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Some trends in both technology and government – including the artificial intelligence (AI) boosterism of new CMS administrator Oz Mehmet, M.D. – suggest a bigger role for AI in health care, including the clinical space. While many experts counsel a go-slow approach, some entrepreneurs are bullish.
 
 
The proposed ICD-10 code changes — released with the FY2026 Hospital Inpatient PPS (IPPS) proposed rule on April 11 — include a new code for type 2 diabetes mellitus in remission, more than 100 new codes to capture non-pressure chronic ulcers in various stages as well as new codes for malignant inflammatory neoplasms. 
 
 
On April 3, the Senate confirmed Mehmet Oz as CMS Secretary in a 53-45 vote, giving the one-time celebrity TV doctor, cardiothoracic surgeon and Pennsylvania congressional candidate the reins of the federal agency that oversees the Medicare and Medicaid programs.
 
 
You know that CMS will not reimburse the new CPT telehealth codes (98000-98015). However, commercial plans are picking them up.
 
 
Medical groups will see the early termination of several payment models from the Center for Medicare and Medicaid Innovation (CCMI), including two primary care-focused models, an end-stage renal disease (ESRD) model and a Maryland-specific program.
 

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