EDITOR’S NOTE: Julia Brodt is the wife of John K. Hall, MD, a member of the RACmonitor Editorial Board and guest panelist on Monitor Mondays.
Sixty years ago, when I was 12, I read War of the Worlds, H.G. Wells’ fictitious tale about a calamitous extraterrestrial attack on our earth.
EDITOR’S NOTE: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, is a longtime ICD10monitor contributing editor and a popular
EDITOR’S NOTE: This essay by Denise Coleman is in response to a recent Saturday Morning Post column written by Rose Dunn. I am now working
I came in very early to visit with a friend who will be going home with Hospice today. It has been a stressful time for
EDITOR’S NOTE: Deb Grider is a longtime RACmonitor and ICD10monitor contributing editor and a popular guest panelist on Talk Ten Tuesdays. We welcome here back
EDITOR’S NOTE: Michael “Mike” Kennedy entered the healthcare information technology field as a partner/owner of Spectrum Systems, Inc./Precision Health Systems (PHS), Inc. After closing PHS,
EDITOR’S NOTE: In 1969, a young Richard Beckley, aboard the USS Ramsey, sailed into the South China Sea, up the Gulf of Tonkin, and into
A poliovirus and SARS-CoV-2 are at a bar, looking over potential victims. Polio starts bragging. “Hey, new guy. Ever hear the expression, ‘mess you up
Many say that during this pandemic, they feel lonely in their terrariums, otherwise known as their homes. I didn’t. It was so nice to not
The ripples of moist sand suggested the undulating waves momentarily had retreated deeper into the Adriatic. Straight west was Croatia. Smugglers from the entrenched late-medieval
Since COVID-19, courts across the country have been closed. Judges have been relaxing at home. As an attorney, I have not been able to relax.
Medicare regulations are complex and even seasoned professionals struggle to apply them consistently. Due to overwhelming demand, Dr. Hirsch returns for Part 2 of Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules to answer even more of Medicare’s most misunderstood questions, covering inpatient status, observation, SNF access, Medicare Advantage denials, and more. Join Dr. Hirsch as he provides clear, referenced answers to real-world questions submitted by your peers, helping you navigate Medicare compliance with confidence and clarity.
Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.
Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Artificial intelligence is rapidly transforming healthcare revenue cycle operations, from coding and auditing to compliance and denials. Join industry leaders Pam Warren (MaineHealth) and Raemarie Jimenez (AAPC) for a live fireside chat exploring how AI is changing workflows, workforce roles, payer-provider dynamics, and compliance risk—and what organizations should be doing now to prepare.
Prepare for FY 2027 IPPS changes with a comprehensive 3-part masterclass covering ICD-10-CM/PCS updates, MS-DRG shifts, NTAPs, compliance risks, and reimbursement strategies.
Stay ahead of FY 2027 reimbursement changes with expert analysis of MS-DRG shifts, NTAP updates, Medicare Code Edits, and emerging technologies impacting inpatient payment accuracy.
Stay ahead of FY 2027 ICD-10-PCS changes with expert analysis of new procedure codes, revised guidelines, and high-impact updates affecting reimbursement, compliance, and inpatient coding accuracy.
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