My Reaction to Chuck’s Account
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
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
The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.
Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.
Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks. Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.
Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.
Master the complexities of heart failure coding with this expert-led webcast by Emily Montemayor, CCS, CMBCS, COC, CPC, CPMA. Discover strategies to ensure compliance with ICD-10-CM guidelines, documentation integrity, and capture comorbidities like CKD and hypertension. Learn how to resolve coding challenges, improve documentation practices, and submit clean claims to minimize denials and safeguard your organization’s financial health. With practical insights and real-world examples, this session equips you to prevent revenue leakage, enhance compliance, and secure optimal reimbursement—all while supporting better patient outcomes.
Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.
Join Beth Wolf, MD, CPC, CCDS, for an in-depth webcast on the FY2025 spinal fusion MS-DRG updates. Discover key changes in DRG classification, understand impacts on documentation and CMI, and learn strategies to ensure compliance.
Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.
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