Revenue Cycle Insider
Technology & Innovation:
Use ‘Nutrition Labels’ to Find Your Ideal AI Solution
Published on Fri Nov 01, 2024
Question: We are interested in deploying artificial intelligence (AI) in our practice. From reading the news and searching online, there are seemingly endless AI solutions available for healthcare. Is anything being done to help us find AI technologies that are reputable and certified for healthcare? Louisiana Subscriber Answer: Yes, several solutions exist to ensure you can find AI solutions that are safe and compliant for healthcare use. In fact, here’s one plan that was recently revealed: On Oct. 18, 2024, the Coalition for Health AI (CHAI) announced it is developing “nutrition labels” for health AI. The labels are called CHAI Model Cards, and they will be used to draft frameworks for how the organization will be certifying independent assurance labs. At the same time, the Model Cards will help standardize the output of the labs that test health AI models. The CHAI Model Cards will act like a nutrition and ingredient label found on food packaging and provide essential information about the AI model’s solution performance and safety. The draft card will have a standard template that includes the following: “The rapid evolution of AI in healthcare has created a landscape that can feel unregulated and fragmented. CHAI’s efforts to introduce a standardized model card represent a crucial step toward ensuring transparency, safety, and trust in AI-driven clinical applications,” said Demetri Giannikopoulous, chief transformation officer, Aidoc and CHAI applied Model Card workgroup member. The CHAI Model Cards have been designed by an array of stakeholders, such as regional health systems, electronic health record (EHR) vendors, health AI leaders, startups, and medical device manufacturers. According to a CHAI press release, the cards are “designed as a starting point for those reviewing AI models during the procurement process and for electronic health records (EHR) vendors who need to comply with the ONC Health IT Certification Program (HTI-1).” CHAI is requesting review and feedback from the organization’s members, partners, and the public, and the Model Cards are expected to be available by the end of April 2025. “We are thrilled with the progress of our CHAI workgroups who represent a diversity of perspectives and expertise across the health ecosystem,” said Brian Anderson, MD, CEO of CHAI in a press release. “These frameworks for certification and basic transparency are building blocks of responsible health AI. They will help to streamline the path for AI innovation, build trust with patients and clinicians, and position health systems and solution innovators ahead of emerging state and federal regulations,” Anderson added. Learn more about CHAI by reading “Building Equitable Healthcare AI Starts With a Blueprint,” from Tech & Innovation in Healthcare, Volume 3, Number 5. Mike Shaughnessy, BA, CPC, Development Editor, AAPC
Other Articles of
November 2024
- Pediatric Coding:
Don’t Let Coding Stomach Troubles Make You Sick
Find out what you need to know about coding symptoms versus specific diagnoses. In ICD-10-CM [...] - Neurology Coding:
Get a Leg up With MEG Coding Smarts
Question: When the neurologist performs a magnetoencephalography (MEG) with recording and analysis, what CPT® code [...] - Ob-Gyn Coding:
Learn the New Ob-Gyn Codes, Deletions, and Guideline Updates by Jan. 1
Removal of endometria guideline’s rationale remains to be seen. With January 1 comes a variety [...] - Neurology Coding:
Keep up With all Sleep Apnea Codes
Question: Encounter notes indicate that the patient suffered from “altitude-related sleep apnea.” Should I just [...] - Gastroenterology Coding:
Learn How to Avoid Mistakes When Coding Diverticular Disease
Knowing your way around the K57.- codes is key. Diverticulosis and diverticulitis have their fair [...] - General Coding:
Prepare for These New HCPCS Level II Patient Care Codes
It’s time to update your coding arsenal for 2025! G codes are utilized for the [...] - Neurology Coding:
Be Alert to Code Sleep Medicine Properly
Physician will recommend routine changes, OTC meds as initial treatments. Managing one’s sleep health is [...] - Optometry/Ophthalmology Coding:
Get Ready for MIPS and MVP Changes in the 2025 MPFS Final Rule
Plus — another rate cut is on the horizon. The Centers for Medicare & Medicaid [...] - Path/Lab Coding:
Apply the Latest PLA Updates for Cutting Edge Services
One specialty makes up almost half of the October codes. The October update to Proprietary [...] - ICD-10-CM Coding:
Which ICD-10-CM Categories Should Never Be Used As Primary Diagnoses?
