Some new credit agency reporting rules can make it impossible for physicians to collect legitimate patient amounts due. The No Surprises Act is big news.
It’s time to consider the use of artificial intelligence to respond to requests for copies of records. When we hear “release of information,” we usually
Medicare post-payment audits are estimated to have risen over 900 percent over the last five years. Let’s talk about post-payment audits – or, specifically, Recovery
If a patient had a G-tube, D-or J-tube, or G-J tube previously and needs a new one placed through a new access, would this be coded as a replacement?
What is an external biliary drainage catheter?
Can we use flow cytometry codes to report absolute cell counts (not requiring interpretation)?
Can imaging guidance for central venous access catheter or device placement be separately reported?
What happened with codes 93720–93722 for plethysmography? We keep getting denials when we try to use these codes.
Our interventional cardiologist performed a PTCA in the LAD, an atherectomy in the RCA, and placed a drug-eluting stent in the left circumflex artery (LC). How would we code for this?
As discussed last month, new category III codes that could impact your interventional radiology coding services are now effective as of January 1, 2022. With
How are we going to face the staffing challenges? Editor’s Note: This article first appears on Phoenix Medical Management’s page, please click here to go
Are you using something other than two-midnight? Here’s why you shouldn’t be. Is there the possibility that your utilization management team and physician advisors are
Observation status should be used until obtaining a diagnosis and treatment plan. C-Suites scrutinize utilization management programs when the observation metric increases. Investopedia defines metrics
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.
Bring your questions and join the conversation during this open forum series, live every Wednesday at 10 a.m. EST from June 11–July 30. Hosted by Chuck Buck, these fast-paced 30-minute sessions connect you directly with top healthcare experts tackling today’s most urgent compliance and policy issues.
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.
This third session in our 2026 IPPS Masterclass will feature a review of FY26 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This second session in our 2026 IPPS Masterclass will feature a review the FY26 changes to ICD-10-PCS codes. This information will be presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
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