Dear Colleague,
You and I have experienced a sea change this past year in our world of healthcare coding, compliance, documentation, and revenue cycle.
We are traveling together on a new journey that is sure to test our resilience, in some senses like those citizens strapping into seats of a private enterprise’s rocket.
We’re together now on this journey, navigating regulations, coding clinics, and final rules. And, as with the rockets, there’s the need to avoid debris.
Fortunately, you have as crew members the very best professionals, who come prepared each and every Tuesday on our Talk Ten Tuesdays podcast, now going on for more than a decade. And to keep you up to date with the very latest news, we have the finest team of experts who report to you each Tuesday on ICD10monitor.
So, in light of this, I publicly thank Erica Remer, Gloryanne Bryant, Shannon DeConda, Colleen Deighan, Rose Dunn, Cheryl Ericson, Terry Fletcher, Glenn Krauss, Deb Grider, Susan Gatehouse, Kristi Powell, Laurie Johnson, Stanley Nachimson, Tim Powell, Mary Stanfill, John Zelem and my dear friend and mentor, H. Steven Moffic, MD, one of this country’s most prominent psychiatrists. To those of you I have missed, my apologies, and this oversight by no means diminishes the respect we have for you and your contributions.
Buckle up. We’re in for an amazing journey in 2022, with ICD-11 on the horizon.
Chuck Buck
Publisher of ICD10monitor
Here are my thoughts on what to expect when the federal shutdown finally ends. First, the lights don’t all flick back on at once. Agencies
It’s two weeks into November, and still no Outpatient Prospective Payment System (OPPS) Final Rule from the Centers for Medicare & Medicaid Services (CMS). Now,
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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.
Get clear, practical answers to Medicare’s most confusing regulations. Join Dr. Ronald Hirsch as he breaks down real-world compliance challenges and shares guidance your team can apply right away.
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.
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