“Surprise” medical billing has launched itself into controversy this year, with a multitude of stakeholders sharing concerns and arming legal options in response. In a
The president’s initiative on mental health would require insurers to cover three mental health visits a year, at no cost to members. President Joe Biden
The first portion of a three-part series takes a look at the competing interests of the primary players in the healthcare arena. American healthcare’s “thought
Providers are still required to provide patients with “good faith estimates” of charges. A federal court ruled in favor of the Texas Medical Association’s challenge
Court rules that the U.S. Secretary of Health and Human Services (HHS) violated the due process rights of a certified nationwide class of Medicare patients
Telehealth is growing in RT, and so are audits and Non-Patient Outcome Spending. The ongoing (for now, anyhow) Public Health Emergency significantly expanded the role
Dr. Ronald Hirsch recently had me read an article (Prevalence, Characteristics, and Outcomes of Emergency Department Discharge Among Patients with Sepsis) regarding discharging patients with
There are seven industries where people experience to burnout the fastest. We are being inundated today with the topic of burnout. It is so prevalent
However, is the coding for the treatment and management of diabetes being adequately captured? Diabetes mellitus (DM) affects over 400 million people worldwide. It is
Being complacent is not being compliant! Have you noticed the ongoing compliance risk warning that the U.S. Department of Health and Human Services (HHS) Office
The proposed cost-efficiency models are slated for the CY 2023 MIPS. The Centers for Medicare & Medicaid Services (CMS) is asking for feedback from stakeholders
What are some guidelines for reporting the new lumbar spine allogeneic injection T Codes?
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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