AHIMA SmartBrief
Plus: Coding transfers to SNFs, eye procedures
Created for np3kckdy@niepodam.pl | Web Version
 
September 16, 2025
 
 
AHIMA SmartBrief
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Top Story
 
CMS accepting applications for $50B rural health program
The CMS has opened the application window for the $50 billion Rural Health Transformation Program, aimed at improving rural health care infrastructure and access. States have until Nov. 5 to apply for the funding, which will be distributed over five years beginning in fiscal 2026. The CMS will prioritize projects featuring new technologies, strategic partnerships and financial stability, with a focus on improving access, outcomes and workforce recruitment.
Full Story: Healthcare Innovation (9/15)
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On October 2 at 1 PM EST, discover how to link data across platforms and tackle governance challenges. Learn from Baylor Scott & White's digital and analytics leaders in this webinar to find out how they replaced IBM initiate and built a phased Customer 360 to unify 46M identities across Epic, Snowflake, and JV Systems.
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EHR & Clinical Care
 
AI may make EHRs, patient portals more useful
Oracle has introduced artificial intelligence tools to make patient portals more user-friendly and interactive as part of a broader effort to transform clunky, underused platforms into effective tools for patient engagement. AI tools may also transform EHR systems into more than billing platforms and make portals more responsive to patient and clinician needs. On the payer side, Optum CEO Patrick Conway says AI agents will be able to handle calls and provide benefit reviews immediately.
Full Story: HealthLeaders Media (9/15)
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Coding cataract, after-cataract procedures
 
Human eye with cloudy lens
(Zarina Lukash/Getty Images)
Registered health information administrator Rose Dunn had a macular hole, then a cataract, and then an "after-cataract," or posterior capsule opacity, five years later. Dunn explains the treatments and how to code them.
Full Story: ICD10Monitor (9/15)
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How to code inpatient stay while awaiting transfer to SNF
Medicare covers inpatient stays for patients waiting until a bed in a skilled nursing facility is available, according to the Quality Improvement Organization Manual. ICD-10-CM Code Z75.1 can be used to document why the patient remains in the hospital, and team-based discharge planning can help ensure a smooth transition, writes registered health information administrator Christine Geiger.
Full Story: ICD10Monitor (9/15)
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What influential leaders do differently
They communicate with clarity. Learn how to address dominant personalities, use humor to your advantage, and negotiate with confidence. Get these actionable tips and more from Stanford GSB Executive Education's free leadership communication eBook. Download the eBook →
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Leadership
 
3 messages your introverted team members need to hear
 
3 messages your introverted team members need to hear
(Westend61/Getty Images)
Your introverted team members have some great ideas, but their reflective nature means they stay silent during rapid-fire meetings, says executive coach Joel Garfinkle in this video. Garfinkle recommends coaching these workers on the importance of speaking up, not just for the company, but for their own career growth. "The message to introverted employees must be clear and direct: 'When you have a seat at the table, use it,'" Garfinkle writes.
Full Story: SmartBrief/Leadership (9/15)
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Eliminate Operational Blind Spots
Gain clarity and control over your IT services operations. Our guide offers practical steps to eliminate inefficiencies and create predictable profitability through unified visibility and smarter decision-making. Download the Guide »
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Technology & Innovation
 
Startup raises $20M for AI billing platform
Inbox Health has raised $20 million in a growth equity round, bringing the startup's total funding to $55 million. The company has developed an AI-based platform that automates billing and payments, provides patients with detailed explanations of charges and offers multiple payment options.
Full Story: MobiHealthNews (9/15)
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Sales Reimagined: Delivering Real Impact
AI is changing sales. Join leaders from BCG, Slack, Salesforce, and Workday on Oct. 7 at 3PM EST for a fireside chat on how to navigate the agentic era and reshape your sales teams for the future. Discover how to embed AI across the sales experience and lead hybrid teams of human talent augmented by digital agents. Register now to learn how to drive tangible impact and prepare your sales organization for what's next.
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Legislative & Regulatory
 
DOJ, HHS prioritize investigation of inappropriate coding
The Department of Justice and the HHS Office of Inspector General have formed a False Claims Act Working Group to prosecute civil health care fraud, and one priority is manipulation of EHRs for inappropriate use of Medicare-covered services. Recent legal cases highlight the risks associated with EHR systems that lack proper oversight and compliance functions, particularly for features like automated diagnosis coding tools. Health care organizations should monitor their own claims for outliers and investigate concerns raised by clinicians and administrative staff, write attorneys with Holland & Knight.
Full Story: Chief Healthcare Executive (9/15)
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