Chuck describes his first experience of being admitted to the hospital, we should be aware that not everyone has experienced this event. The friendly demeanor
RACmonitor Publisher and Monitor Mondays host and Executive Producer Chuck Buck recently went in for surgery – and came away impressed with the quality of
As mass shootings continue to happen, elected officials appear reticent to take effective action. I’d like to say I’m sad. But I’m not. I’d like
Just imagine if other common industries did things the way the healthcare industry does things. I suspect that most of us are familiar with the
Moral injury is the sequela of distressing, psychological, behavioral, social, and spiritual aftermath of these tough decisions. The COVID-19 pandemic has posed significant challenges for
To be productive, we must visualize the outcomes we want. EDITOR’S NOTE: This is a transcript of Dr. Zelem’s segment during Talk Ten Tuesdays recently. Marcela
Is it a worthwhile or reliable means to gather information? EDITOR’S NOTE: Jason Henninger is the managing editor and product manager at MedLearn Media. Making
While drafting a presentation to the senior leadership committee, the presenter wants to know: should both functions be combined? First, an interesting bit out of
Be sure that your rates make sense – lest they go before a judge, or on a television. Irrational numbers are a problem. Mathphiles know
Reflecting on yesterday’s Earth Day, brings back fond memories of life in rural America. EDITOR’S NOTE: Christel Kemble is the PSI/HAC consultant for Covenant H.I.M.
While I am a full-time litigator, our garden, pond, and my horses give me the most pleasure. EDITOR’S NOTE: Today’s edition of The Saturday Morning
Hospitalizations appear to be more complex, requiring greater attention from the multidisciplinary team. As we know, with the growth of outpatient surgical centers, advances in
Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.
During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.
Learn how to navigate the proposed elimination of the Inpatient-Only list. Gain strategies to assess admission status, avoid denials, protect compliance, and address impacts across Medicare and non-Medicare payors. Essential insights for hospitals.
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.
Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.
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.
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