Page 334 – MedLearn Publishing

Radiology Question for the Week of September 14, 2020

MedLearn Publishing September 12, 2020

An “ultrasound abdomen complete” (76700) is ordered with the indication of “Abdominal pain, evaluate for Umbilical Hernia.” The hernia images are not included in our protocol of abdomen complete, but we are adding them anyway. Should we be adding an abdominal limited code, one quadrant (76705), along with the abdomen complete code 76700, or does the
complete include an evaluation of hernia?

General Question for the Week of September 14, 2020

MedLearn Publishing September 12, 2020

What time can be used for an infusion stop if the patient is in the clinic and has a negative reaction requiring inpatient admission?

New Challenges to Organizations that Compensate Physicians on Productivity

Adam J. Klein September 9, 2020

The Centers for Medicare & Medicaid Services (CMS) recently announced updates to the 2021 Medicare Physician Fee Schedule (MPFS). Among them are unprecedented increases in

COVID-19 déjà vu

John Foggle, MD, MBA September 9, 2020

This has been a humbling six months to be an American and an emergency physician. It seems like we have gone from one crisis to

Why Third Party Contracts Demand Scrutiny

David M. Glaser, Esq. September 9, 2020

Recently, as I was speaking with one of my colleagues who specializes in reviewing and negotiating agreements with third-party payers, she lamented that no one

Avoiding Patient Status Denials for COVID Testing

John K. Hall, MD, JD, MBA, FCLM, FRCPC September 9, 2020

By now we’ve all heard the words “anyone who wants a COVID test can have one.” Occasionally, that claim is followed by the word “free,”

Overview of ICD-10-CM and PCS Coding Guideline Changes for 2021

Cari Greenwood, RHIA, CCS, CPC, CICA September 8, 2020

The Inpatient Prospective Payment System (IPPS) Final Rule for the 2021 fiscal year has been finalized, including updates to the guidelines that need to be

Coordination and Maintenance Committee Presses Forward Despite Pandemic

Laurie M. Johnson, MS, RHIA, FAHIMA, AHIMA Approved ICD-10-CM/PCS Trainer September 8, 2020

2020 has been a very different year than previous years, as far as code development and release go. The Inpatient Prospective Payment System (IPPS) Proposed

COVID-19 Testing: False Positives are Definitely a Negative!

Erica Remer, MD, FACEP, CCDS, ACPA-C September 8, 2020

Listeners of Talk Ten Tuesdays may remember that earlier this summer, my 89-year-old father tested positive for SARS-CoV-2 via a saliva polymerase chain reaction test,

Looming 2021 E&M Changes Won’t be an Excuse to Start Skipping Documentation

Grant Huang, CPC, CPMA September 8, 2020

The 2021 evaluation and management (E&M) changes are definitely happening. We’ve seen the Medicare Physician Fee Schedule proposed rule for next year, and there’s no

Respiratory Question for the Week of September 7, 2020

MedLearn Publishing September 6, 2020

Can you tell me what mistakes we should watch out for with ABNs?

General Question for the Week of September 7, 2020

MedLearn Publishing September 6, 2020

If an infusion is stopped because the patient is having an adverse reaction to a drug, can we still charge for the infusion?

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 September 14, 2020

General Question for the Week of September 14, 2020

New Challenges to Organizations that Compensate Physicians on Productivity

COVID-19 déjà vu

Why Third Party Contracts Demand Scrutiny

Avoiding Patient Status Denials for COVID Testing

Overview of ICD-10-CM and PCS Coding Guideline Changes for 2021

Coordination and Maintenance Committee Presses Forward Despite Pandemic

COVID-19 Testing: False Positives are Definitely a Negative!

Looming 2021 E&M Changes Won’t be an Excuse to Start Skipping Documentation

Respiratory Question for the Week of September 7, 2020

General Question for the Week of September 7, 2020

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

Why AI Tools Used in the Revenue Cycle Require Human Oversight

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

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

Cutting Through the Fog of Guidance for Incident-to Billing

Important HIPAA Changes You Should Know About

One New Form in, Two to Go – And the Delicacy of Handling a Switch from Inpatient to Observation Billing

Time to Update the UHDDS Definition of Principal Diagnosis

Stay Connected

News

Account

Info