Laboratory Question for the Week of December 20, 2021
We have a policy that we should always perform an automated differential with CBC. Is this ok from a compliance standpoint?
We have a policy that we should always perform an automated differential with CBC. Is this ok from a compliance standpoint?
Please help me understand when it’s appropriate or not to charge for post-processing 3D imaging.
Annual overdose deaths are creeping toward and beyond six figures. Rising opioid-related emergency department visits, overdoses, and deaths: this issue has re-emerged with a vengeance
Federal healthcare audits are back with a vengeance following a brief COVID-related pause. In August 2020, the Centers for Medicare & Medicaid Services (CMS) was
The cost to appeal is worth the claim reimbursement and modification of payer behavior. As we approach 2022, one of our new year’s resolutions should
The issue is far from settled legally, as challenges to the hold loom in two federal appeals courts. Since the onset of the pandemic, many
The prevalence of audits is soaring after the expiration of COVID-related regulatory relaxation. Despite the strain that hospitals and health systems are facing with the
All three of the federal government’s mandates have encountered legal challenges. Let’s dive into the somewhat confusing status of the Biden Administration’s vaccine mandates.
Auditors appear to be hungry to deny. Right on schedule, the Centers for Medicare & Medicaid Services (CMS), through their contractor, has released the latest
New rule could severely impact the wallets of physicians. Medicare published multiple final rules for 2022 on Nov. 2, with their provisions having been added
New Year’s resolutions for readers of ICD10monitor. For providers, resolve to provide excellent clinical care to your patients, and invest the time needed to document
The package includes three ICD-10-CM and seven procedure codes. The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services
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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