Respiratory Question for the Week of November 23, 2020
MedLearn Publishing
November 22, 2020
Are there charges generated for 94760?
Are there charges generated for 94760?
In a follow-up to last week’s question do any exceptions exist for billing complex drugs for chemotherapy administration?
An interventional cardiologist performs a percutaneous left heart catheterization, then selective injections of the left ventricle and coronary arteries for diagnostic purposes followed by mechanical thrombectomy of the LAD artery with subsequent drug-eluting stent placement in the LAD. Do you have tips for this?
Are other non-radioactive drugs covered within code 78451?
How would you report the Z3A.- code in the setting of multiple gestations where different gestational ages are given to different fetuses? We had an OB ultrasound case today with twins and dates for fetus A being 8w3d (Z3A.08) and fetus B being 9w4d (Z3A.09). Would you code to the youngest date (Z3A.08), the oldest date (Z3A.09), or are we able to code both (Z3A.08, Z3A.09)?
CMS said this week that its efforts have led to a $15 billion reduction in problematic claims. The incidence of improper payments by healthcare providers
Now more than ever it’s no time to cut corners. EDITOR’S NOTE: This article is an expansion of the original piece, “CoP Compliance in the
Conversations about the social determinants of health (SDoH), along with health and mental health disparities, have escalated amid COVID and simultaneously occurring violence. Elimination of
Now is the time to prepare, assess time frames and provider requirements, and ensure a proper compliance plan is in place. On March 30, the
New COVID cases reported daily have more than doubled during recent weeks, since a more modest July surge. As the nation’s COVID-19 pandemic continues to
False positives distort various epidemiological statistics. In a previous article (“False Positives in PCR Tests for COVID-19“), I discussed the evidence regarding false-positive rates of
The mood of the country impacts claims. There are a few words that can be associated with the pandemic and the election. These words are
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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