decisionhealth Newsletters, Part B News - 2024 Issue 1 (January)
Bonus: Online-only 2024 predictions
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Article Overview
This article collects several 2024 predictions affecting medical practices, including telehealth utilization, care management services, compliance staffing, artificial intelligence, split/shared visit policy, and OIG oversight. It is aimed at physicians, coders, compliance professionals, practice administrators, and other health care leaders who want a high-level view of likely operational and regulatory developments. The piece references several Medicare and AMA coding and policy areas, but its emphasis is on broad industry trends rather than detailed coding instruction.
Why This Topic Matters
The article helps readers gauge which reimbursement, compliance, and technology issues may shape practice operations in 2024. It also flags code families and policy areas that may warrant closer review in the full premium content.
Article Sections
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Telehealth and virtual check-in utilization
Discusses expected use of communication-based services and broader telehealth-related services in practice settings. The section frames how these services fit into routine patient touchpoints and reimbursement trends.
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Principal care and principal illness navigation
Covers anticipated attention to care management and navigation-related services associated with recent Medicare and AMA guidance. The section ties these services to national policy and payer interest.
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Administrative staffing and compliance risk
Addresses how practice staff may be used to support compliance efforts and reduce organizational risk. The section focuses on operational roles and oversight considerations.
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Artificial intelligence in practice operations
Reviews expected growth in AI adoption across health care and the potential effects on medical assistants and practice administrators. The section also touches on regulatory and policy activity at the federal and state levels.
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Split/shared visits
Looks at anticipated CMS policy direction for split/shared visits and the ongoing uncertainty around related rules. The section centers on physician fee schedule policy developments.
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General compliance and OIG guidance
Summarizes expectations for updated compliance guidance and the continued importance of formal compliance programs. The section focuses on oversight responsibilities for health care organizations and boards.
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Hospice fraud
Raises concern about hospice-related fraud as an enforcement and integrity issue. The section highlights why this area is drawing attention from compliance observers.
What You Will Learn
- How 2024 predictions may affect telehealth and communication-based services
- Which care management and navigation topics are likely to draw more attention
- How compliance staffing roles may evolve in response to enforcement pressure
- Why AI adoption is expected to affect practice workflows and support functions
- What policy uncertainty remains around split/shared visit rules
- Why updated compliance guidance matters for health care organizations
- Which program integrity area is expected to remain under scrutiny
Who Should Read This
- Physicians
- Medical coders
- Compliance officers
- Practice administrators
- Medical assistants
- Health care attorneys
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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