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Harnessing Artificial Intelligence (AI) for Health Practice Success: A Practical Guide
By BETTY A. HOVEY
In today’s evolving health care landscape, AI is revolutionizing medical practices. “Harnessing Artifical Intelligence (AI) for Health Care Practice Success: A Practical Guide: is a key resource for professionals aiming to enhance efficiency, patient care, and practice management through AI.
This concise guide offers practical insights on applying AI in health care, from streamlining tasks to improving clinical decisions. With real-world examples and strategies, it empowers practice managers, coding professionals, billing professionals, and health care leaders to confidently adopt AI technologies. Whether you are new to AI or looking to deepen your understanding, this book equips you with the tools to navigate the AI-driven future of health care management.
Articles
Recent Articles
Leveraging Artificial Intelligence in Healthcare Practice Management
AI can be used in practice management to improve patient care, help automate the coding process, and streamline administrative tasks, among other things. Click The Full Article (AHIMA membership required).
Eligibility: What Is It, Anyway?
Eligibility: What Is It, Anyway? April 2024 Beth Timpson Schleeper, COC, CPC, CPCO, CDEO, CPB, CPMA, CPPM, CRC, CPC-I, CEMC, CANPC, CEMA, CMCS, CMRS To be sure that your practice is paid for services rendered, you want to verify every patient’s eligibility for medical coverage. Why? Because the turnaround time
Interview: Updated ICD-10-CM Oncology Codes Announced: Important Changes to Know
OBR Oncology August 7, 2023 Torrey Kim interviewed me for his article “Updated ICD-10-CM Oncology Codes Announced: Important Changes to Know”. Click to Read the Article
The CERT Program
What It Is and What a Practice Needs to Know The Comprehensive Error Rate Testing (CERT) program is a crucial component of the Medicare program that helps ensure the government is paying only for the services and care that beneficiaries actually receive. The program is designed to identify improper payments
Telehealth and the OIG Work Plan
The pandemic and the public health emergency (PHE) it brought along with it, have changed how health care is delivered. Commercial payors have been more amenable to paying for telehealth services in prior years. Due to the pandemic, CMS decided to relax its guidelines on telehealth acceptance and payment. More
Final Rule for Physician Fee Schedule and Other Medicare Policies Posted
CMS issued a final rule on the Medicare Physician Fee Schedule and some other policies that are slated to start on or after January 1, 2021. The 1,994 page document has a lot of information on many different policies, so a few important ones will be highlighted here, but you
2021 E/M Changes: Are You Ready?
The last big change for Evaluation and Management (E/M) coding was in 2010 when Medicare stopped accepting consultations. Not since 1997 have the guidelines gone through such a big adjustment. Due to the pandemic, though, many practices are not prepared for this upcoming change. This article will look at an overview
Highlight
Coding & Documentation
Principal Care Management Coding
In CPT this year, there are new Category I codes for Principal Care Management (PCM). CPT CODE DESCRIPTION #•99424 Principal care management services, for a single high-risk disease…; first 30 minutes provided personally by a physician or OQHCP, per calendar month #+•99425 each additional 30 minutes provided personally by
Q & A
Coding Quandry
ICD-10 Diagnosis Codes
Question: I am unsure what ICD-10 diagnosis codes should go on a claim for an encounter. Here is an example: a patient is seen for a nagging cough/cold symptoms. Since the patient has hypertension, the doctor told her there are certain over-the-counter medications she should not take. He then gives
Punch Biopsies
Question: A patient came in for two punch biopsies due to dermatitis that wouldn’t clear after treatment for a few months. The doctor thinks that he should be able to bill an E/M with the visit, but I say no. Who is right? Answer: I don’t like giving this answer,
Chronicity of the Condition
Question: One point of clarification I’ve wondered about. What defines the chronicity of the condition? Is it if it’s lasted more than one year already for the patient or is it if we know that it’s going to last more than a year even if it’s only lasted a few months?
Shave Biopsy
Question: When I am performing a shave biopsy, I append diagnosis code D48.5 to the service. My coder is telling me that it is incorrect, and I should use D49.2 instead. Who is correct? Answer: The coder is correct on this one. D48.5 is Neoplasm of Uncertain Behavior of Skin