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News: Certain inhibitors associated with increased bloodstream infections in...

Rheumatoid arthritis (RA) patients who currently use TNF inhibitors or interleukin-6 (IL-6) receptor inhibitors had higher rates of first-time bloodstream infections than those who had no current use...

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News: Three OIG audits reveal gaps in Medicare Advantage diagnosis coding

Three newly released compliance audits from the U.S. Department of Health and Human Services Office of Inspector General (OIG) highlight significant gaps between high-risk diagnosis codes submitted for...

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News: CMS issues first report on states spending Rural Health Transformation...

CMS has released its first report on how states are implementing funds from the Rural Health Transformation Program, which will distribute $50 billion to rural providers from fiscal year (FY) 2026 to...

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News: Probiotics may cut severe bowel disease in premature infants, study finds

Premature infants who receive probiotics may have a reduced risk of developing necrotizing enterocolitis (NEC) and dying, adding evidence supporting the use of live microorganisms, according to a new...

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News: Prior authorization reporting requirements show high denial rates, new...

New data from KFF shows insurers denied up to 18% of prior authorization (PA) requests in 2025, but missing service-line detail limits the amount of actionable information available to providers.The...

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News: Government agencies finalize updates to insurer transparency requirements

Multiple changes to transparency in coverage requirements for insurers were finalized October 5 by the Departments of the Treasury, Labor, and Health and Human Services. The joint effort finalized...

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News: GI, respiratory symptoms at presentation linked to antibiotic delays in...

Patients with community-onset presumed bacterial sepsis were less likely to get timely antibiotics if they had gastrointestinal (GI) or respiratory symptoms at the time of presentation, a recent study...

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News: New distant site telehealth billing requirements to take effect for...

Rural health clinics (RHC) and federally qualified health centers (FQHC) should be preparing to implement a new billing requirement for distant site telehealth services that takes effect on October 1,...

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News: CMS releases FY 2027 ICD-10-CM coding guidelines

CMS has published the fiscal year (FY) 2027 ICD-10-CM Official Guidelines for Coding and Reporting. This accompanies the ICM-10-CM update, which is effective October 1, 2026. Clarifications and...

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News: Hospital-onset sepsis often attributed to infection, according to...

Among 250 hospital-onset sepsis events reviewed across nine hospitals, 79% were attributed to infections. Additionally, out of 100 infection-related cases selected for preventability assessment, 31...

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News: CDC survey finds continued decline in HAIs

The prevalence of healthcare-associated infections (HAI) in United States hospitals declined between 2015 and 2023, according to a recent Centers for Disease Control and Prevention (CDC) survey. The...

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News: 2027 CPT code set released, bringing new codes and revisions

The American Medical Association (AMA) recently announced the 2027 CPT code set includes 299 new codes, 74 revisions, and 80 deletions coming to a variety of services.Beginning January 1, 2027, the...

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News: Quality improvement educational program linked to drop in...

An educational quality improvement program focused on evidence-based practices was associated with a 65% reduction in hospital-onset methicillin-resistant Staphylococcus aureus (MRSA) bacteremia events...

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News: AI tool quicker, not more accurate than humans when diagnosing rheum...

Prof. Valmed, a large language model (LLM) cleared for medical diagnosis, outperformed human physicians for diagnosing rheumatologic conditions in terms of speed, but not accuracy, a trial found.The...

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News: Alcohol consumption during pregnancy is prevalent, according to CDC...

A new report from the Centers for Disease Control and Prevention (CDC) highlighted the prevalence of alcohol consumption during pregnancy and the potential health consequences of prenatal alcohol...

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News: Trial shows win for direct oral anticoagulant therapy in lower-risk Afib

Emerging data favored oral anticoagulation for lower-risk patients with atrial fibrillation (Afib), researchers found. Direct oral anticoagulant (DOAC) therapy reduced the risk of composite...

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News: Pulmonary artery stiffness may predict mortality risk in patients with...

In patients with mild pulmonary hypertension (PH), neither mean pulmonary artery pressure (mPAP) nor pulmonary vascular resistance (PVR) predicted mortality risks, whereas measures reflecting pulmonary...

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News: CDC survey finds continued decline in healthcare-associated infections...

The prevalence of healthcare-associated infections (HAI) in United States hospitals declined between 2015 and 2023, according to a survey from the Centers for Disease Control and Prevention (CDC)...

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News: Study finds identifiable causes for breakthrough stroke in A-Fib...

Patients with atrial fibrillation (A-Fib) who experienced breakthrough ischemic stroke despite anticoagulation often had identifiable causes and faced increased short-term risks for recurrence and...

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News: MDD among VHA outpatients potentially undertreated, study suggests

Most veterans receiving Veterans Health Administration (VHA) outpatient care for major depressive disorder (MDD) are receiving their recommended treatment. However, a growing proportion are not,...

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