The Omnipresence of COVID
John Foggle, MD, MBA
July 25, 2022
Under scrutiny is the Omicron BA.5 Let’s get personal. My wife tested positive for COVID three days ago. At the same time and nearly 1000
Under scrutiny is the Omicron BA.5 Let’s get personal. My wife tested positive for COVID three days ago. At the same time and nearly 1000
Can you explain what new code 93319 is used for?
Can you explain more about why 94774 and 94777 were revised and how to make the proper code selection?
When do we report add-on code 88141?
If we performed a complete obstetric ultrasound examination (code 76805) but were unable to see a handful of structures and had the patient come back to re-evaluate the fetal anatomy not seen well in the previous study, is the follow-up study reported as a limited evaluation (code 76815) or a reevaluation (code 76816) study?
Industry concentration in the Medicare Advantage industry. Why should the United States have a single Medicare system when it can have almost a thousand? In
The recent episode of Monitor Mondays’ lead story prompts a deeper assessment of the ecomonic plight of bigness is the U.S. This week’s Monitor Monday
The Medicare Providers Appeals process runs counter to the American judicial process. In litigation, there are two opposing sides, as in football. It wouldn’t be
The week of July 11 was one that was full of regulatory excitement. As expected, the U.S. Department of Health and Human Services (HHS) extended
Action by Congress could be seen as thunder and flurry. A strange thing happened recently. A bipartisan letter was sent from a group of U.S.
Integrity or improvement? In too many programs there is very little improvement or integrity achieved within the medical record aside from enhanced capture of diagnoses
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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