https://www.linkedin.com/posts/rebeccalovenursing_ama-cpt-ai-activity-7333859573306454017-IDHf/
Rebecca Love RN, MSN, FIELRebecca Love RN, MSN, FIEL
The hashtag#AMA is actively considering a new class of hashtag#CPT codes to reimburse hashtag#AI in hashtag#healthcare called: Clinically Meaningful Algorithmic Analyses (CMAA) codes.
These new hashtag#CMAA codes would reimburse directly for AI that “produce actionable, clinically relevant insights that directly impact patient care.”
And this marks a dramatic change in the world of AI’s future in healthcare.
AI was previously reimbursed in “remote monitoring codes” (think 99454) that reimbursed AI for data collection - an administrative function.
These new codes allow healthcare systems to now be reimbursed for AI for into clinical insights and intelligence as it relates to support clinical care and patient outcomes.
A dramatic difference in the reimbursement of AI to billed by hospital systems in support of clinical functions, insights and intelligence.
Now although I support reimbursement for AI in healthcare - the inherent question for me - is why can we not bill these same codes for nursing?
We have been told for decades that it would be too complex, too impossible to unbundle nursing workflows and services to be billable from the current design - but the exact definition of the new CMAA codes align to the deliverables of nursing. So the imperative and time is now to also redefine CPTcodes for nursing.
What I do not want to see happen - is when nursing leadership asks for more nurses - they are again told there is no way to pay for more nurses (as our profession is a cost - no billable reimbursement for nurses) - but that you can have more AI (because AI is billable).
AI cannot operate without humans in the loop in clinical care - and much of those humans in the loop in healthcare will be nurses.
If the AMA can create an entire new class of codes to bill for AI - they can find a way to create a class of CPT codes to bill for nursing services.
The time is now to act and make sure nursing is not left invisible and written out of these coming changes.
hashtag#NursesOnLinkedIn hashtag#HealthcareOnLinkedIn hashtag#CPTCodes hashtag#AIHealthcare American Academy of Ambulatory Care Nursing (AAACN) Commission for Nurse Reimbursement hashtag#Nurses hashtag#FutureOfNursing hashtag#Reimbursement
These new hashtag#CMAA codes would reimburse directly for AI that “produce actionable, clinically relevant insights that directly impact patient care.”
And this marks a dramatic change in the world of AI’s future in healthcare.
AI was previously reimbursed in “remote monitoring codes” (think 99454) that reimbursed AI for data collection - an administrative function.
These new codes allow healthcare systems to now be reimbursed for AI for into clinical insights and intelligence as it relates to support clinical care and patient outcomes.
A dramatic difference in the reimbursement of AI to billed by hospital systems in support of clinical functions, insights and intelligence.
Now although I support reimbursement for AI in healthcare - the inherent question for me - is why can we not bill these same codes for nursing?
We have been told for decades that it would be too complex, too impossible to unbundle nursing workflows and services to be billable from the current design - but the exact definition of the new CMAA codes align to the deliverables of nursing. So the imperative and time is now to also redefine CPTcodes for nursing.
What I do not want to see happen - is when nursing leadership asks for more nurses - they are again told there is no way to pay for more nurses (as our profession is a cost - no billable reimbursement for nurses) - but that you can have more AI (because AI is billable).
AI cannot operate without humans in the loop in clinical care - and much of those humans in the loop in healthcare will be nurses.
If the AMA can create an entire new class of codes to bill for AI - they can find a way to create a class of CPT codes to bill for nursing services.
The time is now to act and make sure nursing is not left invisible and written out of these coming changes.
hashtag#NursesOnLinkedIn hashtag#HealthcareOnLinkedIn hashtag#CPTCodes hashtag#AIHealthcare American Academy of Ambulatory Care Nursing (AAACN) Commission for Nurse Reimbursement hashtag#Nurses hashtag#FutureOfNursing hashtag#Reimbursement
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