No Surprise. It’s the Law
David M. Glaser, Esq.
February 4, 2021
The law goes into effect Jan. 1, 2022. This time of the year, we often focus on predictions. I won’t here, for two reasons. First, predicting is
The law goes into effect Jan. 1, 2022. This time of the year, we often focus on predictions. I won’t here, for two reasons. First, predicting is
Nonprofit hospitals spend an average of $67.9 billion annually on community benefits. 2021 is off and running, and healthcare organizations are positioning themselves for success;
Certify the certifiers. Have you ever been in a Medicare hearing and realized the person testifying for the auditor does not understand what they are
The series will highlight the dangers of vaccination hesitancy, which is causing concern among health experts hopeful for herd immunity from COVID-19. In response to
Approximately 25 percent of the population is vaccine-hesitant. I’m going to get real with you: COVID-19 may very well be with us forever. We may
Vaccine administration and product codes are expanding. The Centers for Medicare & Medicaid Services (CMS) released updates to the ICD-10-PCS codes on Dec. 1, 2020,
COVID-19 has added another level of complexity to the revenue cycle. Hospitals and health systems need to update their current revenue cycle processes, becoming more
What is the update to the national minimum payment amount?
Do you have any advice on code 92941/C9606?
I know that drugs normally billed as chemotherapy administration will be associated primarily with a code found in the J9XXX series, are there any exceptions?
I heard that the ACR and others helped to lessen the anticipated Medicare cuts finalized in the Medicare Physician Fee Schedule, can you tell me more?
What is the reimbursement rate for 99406 and 99407 for 2021?
Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.
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.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
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.
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