All applicable waivers remain in place. As expected, Xavier Becerra, the Secretary of the U.S. Department of Health and Human Services (HHS), has renewed the
What code would be used for a nuclear medicine dacryoscintography? I haven’t run across one of these before.
In terms of coding 78481, how should we go about reporting other non-radioactive drugs?
Code 92941 is for the treatment of a total or subtotal occlusion during an acute myocardial infarction. Is there a definition of what qualifies as a “subtotal” occlusion?
Are there still coding and compliance risks posed with COVID-19 testing and protocol? Is there potential for audits in the future?
When should 99453 and 99454 not be reported?
We occasionally go to the OR to use ultrasound to assist with D&C, fetal position, lumpectomy, and other procedures. Do we use US intraoperative code 76998?
Recent action by Livanta has prompted a new look at old code. Livanta, the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) auditor, has reportedly
MA plans have grown to now cover more than 40 percent of all Medicare beneficiaries, and with that has come more fraud and abuse. In case you didn’t
MA plans are adding enticements to attract new beneficiaries. Open enrollment for federal healthcare plans starts on Oct. 15, and that can only mean one
Two crucial reports from Monitor Mondays: providers, take note. On the Oct. 11 Monitor Mondays broadcast, listeners heard many important updates, including that of the
Please urge your friends and family to get vaccinated. In March 2020, when I had COVID-19 before anyone knew it was circulating in Cleveland, I
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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