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Tag: Regulatory updates and legislation

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FY 2025 Final IPPS Rule: How it could affect your claims billing
Discover key highlights of the FY 2025 Final IPPS Rule, including how IMO Health flags information with certain ICD-10-CM codes.
Article
Financial Return
ICD-10-CM 2025: Five updates to know for clinical documentation
The ICD-10-CM 2025 update is nearly here. Is your organization ready? Keep scrolling to ensure accurate clinical documentation and reimbursement.
Article
Clinical Terminology
Transitioning to HCC V28: A guide to navigating dual payment models
The HCC V28 rollout continues. Learn how to navigate the shift, manage dual models, and ensure accurate clinical documentation.
Article
Financial Return
Evolving HCC models: Navigating the transition from Version 24 to Version 28
The HCC V28 rollout continues. Learn how to navigate the shift, manage dual payment models, and ensure optimal reimbursement.
Report
Clinical Documentation and Coding
ICD-10-CM 2025 updates and regulatory readiness
Listen in to gain insights from leading coding professionals and industry thought leaders at IMO Health as they delve into the upcoming…
Webinar
Clinical Terminology
Advancing interoperability in healthcare: A USCDI primer
Understand how USCDI impacts data quality in healthcare by streamlining data exchange, thereby aiding patients and providers. Learn more in this guide.
Article
Clinical Terminology
Regulating AI in healthcare: A look at Biden’s executive order
A crucial step in ethical AI use in the healthcare space, this blog unpacks Biden’s E.O. 14110 following the HTI-1 regulation.
Article
AI and NLP
The evolution of the electronic health record: Toward better optimization for clinical use
Dive into electronic quality measurement and the challenges of moving from quality measurement to quality improvement.
White Paper
Clinical Documentation and Coding
HCC evolution: Preparing for the shift from Version 24 to Version 28
Capturing complete clinical documentation and optimizing reimbursement can be difficult, especially as organizations prepare for the transition from CMS-HCC V24 to V28.…
Report
Clinical Documentation and Coding
Finalized updates to MA payment models: Rate changes, CMS-HCC V28, and more
CMS has finalized policy updates for Medicare Advantage (MA) plans, including major changes to reimbursement structures like CMS-HCC Version 28.
Article
Interoperability
Stars 101: A primer on the ratings system for Medicare Advantage plans
Measuring satisfaction with health plans and health systems is important – and complex. This primer on Star Ratings breaks it all down.
Article
Financial Return
Searching for the right words: Exploring the need for patient-friendly terminology
Rules aimed at curbing the practice of information blocking and facilitating greater price transparency are driving the need for patient-friendly terminology. Learn…
Insight Brief
Clinical Documentation and Coding

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