Nail down which codes qualify only as secondary diagnoses. Every coder knows that assigning the [...] - Otolaryngology Coding:
Refresh Your Memory of Basic ENT Procedure Coding
Don’t forget to justify separate and significant E/Ms. You see notes documenting cerumen removal, epistaxis, [...] - Optometry/Ophthalmology Coding:
Figure out This Ocular FBR Case
Question: A patient presented to the emergency department (ED) with complaints of right eye pain. [...] - Optometry/Ophthalmology Coding:
Know How to Report Progressive Lens Claims
Question: One of our patients has a plan that covers progressive bifocal lenses. I see [...] - E/M Coding:
Try These Three Questions to Determine Modifier 24 Usage
Question: What are the proper situations to use modifier 24? My colleague says that you can [...] - ICD-10-CM Coding:
Don’t Assume Anxiety and Depression Link
Question: How do you code a scenario where the patient has depression and anxiety? Do [...] - E/M Coding:
Follow This Guidance for Flawless E/M Coding (Part 2)
Get down to the nitty gritty of the MDM elements. Last month, we looked [...] - Neurosurgery Coding:
Know the Steps to Code Hydrocephalus Treatment With Confidence
Provider will likely use E/M, imaging to diagnose condition. Patients suffering from hydrocephalus are a [...] - Pediatric Coding:
Get CLIA Waiver Before Billing for This Test
Question: Can I bill a dip stick urinalysis conducted in-house, within our practice? New Mexico [...] - Podiatry Coding:
Review 3 Achilles Tendon Repair Scenarios to Tighten Your Skills
Preparing for a range of possibilities is crucial for smart Achilles repair coding. When a [...] - Medicare Regulations:
View the Highlights and Lowlights of the 2025 MPFS
Stay ahead of numerous telehealth revisions. On Nov. 5, 2024, the Centers for Medicare & [...] - Anesthesia Coding:
Rely on Highest Level for Labor Services
Question: My doctor inserted a labor epidural (01967) at 8 in the morning and then [...] - Anesthesia Coding:
Look to 00790 for This Umbilical Hernia Surgery
Question: Can you give me some assistance with the following procedure? The patient had an [...] - Primary Care Coding:
Rely on This Modifier for Gender Mismatch
Question: A provider prescribed a patient a retinoid, which requires a urine pregnancy test (UPT) [...] - Primary Care Coding:
Complete All Blank Fields for Valid ABN
Question: I’m looking at an advanced beneficiary notice (ABN) form and see seven separate blanks [...] - General Coding:
Consider Consulting MAC With Your NCCI Inquiries
Question: Who should I reach out to if I have inquiries regarding an appeal for a [...] - General Coding:
Adding Modifier 51 Unnecessarily Could Cost You
Question: We have a coder who frequently applies the 51 modifier to nearly all procedure claims. [...] - Pediatric Coding:
Check With Payer to See When Age Matters
Question: I work at a pediatrician’s office that sees some older children whose encounters may involve [...] - Medicare Regulations:
Find Clarity on Medicare Telehealth POS Codes
Question: My provider sometimes uses technology to see Medicare beneficiaries in their homes, which sometimes [...] - E/M Coding:
Separate Diagnoses Can Support MDM Leveling
Question: A provider sees a patient and documents these diagnoses after the encounter: shoulder pain, [...] - Compliance:
Lean on Provider Education, for Individuals or for Everyone
Question: How do I respectfully keep on top of a provider whose documentation about the [...] - Podiatry Coding:
Correctly Capture This Bunionectomy Code
Question: My podiatrist performed a surgical cut over the patient’s metatarsophalangeal joint. They used clamps and [...] - Compliance:
Contact These Officers if an Auditor Appears
Question: I’ve heard of some federal or state agencies sending inspectors for unannounced audits or [...] - Anesthesia Coding:
Take These Steps for Accurate Anesthesia Service Formulation (Part 2)
