When a single case requires the processing of multiple specimens that and we code for 88362 and 88380 on the same date of service what will documentation require? Is a modifier needed?
What is the difference between white bagging and brown bagging regarding patient supplied drugs?
There is an acute exacerbation of angry patients occurring at this time. EDITOR’S NOTE: RACmonitor will be producing an occasional series on this problem in
Failing a TPE audit can result in onerous actions. Healthcare audits have now resumed to 100-percent capacity – or even 150 percent. All audits that
Fiscal shortfall translates to concerning issues for safety-net and community health centers. During the assorted phases of COVID, safety-net clinics stepped up; community health centers,
The topic has perplexed providers ever since the advent of the rule in 2013. Why can’t we use the two-midnight rule to achieve inpatient status
This area of coding is not so easy. While most maternal deaths are preventable, the rate has been increasing in the United States since 2000.
Former OIG special agent reveals how the PHE has been abused by con artists to scam unsuspecting seniors. Telemedicine and telehealth: both terms elicit thoughts
One such example is computer-assisted physician documentation (CAPD). Artificial intelligence (AI), natural language processing (NLP), and “the engine,” machine learning, began creeping into the clinical
CMS has responded to concerns associated with this issue. As usual, Dr. Ronald Hirsch is making more work for me! He saw an article on
Dear Reader: Maternal mortality rates in the U.S are abnormally high, in comparison to those of other developed countries. For that reason, we are embarking
Health equity is now an unavoidable issue. EDITOR’S NOTE: Katherine Lusk, the 93rd president and chair for the American Health Information Management Association (AHIMA), recently
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.
Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.
Breast biopsy procedures may be clinically straightforward but accurately translating them into compliant billing can be anything but. In this focused webcast, Shawn Blackburn, CPC, CPMA, CIC, CRC, CCS-P breaks down how imaging guidance, lesion count, laterality, and payer expectations all impact how these procedures should be reported. Through clear explanations and real-world scenarios, you’ll gain practical insight into aligning clinical workflows with billing requirements, avoiding common pitfalls, and ensuring your documentation supports accurate reimbursement and compliance.
Gain clarity and confidence in OB‑GYN coding with this expert‑led webcast featuring Sherri L. Clayton, RHIT, CSS. You’ll learn how to apply global maternity package rules accurately, select the right CPT codes for procedures and visits, and identify documentation gaps that lead to denials. With practical guidance and real examples, this session helps you strengthen compliance, reduce audit risk, and ensure accurate reimbursement for women’s health services.
Uncover essential coding insights with nationally recognized coding authority Kay Piper, RHIA, CDIP, CCS. Through ICD10monitor’s interactive, on‑demand webcast series, Kay walks you through the AHA’s 2026 ICD‑10‑CM/PCS Quarterly Coding Clinics, translating each update into practical, easy‑to‑apply guidance designed to sharpen precision, ensure compliance, and strengthen day‑to‑day decision‑making. Available shortly after each official release.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s fourth quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
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