Using AI to Improve Goal Concordant Care: Deep Dive into a 90-Day Mortality Model and Incorporation into Clinical Care (CO202C)
1. Understand how an AI model can augment operational, workflow, and technology redesign to support improvements in serious illness discussions, documentation, and ACP billing.2. Apply evaluation tools to determine whether an AI model might be appropriate for their clinical context and discuss how an AI mortality model can augment clinician intelligence to improve goal concordant care delivery. (Source: Journal of Pain and Symptom Management)
Source: Journal of Pain and Symptom Management - April 19, 2024 Category: Palliative Care Authors: Finly Zachariah, Heather Bitar, Amis Christian, Stefanie Mooney, Denise Morse, Laura Roberts Source Type: research
Access to In-Network Mental Health Care Still Lags Far Behind Other Medical Care
Patients are far more likely to go out of network to obtain health care from mental health professionals than from medical or surgical professionals, areport by RTI International has found.In research that was partially funded by APA, Tami L. Mark, Ph.D., M.B.A., and William J. Parish, Ph.D., M.A., analyzed enrollment data and claims from more than 22 million individuals captured annually from 2019 through 2021 to evaluate out-of-network use and reimbursement rates across all 50 states.The researchers found that patients went out of network 3.5 times more often to see a behavioral health professional (physician or nonphysi...
Source: Psychiatr News - April 17, 2024 Category: Psychiatry Tags: billing codes health care insurance out of network parity pay disparities reimbursement RTI International Source Type: research
Sensors, Vol. 24, Pages 2571: LazyFrog: Advancing Security and Efficiency in Commercial Wireless Charging with Adaptive Frequency Hopping
This study tackles two core issues: the increasing hardware requirements for billing system authentication protocols and the interception of wireless charging signals by unauthorized users, leading to power theft and subsequent losses. To address these challenges, we propose a mechanism termed “LazyFrog”. This mechanism dynamically adjusts the frequency hopping schedule, activating frequency changes only in response to detected threats during remote charging or upon identifying unauthorized access attempts. The proposed mechanism compares the expected power reception at the device with the actua...
Source: Sensors - April 17, 2024 Category: Biotechnology Authors: Sungkyu Ahn Hyelim Jung Ki-Woong Park Tags: Article Source Type: research
Applications of Natural Language Processing for Automated Clinical Data Analysis in Orthopaedics
J Am Acad Orthop Surg. 2024 Apr 10. doi: 10.5435/JAAOS-D-23-00839. Online ahead of print.ABSTRACTNatural language processing is an exciting and emerging field in health care that can transform the field of orthopaedics. It can aid in the process of automated clinical data analysis, changing the way we extract data for various purposes including research and registry formation, diagnosis, and medical billing. This scoping review will look at the various applications of NLP in orthopaedics. Specific examples of NLP applications include identification of essential data elements from surgical and imaging reports, patient feedb...
Source: The Journal of the American Academy of Orthopaedic Surgeons - April 16, 2024 Category: Orthopaedics Authors: Yasir AlShehri Arashdeep Sidhu Laks V S Lakshmanan Kelly A Lefaivre Source Type: research
The CMS Updates the Medicare Conversion Factor
The Consolidated Appropriations Act, 2024 increased the Medicare conversion factor by 1.68% effective March 9, bringing it to $33.2875 for March 9–Dec. 31, 2024. (Source: The Rheumatologist)
Source: The Rheumatologist - April 8, 2024 Category: Rheumatology Authors: From the College Tags: Billing/Coding Legislation & Advocacy Medicare Reimbursement Source Type: research
CMS Updates the Medicare Conversion Factor
The Consolidated Appropriations Act, 2024 increased the Medicare conversion factor by 1.68% effective March 9, bringing it to $33.2875 for March 9–Dec. 31, 2024. (Source: The Rheumatologist)
Source: The Rheumatologist - April 8, 2024 Category: Rheumatology Authors: From the College Tags: Billing/Coding Legislation & Advocacy Medicare Reimbursement Source Type: research
Lessons from the 'legitimate' misuse of Medicare Benefits Schedule Item 45503
Aust Health Rev. 2024 Apr 4. doi: 10.1071/AH24073. Online ahead of print.ABSTRACTThis Perspective begins with a case study that raises two important questions: who is responsible for the existence of non-compliant Medicare billing, and who is responsible for eliminating it? In the discussion that follows, I argue, first, that the problem has been created by individual clinicians and by Medicare itself (i.e. the organisational structure that administers Medicare). Second, and more importantly, I argue that the ethical obligation to eliminate the problem extends more broadly to include both the government and the medical pro...