Use this handy checklist to get your documentation ducks in a row. Last month, we [...] - General Surgery Coding:
Check Your Splenectomy Coding Knowledge With These FAQs
Understanding the different procedure types is key to successful claim payment. The spleen, a large, [...] - Gastroenterology Coding:
Familiarize Yourself With Reflux-Related Procedures
Question: What is esophageal manometry and how do we code it? RCI Subscriber Answer: A [...] - Ob-Gyn Coding:
Understand What to Do When a Second Provider Delivers the Placenta
Question: I have a provider who was present for a vaginal vacuum-assisted delivery, although they were [...] - General Surgery Coding:
Remove the Confusion From This Occlusion
Question: Our surgeon accessed the occluded femoral vein through a tiny incision at the patient’s groin. [...] - Ob-Gyn Coding:
Use These Codes for High-Risk Meds During Pregnancy
Question: I need help locating the ICD-10-CM codes for use of high-risk medication during pregnancy. What [...] - Urology Coding:
Get the Truth on 4 Interstitial Cystitis Coding Myths
Review descriptors to know which CPT® codes are needed. Interstitial cystitis is a condition that’s [...] - Podiatry Coding:
Code This Fasciotomy Case Correctly
Question: The podiatrist performed a surgical cut on the sole of a patient’s foot, revealing the [...] - General Surgery Coding:
Solve This Cancer Scar Revision
Question: A year after undergoing a mastectomy, the patient returns for a scar revision that includes [...] - Gastroenterology Coding:
Use Documentation to Identify Anoscopy Codes
Question: A patient presented to their gastroenterologist with complaints of intermittent blood in their stool. [...] - Orthopedic Coding:
Make Sense of Arthroscopic Hip Labrum Surgery Coding
Note conservative Tx attempts before surgery option. The hip joint is a ball-and-socket joint formed [...] - Orthopedic Coding:
Get Dx to the Proper Character for Reiter’s Block
Question: What is Reiter’s disease, and how do I choose an ICD-10 code for the [...] - Compliance:
Incorporate These 7 Elements Into Your Compliance Program, Part 1
Find out which innovative approaches can boost compliance across your organization. CJ Wolf, MD, M.Ed., [...] - Oncology Coding:
Prepare to Be Puzzled by This Polycythemia Phlebotomy Problem
Question: Our oncology surgeon did a therapeutic phlebotomy in a patient with polycythemia. Should I use [...] - Otolaryngology Coding:
Use These 3 Codes in This Azithromycin Allergic Reaction Encounter
Question: What’s the diagnosis coding for a patient experiencing an allergic reaction (vomiting, rashes) to [...] - Orthopedic Coding:
Hip Dysplasia and OA? There Are Codes for That
Question: If a patient suffers from osteoarthritis (OA) of the hip caused by hip dysplasia, [...] - Oncology Coding:
Don’t Rise to Definitive Dx in This Elevated PSA Scenario
Question: We have a patient that had prostatectomy, and their prostate-specific antigen (PSA) levels are now [...] - Otolaryngology Coding:
Look to E/M for This Lip and Tongue Repair
Question: Our practice saw a patient who had badly bitten their tongue and lip following a [...] - Neurosurgery Coding:
Abscess and Granuloma? There’s a Code for That
Question: If a patient suffers from an intracranial abscess and granuloma, should I report two [...] - Neurosurgery Coding:
Sweat the Details on These Meningitis Diagnoses
Question: Encounter notes indicate that a patient suffers from “meningitis due to hemo flu.” I [...] - Emergency Department Coding:
Get Your Head Right on These Diagnoses
Question: We’re having trouble getting our headache and migraine ICD-10 coding straight. Basically, it comes [...] - Diagnostic Radiology Coding:
Receive a Breakdown of the Technical Component
Question: Could you explain what the technical component is in relation to radiology services? Wyoming [...] - Cardiology Coding:
Follow Expert Guidance to Improve Your Swan-Ganz Coding
Hint: Never report 93503 with other diagnostic cardiac catheterization codes. If your physician performs Swan-Ganz [...] - Path/Lab Coding:
