Looking Ahead: Compliance in the Age of Al for Coding, Auditing, and CDI Article Reference Code: NAMAS.12.12.2025 Written by: Melinda McGuire, MS, Master of Am Studies, RHIA An Al coding tool suggests a diagnosis that will increase reimbursement by $2400. The documentation technically supports it. The keywords are there, and the format looks perfect. When…
What’s on the Horizon for CY 2026 in the Medicare PFS? Article Reference Code: NAMAS.11.14.2025 Written by: Rachel V. Rose, JD, MBA It’s that time of the year when the focus of healthcare providers, insurers and health care claims clearinghouses begins to heighten because January 1 is on the horizon, which means potential changes to the…
Appreciating Informed Consent in the Context of False Claims Act Liability. Rachel V. Rose, JD, MBA[A] August 16, 2024 Overview A recent settlement by the U.S. Department of Justice (DOJ) in a False Claims Act (FCA) case underscores the importance of adequate informed consent for a variety of reasons. First, it is mandated by federal…
October 27, 2023 | By Rachel Rose, JD, MBA “Do not go gentle into that good night” is a poem by Dylan Thomas. While this poem is often connected with a dying individual, it is equally apropos to procuring technology which includes generative artificial intelligence (“AI”). As set forth in the American National Standard…