The Need for Facility Coding Guidelines
Not all new technologies are created equal. Facility-specific coding guidelines are key to code hospital visits and encounters consistently. Another role that facility-specific guidelines play
Not all new technologies are created equal. Facility-specific coding guidelines are key to code hospital visits and encounters consistently. Another role that facility-specific guidelines play
Effective research leads to correct coding. With the 2021 ICD-10 code updates already in use and the CPT® and HCPCS updates right around the corner,
What are DMARDs?
Can we use 0031T for myocardial infarct avid imaging?
Can we bill separately for the pulse oximetry procedures when trying to determine oxygen saturation levels?
The physician documented six follow-up angiograms during an embolization. How many may we report?
Can codes 93563 and 93564 be reported with code 33418?
May we bill separately for duplicative testing on the same bone marrow biopsy and bone marrow aspirate specimens?
Vote on the continuing resolution (CR) helps providers with Advanced Payments. The U.S. Senate passed a continuing resolution (CR) this evening, which will keep the
BPCI models require a working relationship between inpatient and outpatient settings. The federal Bundled Payments for Care Improvement (BPCI) initiative links reimbursement of services rendered
No one is free from audits. Even auditors get audited. When the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG)
New studies address health disparities and severity of COVID. Several major studies continue to advance the impact of health disparities and challenge the industry in
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.
Bring your questions and join the conversation during this open forum series, live every Wednesday at 10 a.m. EST from June 11–July 30. Hosted by Chuck Buck, these fast-paced 30-minute sessions connect you directly with top healthcare experts tackling today’s most urgent compliance and policy issues.
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.
This second session in our 2026 IPPS Masterclass will feature a review the FY26 changes to ICD-10-PCS codes. This information will be 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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