Let Z Codes Pave the Way for Some Lab Tests
Question: As a lab coder, we use the diagnosis assigned by the ordering physician when [...] - Pulmonology Coding:
Bolster Your Spirometry Claims With Lung Disease Dx Codes
Hint: Try to specify unspecified codes. One of the most common pulmonary function tests (PFTs) [...] - Emergency Department Coding:
Take Your Time to Nail FAST Exam Coding
Remember, a high-level ED E/M will likely occur during these encounters. When a patient presents [...] - Emergency Department Coding:
2 ED E/Ms in 1 Day? Not So Fast
Question: A patient reported to the emergency department (ED) at 7 a.m. for fever, nausea, [...] - Practice Management:
Use The Correct Tax Forms for Each Worker Category
Question: When hiring part-time or full-time staff, which tax documents do I need to use? [...] - Pulmonology Coding:
Analyze Acute Asthma Exacerbation Codes for Status Asthmaticus
Question: A patient presented to the emergency department (ED) with a flare up of their [...] - Diagnostic Radiology Coding:
Do You Report Sternum X-rays With 71046? Find out
Question: A patient presented to our radiology clinic with complaints of shortness of breath, persistent [...] - Pulmonology Coding:
Learn How to Count Rx Management Toward MDM
Question: I have a report from a recent evaluation and management (E/M) visit with an [...] - Primary Care Coding:
Check Out This Primer for Risk Adjustment in Primary Care
Get the foundation you need in risk adjustment to optimize your documentation workflow. What is [...] - Cardiology Coding:
Dial Into Heart Failure Codes
Question: If coding heart failure and the provider states that the patient has systolic heart [...] - Cardiology Coding:
Mind Catheter Placement
Question: Once the patient was prepped and anesthetized, my cardiologist made a small incision in [...] - Diagnostic Radiology Coding:
Get Ready for CPT® 2025 With Radiology Guideline Changes
Find out who can administer and bill for fMRI tests. While the 2025 CPT® code [...] - Urology Coding:
Language is Everything When it Comes to Catheter Coding
Question: I’m confused about the types of urinary catheters and how they are coded in HCPCS [...] - Urology Coding:
Check Out This Calculus Coding Conundrum
Question: Can you use N13.2 if a patient has both renal and ureteral stones? Florida [...] - Oncology Coding:
Use These Keys to Unlock Breast Cancer Coding (Part 1)
Understand these core codes and how to apply them. Breast cancer coding may seem simple [...] - ICD-10-CM:
Coding Rely on Definitions for T36-T65 Codes
Question: What’s the difference between adverse effect and toxic effect? The ICD-10-CM codes list these [...] - Technology & Innovation:
Stay on Top of Your Practice’s Technical Debt
Question: Our IT team mentioned technical debt in a town hall recently. What is technical debt [...] - Path/Lab Coding:
Look for Coverage Guidance in NCDs, LCDs
Question: How can I find information about Medicare coverage for lab and pathology procedures in [...] - Practice Management:
Protect Your Practice From Potential Fraud
Training your office staff and correctly billing patients is key to avoiding fraudulent claims. Edna [...] - Medicare Regulations:
Respond to CERT Requests Appropriately
Question: Our practice is currently in the middle of a Comprehensive Error Rate Testing (CERT) audit, [...] - Practice Management:
Avoid These Common Documentation Shortcuts
Question: I know illegibility has historically been an obstacle to good documentation. My practice uses [...] - Technology & Innovation:
Trying to Get a Handle on Costs? AI May Be the Answer
Balancing top-notch patient care while managing care costs has been a struggle. An important method [...] - Technology & Innovation:
Use ‘Nutrition Labels’ to Find Your Ideal AI Solution
Question: We are interested in deploying artificial intelligence (AI) in our practice. From reading the news [...]
View All
