Page 283 – MedLearn Publishing

Radiology Question for the Week of July 19, 2021

MedLearn Publishing July 17, 2021

What is meant by the term, “independent workstation,” in the descriptors for CPT codes 76376, 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation, and 76377, 3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation?

New, Major Regulations Face Providers

Stanley Nachimson, MS July 14, 2021

Now is the time when major healthcare rules are announced by the federal government. Some major regulations have been announced in the last few weeks.

CMS Leveraging PFS Proposal to Address Health Inequity

Mark Spivey July 14, 2021

Data collection and expansion of access are two critical elements of the plan. If soaring levels of income and wealth inequality building up for decades

OIG Telehealth Audits Ramping Up

Knicole C. Emanuel Esq. July 14, 2021

OIG is scrutinizing providers specific to telemedicine. They’re here: the audits of telehealth services provided during COVID. When the COVID-19 pandemic began, no one imagined

A Call for RAC Reform

Edward M. Roche, PhD, JD July 14, 2021

Running around crucifying healthcare providers for sloppy documentation is fool’s gold. The Recovery Audit Contractor (RAC) audit industry over time has degenerated into a framework

2022 ICD-10-CM Official Guidelines Released, Highlighted by Post-COVID-19 Guidance

Gloryanne Bryant, RHIA, CDIP, CCS, CCDS July 14, 2021

The effective date for the FY 2022 Official Guidelines is Oct. 1, 2021 Released earlier in the year than in the past, the Official Guidelines

Let’s Get Things Straight on Philip Esformes

Timothy Powell, CPA, CHCP July 13, 2021

The defendant convicted in connection of one of the most massive fraud schemes in U.S. healthcare history is free after his sentence was commuted. I

Telehealth, the OIG Work Plan, a divided Congress, and Frazzled Coders

Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM July 13, 2021

Telehealth policies will lapse if something isn’t done quickly, as the PHE is scheduled to end on July 21. As lawmakers are lining up to

Can a “Prudent Layperson” Really Recognize an Emergency Medical Condition?

Erica Remer, MD, FACEP, CCDS, ACPA-C July 13, 2021

Documentation is integral to solving this problem. UnitedHealthcare (UHC) recently threatened to implement a new policy wherein they would be retroactively denying some emergency department

Pharmacy Question for the Week of July 12, 2021

MedLearn Publishing July 11, 2021

How does CMS account for radiopharmaceutical payment if it falls under indicator “N”?

Radiology Question for the Week of July 12, 2021

MedLearn Publishing July 11, 2021

If the doctor did an ultrasound of the abdomen to evaluate for ascites, would that be an unlisted code or 76705? He looked at the entire abdomen but did not document the elements required for 76700.

Compliance for the Inpatient Psychiatric Facility (IPF-PPS): Minimizing Federal Audit Findings by Strengthening Best Practices

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.

April 9, 2026

Mastering MDM for Accurate Professional Fee Coding

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.

March 31, 2026

The PEPPER Returns – Risk and Opportunity at Your Fingertips

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.

March 19, 2026

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

Stay ahead of the 2026-2027 audit surge with “Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue,” a high-impact webcast led by Michael Calahan, PA, MBA. This concise session gives hospitals and physicians clear insight into the most likely federal audit targets, such as E/M services, split/shared and critical care, observation and admissions, device credits, and Two-Midnight Rule changes, and shows how to tighten documentation, coding, and internal processes to reduce denials, recoupments, and penalties. Attendees walk away with practical best practices to protect revenue, strengthen compliance, and better prepare their teams for inevitable audits.

January 29, 2026

Featured Webcasts

Mastering OB GYN Coding Accuracy: Precision Coding for Compliance and Reimbursement

Gain clarity and confidence in OB‑GYN coding with this expert‑led webcast featuring Stacey Shillito, CDIP, CPMA, CCS, CCS‑P, CPEDC, COPC. 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.

May 14, 2026

2026 ICD-10-CM/PCS Coding Clinic Update Webcast Series

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.

April 13, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Fourth Quarter

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.

December 14, 2026

2026 ICD-10-CM/PCS Coding Clinic Update: Third Quarter

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 third quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.

October 12, 2026

Radiology Question for the Week of July 19, 2021

New, Major Regulations Face Providers

CMS Leveraging PFS Proposal to Address Health Inequity

OIG Telehealth Audits Ramping Up

A Call for RAC Reform

2022 ICD-10-CM Official Guidelines Released, Highlighted by Post-COVID-19 Guidance

Let’s Get Things Straight on Philip Esformes

Telehealth, the OIG Work Plan, a divided Congress, and Frazzled Coders

Can a “Prudent Layperson” Really Recognize an Emergency Medical Condition?

Pharmacy Question for the Week of July 12, 2021

Radiology Question for the Week of July 12, 2021

Featured Webcasts

Compliance for the Inpatient Psychiatric Facility (IPF-PPS): Minimizing Federal Audit Findings by Strengthening Best Practices

Mastering MDM for Accurate Professional Fee Coding

The PEPPER Returns – Risk and Opportunity at Your Fingertips

Top 10 Audit Targets for 2026-2027 for Hospitals & Physicians: Protect Your Revenue

Trending News

Fresh Scrutiny of NSA IDR Figures Shows a Program that’s Strained, but Working as Intended

Decoding Burnout – The Hidden Strain Facing Medical Coders

Using AI to Study Clinician Behavior – and the Compliance Risk Hidden Inside It

Why AI Tools Used in the Revenue Cycle Require Human Oversight

Featured Webcasts

Mastering OB GYN Coding Accuracy: Precision Coding for Compliance and Reimbursement

2026 ICD-10-CM/PCS Coding Clinic Update Webcast Series

2026 ICD-10-CM/PCS Coding Clinic Update: Fourth Quarter

2026 ICD-10-CM/PCS Coding Clinic Update: Third Quarter

Trending News

Pulling Back the Curtain: How Payers Decide Which Claims Receive Review: Part II of a Five-Part Series

The Vital Importance of National Colorectal Cancer Awareness Month

Coding Update: An Index Change for Parkinson’s Disease

Cutting Through the Fog of Guidance for Incident-to Billing

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