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E-Newsletter • January 2024 |
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Editor's E-Note
Making Health Care More Inclusive
Among the changes to the American Medical Association’s CPT code set for 2024 are the inclusion of Spanish language descriptors for more than 11,000 medical procedures and services aimed to help CPT users better engage with and help individuals in the Latinx community.
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— Kate Jackson, editor |
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The CPT 2024 Code Set
To bridge language barriers and make health care more inclusive and transparent for patients who speak Spanish, the American Medical Association (AMA) now offers Spanish language descriptors for more than 11,000 medical procedures and services. The consumer-friendly descriptors in Spanish were added to the newly released CPT 2024 code set, the nation’s leading data-sharing terminology for medical procedures and services.
The consumer-friendly descriptors are an important resource that many hospitals, health plans, medical offices, and other CPT users already incorporate into English-language medical documents, insurance forms, price sheets, and patient portals. Including CPT consumer-friendly descriptors in Spanish that are clear and straightforward will help CPT users better engage and assist many in the Latinx community.
“Navigating medical care and paperwork can be especially challenging for Latinx patients who do not speak English or speak English as a second language,” says AMA Senior Vice President of Health Solutions Lori Prestesater. “Providing approximately 41 million Spanish speaking individuals in the United States with an easy-to-understand description of medical procedures and services can help build a more inclusive health care environment, where language is no longer a barrier and patients can actively engage in their own care.”
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Updating Standards
Health and Human Services has proposed a new rule aimed at improving standards nationwide for marketplace plans under the Affordable Care Act for 2025. AMJC reports on the changes, which include a continuation of risk adjustment policies, with certain exceptions.
Minimum Data Set Assessment Changes
ICD10monitor warns of changes to the minimum data set assessments that could cause audits and reports on an increase in audit activity in skilled nursing facilities.
Artificial Intelligence and the Revenue Cycle
According to Revcycle Intelligence, the use of generative AI for revenue cycle operations is appealing to almost 60% of health care organizations.
Privacy Risks Associated With Virtual Care
Talk Business & Politics reports on the emergence of companies offering virtual care that do not accept health insurance, a choice that exempts them from certain legal requirements, including HIPAA. |
| Have a coding or documentation question? Get an expert answer by sending an email to edit@gvpub.com. |
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New Train and Code Program
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A leader in autonomous medical coding, Nym has added new capabilities to its revenue cycle management solution, enabling hospitals and health systems to automate medical coding for inpatient care. It’s now offering professional (Profee) coding for inpatient, observation, and skilled nursing facility encounters. Learn more » |
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COVER STORY
Data Usability Taking Root
The Sequoia Project has teamed with AHIMA in an initiative to help make data more useful.
FEATURE
Game On
Here are eight ways for providers to guard against the new era of payer denials.
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