Two years later, there are some changes to telehealth. We all remember the day the locks were removed for telehealth to come flooding through the
The recent ruling is expected to impact DSH payments. The Supreme Court has been busy dealing with healthcare lately. One of its recent decisions will
Radiology is currently suffering from an unprecedented global shortage of iodinated contrast media. With the situation “outside the immediate control of the U.S. government,” the
A new Talk Ten Tuesdays series on mental health debuts today, featuring internationally renowned psychiatrist Dr. H. Steven Moffic. The popular long-running weekly Internet broadcast
The Second Quarter Coding Clinic was posted recently by the AHA. The American Hospital Association (AHA) Coding Clinic for the second quarter of 2022 came
With unrelenting focus upon reimbursement within too many CDI programs, the opportunity to effectively improve the integrity of the medical record and its patient story
The federal government probably won’t be raising Medicare reimbursements next year, and physician organizations are strongly objecting. At its Jan. 13 meeting, the Medicare Payment
For IFR what is the difference for codes 93571 and 93572? What is the difference in what the codes represent?
What ICD-10 diagnostic code would we report for COVID-19 testing for asymptomatic patients prior to inpatient admissions, planned outpatient procedures, and immunosuppressant therapies as part of Pre-Procedure Screening for PFT?
What CPT® codes should be charged when performing a lymphoscintigraphy for pre-operative sentinel node localization? Is there an injection code? Should 38792 be charged?
For respiratory therapy services, what does “room and board” mean?
What revenue codes are acceptable when reporting the 85XXX series? Is 0300 safe to report?
CMS CRUSH (Comprehensive Regulations to Uncover Suspicious Healthcare) signals a new era of data-driven program integrity oversight that extends far beyond coding and CDI. As federal scrutiny of claims, documentation, billing practices, provider enrollment, and payment accuracy intensifies, healthcare organizations must be prepared to identify and address vulnerabilities before they result in audits, denials, repayments, or enforcement actions. Join us for this timely webcast to learn what CMS CRUSH could mean for your organization and discover practical strategies to strengthen documentation, claims integrity, compliance readiness, and reimbursement defensibility.
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.
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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