Cardiology Question for the Week of June 1, 2026
Bryan Nordley
June 1, 2026
Have HCPCS codes C9600–C9608 changed for 2026?
Have HCPCS codes C9600–C9608 changed for 2026?
The Centers for Medicare & Medicaid Services (CMS) released the Inpatient Prospective Payment System (IPPS) Proposed Rule for the 2027 fiscal year on April 14,
How could the proposed efficiency adjustment and facility PE reductions impact reimbursement for cardiology services, and what strategies can practices use to offset potential revenue declines?
What types of improper laboratory claims are targeted in potential future OIG and Medicare audits?
Which revenue code and HCPCS code should be used for reporting 1,000 cc of IV normal saline, and how many units should be billed?
What is the importance of assigning the correct inpatient ventilation procedure code based on the documented duration of respiratory ventilation?
What revascularization techniques may be necessary when an endoprosthesis is placed proximal to the left subclavian artery?
If you follow False Claims Act (FCA) enforcement, you’ve probably noticed a shift over the last few years. The classic whistleblower – the insider, the
Once in a while, you just have to laugh. And my most recent laugh came at the expense of an unidentified Medicare Advantage (MA) plan.
Workplace stress has become one of those topics that organizations can no longer afford to treat as an individual issue. While stress has always existed
How much fraud is there in the system? I don’t know the answer, but I am pretty confident that policymakers tend to mischaracterize the scope
When many physician advisors began their careers 10, 20, or even 30 years ago, their focus involved communication. Communication between case and utilization managers and
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.
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.
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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