Source: Australian Health Review - April 3, 2024 Category: Hospital Management Authors: Jonathon Bruce Ryan Source Type: research
Coding Corner: A Critical Opportunity
A 17-year-old with a history of major depressive disorder who is new to the hospitalist service is being transferred out of the pediatric intensive care unit (PICU) after an intentional Benadryl overdose in a suicide attempt.
You review her labs from this morning showing that her electrolytes are normal. You review her pregnancy test and urine drug screen which are both negative. You review the nursing note from this morning which states she is alert, oriented, and calm and her parents are at the bedside. You interpret her electrocardiogram (EKG) tracing and calculate her QTc to be back to normal at 420.
She remains active...
Source: The Hospitalist - April 1, 2024 Category: Hospital Management Authors: Ronda Whitaker Tags: Business of Medicine Clinical Guidelines Coding Source Type: research
UHC in Morocco: a bottom-up estimation of public hospitals' financing size based on a costing database
This study aims to build a national database of costs at all levels of public hospitals in Morocco and craft this database as a resource for further use in a strategic purchasing system. It also aims at estimating the funding gap and the budget that should be secured for public hospitals in Morocco to fully play their roles in the current ambitious reform.MethodA costing study was implemented in 39 hospitals in 12 regions of Morocco (10 provincial hospitals, 11 regional hospitals, and 18 teaching hospitals). Using the hospital costing approach, we adapted and validated nationally our methodology to generate a database of u...
Source: Health Economics Review - April 1, 2024 Category: International Medicine & Public Health Source Type: research
Treated versus self-reported prevalence of chronic pain and costs of patients' health services utilization: a population-based study of health administrative databases
DISCUSSION: Our findings suggest that the economic burden of CP is considerable and that many people with self-reported CP do not use the public healthcare services. This can be multifactorial, including lack of availability and accessibility of publicly funded services, people's lack of awareness of available services, lower utilization due to COVID-19 pandemic, and reliance on self-management, private services, and alternative treatments. Further studies are warranted to inform future policies and health system initiatives aiming to reduce the burden of CP and improve lives of people living with it.PMID:38545500 | PMC:PM...
Source: Pain Physician - March 28, 2024 Category: Anesthesiology Authors: Nguyen Xuan Thanh Elena Lopatina Lori S Montgomery Magali Robert Robert L Tanguay Tracy Wasylak Source Type: research
Treated versus self-reported prevalence of chronic pain and costs of patients' health services utilization: a population-based study of health administrative databases
DISCUSSION: Our findings suggest that the economic burden of CP is considerable and that many people with self-reported CP do not use the public healthcare services. This can be multifactorial, including lack of availability and accessibility of publicly funded services, people's lack of awareness of available services, lower utilization due to COVID-19 pandemic, and reliance on self-management, private services, and alternative treatments. Further studies are warranted to inform future policies and health system initiatives aiming to reduce the burden of CP and improve lives of people living with it.PMID:38545500 | PMC:PM...
Source: Pain Physician - March 28, 2024 Category: Anesthesiology Authors: Nguyen Xuan Thanh Elena Lopatina Lori S Montgomery Magali Robert Robert L Tanguay Tracy Wasylak Source Type: research
Reimbursement for a Broader Array of Services in Coordinated Specialty Care for Early Psychosis
Psychiatr Serv. 2024 Mar 27:appips20230551. doi: 10.1176/appi.ps.20230551. Online ahead of print.ABSTRACTDespite the growing evidence supporting the benefits of coordinated specialty care (CSC) for early psychosis, access to this multimodal, evidence-based program in the United States has been hindered by a lack of funding for core CSC services and activities. The recent approval of team-based reimbursement codes by the Centers for Medicare and Medicaid Services has the potential to fund substantially more CSC services for clients with insurance coverage that accepts the new team-based billing codes. This streamlined and m...
Source: Psychiatric Services - March 27, 2024 Category: Psychiatry Authors: Matthew E Hirschtritt Brandon Staglin Stuart Buttlaire Kerry Ahearn Sarada Oglesby Lisa B Dixon David Shern Toby Ewing Tara A Niendam Source Type: research
