Warning: Medical Decision-Making and Medical Necessity: Not One and the Same
Bad advice tends to circulate regarding how to select the correct E&M codes. At a recent oncology conference in California, the speaker before me
Bad advice tends to circulate regarding how to select the correct E&M codes. At a recent oncology conference in California, the speaker before me
Costs of outpatient versus inpatient knee replacement a clear area of contention in wake of report. Last week seemed to be a quiet time on
Palliative care is medical care just as are other medical specialties. I was in the midst of a perfectly comfortable morning, my computer was working,
Best practices are described for eliminating redundancies and easing workloads during the HEDIS season now underway. Healthcare Effectiveness Data and Information Set (HEDIS) reviews are
The 340B drug discount program continues to be in a state of flux The American Hospital Association (AHA) recently filed suit to stop reductions to
The ransomware crisis continues to impact hospitals and health systems with little sign of slowing down. In 2017, IT security in healthcare was in the
Removal of total knee replacement from the Medicare inpatient-only list will cause major disruptions to the CMS bundled payment initiatives – BPCI and CJR –
Five major areas will challenge IRF providers in 2018, including the troublesome “presumptive compliance.” Let’s face it: there are a multitude of areas that Inpatient
The challenge of resolving BNP denied claims included a three-month post-intervention follow-up study of denied cases and utilization. The physician advisors (PAs) at Novant Health
Two new programs have significant potential in collectively effectuating a meaningful reduction in the appeals backlog. In casting a larger net, the Office of Medicare
The guy either has no idea how the process works or he has mastered the art of lying with statistics. In May 2014, the American
Monday, Feb. 12, 2018Special News Broadcast10-10:30 a.m. EST; 7-7:30 a.m. PST SPECIAL GUESTMary A. Inman, Esq.Whistleblower Attorney Constantine Cannon FEATURINGNancy Beckley, MS, MBA, CHC; David Glaser,
RACmonitor is proud to welcome back Dr. Ronald Hirsch, one of his most requested webcasts. In this highly anticipated session, Dr. Hirsch will break down the complex Two Midnight Rule Medicare regulations, translating them into clear, actionable guidance. He’ll walk you through the basics of the rule, offer expert interpretation, and apply the rule to real-world clinical scenarios—so you leave with greater clarity, confidence, and the tools to ensure compliance.
Bring your questions and join the conversation during this open forum series, live every Wednesday at 10 a.m. EST from June 11–July 30. Hosted by Chuck Buck, these fast-paced 30-minute sessions connect you directly with top healthcare experts tackling today’s most urgent compliance and policy issues.
Fraud convictions don’t just punish a few bad claims; they can wipe out years of reimbursements. Don’t wait for an audit to learn the rules. Join Frank Cohen, MPA, for a live Q&A on spotting red flags, avoiding liability, and protecting your practice. Register now and bring your questions!
Substance abuse is everywhere. It’s a complicated diagnosis with wide-ranging implications well beyond acute care. The face of addiction continues to change so it’s important to remember not just the addict but the spectrum of extended victims and the other social determinants and legal ramifications. Join John K. Hall, MD, JD, MBA, FCLM, FRCPC, for a critical Q&A on navigating substance abuse in 2025. Register today and be a part of the conversation!
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
This third session in our 2026 IPPS Masterclass will feature a review of FY26 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This second session in our 2026 IPPS Masterclass will feature a review the FY26 changes to ICD-10-PCS codes. This information will be presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This first session in our 2026 IPPS Masterclass will feature an in-depth explanation of FY26 changes to ICD-10-CM codes and guidelines, CCs/MCCs, and revisions to the MCE, presented by presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
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