Some recent high-profile cases clearly demonstrate neglect, fraud, and abuse. While not new, private equity (PE) interests are buying hospitals and skilled nursing facilities (SNFs)
The case of convicted former nurse RaDonda Vaught has created a cascade of opinions but are the experts right? Let’s consider a scenario: A 30-year-old
With the resumption of CERT, a primer is provided because soon you will be receive request for records. After a hiatus during the Public Health
Five steps to mitigate the effects of burnout are offered. It is April, and we are just starting the second quarter of 2022. Does anyone
The impact is expected to be felt for years to come. Three years into the global pandemic and health systems remain stretched to the breaking
CMS issues proposed payment rules for inpatient rehab facilities, psychiatric care and hospice-based payments. EDITOR’S NOTE: Stanley Nachimson, a former CMS career professional, now an
Sticker shock no more. Today I will be giving you my point of view on the No Surprises Act – a topic of great interest
Try your best to tamp down your instinctive fear of change. EDITOR’S NOTE: Elizabeth Lamkin is the former CEO/Market President for Tenet Healthcare’s Hilton Head
Talk Ten Tuesday’s cohost accepts an invitation to be a guest on an Australian’s podcast series. Have you ever played Six Degrees of Kevin Bacon?
A little snow can make for a big day in Southern California. PUBLISHER’S NOTE: Photo provided by Marvin D. Mitchell EDITOR’S NOTE: Marvin Mitchell is
Both initiatives speak to patient-centric care. EDITOR’S NOTE: Stanley Nachimson, a former CMS career professional, is a popular presenter on Talk Ten Tuesdays. The Accountable
Science fiction and medicine meet in artificial intelligence. EDITOR’S NOTE: Jason Henninger is the managing editor and product manager at MedLearn Media. I’ve always been
Familiarize yourself with the dramatic 2023 changes to codes, coding guidelines and documentation requirements for evaluation and management (E&M) split/shared and incident-to services.
Dr. Ronald Hirsch breaks down significant 2023 changes to coding and billing requirements for hospital observation services, including new physician E&M coding rules.
Learn how to save your facility hundreds of thousands of dollars in repayments and fines by correctly following CMS requirements for implantable medical device credit reporting. We provide you with all the need-to-know protocols, along with the steps for correct compliance while offering best practices to implement a viable strategy in your facility.
During an exclusive RACmonitor webcast, healthcare attorney Knicole Emanuel will explain in simple, easy-to-understand language the peril of the coming overpayment audits and describe your legal defenses.
Do you struggle with selecting and appending the correct modifier for your medical claims? Join our must-attend webinar, “Mastering Modifier Usage: Preventing Denials and Ensuring Compliance” to reduce claim denials and improve your reimbursement rates.
Kay Piper reviews the guidance and updates coders and CDISs on important information in the AHA’s fourth quarter 2023 ICD-10-CM/PCS Quarterly Coding Clinic in an easy to access on-demand webcast.
Get access to important guidance on each of the AHA‘s 2023 ICD-10-CM/PCS Quarterly Coding Clinics with information-packed on-demand webcasts available shortly after each official publication.
Gloryanne Bryant reviews the guidance and updates coders on information in the AHA’s third quarter 2023 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Kay Piper reviews the guidance and updates coders on information in the AHA’s second quarter 2023 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Gloryanne Bryant reviews the guidance and updates coders on information in the AHA’s first quarter 2023 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
Why should you be focused on SDOH data and ICD-10-CM Z codes? How can you integrate the capture of these elements into your workflows? Get guidance now — before new CMS assessment and reporting mandates take effect.
Set yourself up for appeal success with knowledge about the legitimate presentations of acute heart failure, the common vulnerabilities that auditors identify, the challenges clinical teams face, and how to write a concise and compliant validation query.
What are the changes to the IPO and ACS lists for 2023? What auditor trends do you need to watch out for in the new year? Don’t be caught off guard. Register today for this essential regulatory update led by Dr. Ronald Hirsch.
Take away tried-and-true strategies for ensuring that your Utilization Review committee is working effectively
A massive task lies ahead! Now’s the time to start preparing your case management and utilization review teams for successful implementation of changes contained in the 2023 IPPS, OPPS and MPFS rules.
Learn how to achieve complete, accurate documentation that establishes medical necessity and how to differentiate between billable and non-billable services.
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