strict adherence to HIPAA regulations?
11/04/2024
On October 14, CMS updated its Medicare Preventive Services website with new information on a variety of topics.
11/04/2024
Part B providers reporting inpatient and observation care codes appeared to face minor but notable headwinds as they adapted to the AMA’s revised reporting guidelines in 2023. Payments increased for some of the oft-reported codes in 2023, but denial rates also crept up for some of the most-billed services.

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