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But what exactly is RAG in healthcare, and more importantly, how can your organization implement it successfully while maintaining HIPAA compliance and ensuring patientsafety?
Patientsafety depends on accurate data collection and analysis, as flawed information can lead to incorrect dosing decisions, missed adverse events, or inadequate efficacy assessments. PatientSafety and Regulatory Compliance The FDA has issued numerous warning letters to organizations with inadequate data management practices.
By Rebecca Pifer • May 14, 2025 Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medicalcoding workforce.
The Role of Hospital Coding in Revenue Cycle Management Hospital billing and coding serve as the backbone of revenue cycle management. Medicalcoding translates medical services, diagnoses, procedures, and equipment into a set of universal medical alphanumeric codes used for claims submission and reimbursement.
Further, this fosters an environment of shared decision-making, where patients feel more involved and invested in their healthcare journey. Explanation of Benefits (EOB): Understanding an EOB can be complex due to medicalcodes and insurance jargon.
Medicalcoding and billing specialist Medical coders and billers are key players in financial operations within healthcare. The COVID-19 pandemic highlighted the importance of sterilization practices, and as healthcare organizations prioritize patientsafety, this role continues to grow.
Improved Medication Management: With HIE, providers can access a patient’s medication history, reducing the risk of prescribing duplicate or contraindicated medications. This optimization of medication management enhances patientsafety and prevents costly adverse drug events.
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