Health systems are grappling with custodial/social admissions from the ED. In my last article, I discussed how emergency departments (EDs) across the country are
This decision applies only to those whose stay was changed to observation after inpatient admission. In a decision released on March 24, a judge of
Examining the layers supporting the methodology behind social distancing. The Institute of Health Metrics and Evaluation (IHME) is an independent population health research center at
The patient has COVID-19? How is the infection manifesting? You need a code for that detail. The rapidity with which our medical world is evolving
New condition code for COVID-19 released for healthcare claims. We are in a state of flux with information, details, instructions, and changes impacting the revenue
Today, April 7, is World Health Day as proclaimed by the World Health Organization. On World Health Day, we would normally celebrate the advancement of
COVID cases worldwide approached a million in number as April began. Two new codes became effective for use on April 1; first, U07.1 (COVID-19) may
Providers and federal officials alike continue to adjust to the new normal, and an uncertain future. EDITOR’S NOTE: Dr. Ronald Hirsch, vice president of R1
When is it useful to do an MRA and CA to evaluate peripheral arteries?
Do you have any tips for determining billable units when applying an antibody cocktail?
Can we bill for spirometry and bronchospasm evaluation performed on the same day?
If the start and stop times are not documented on an infusion, can I bill an IV push?
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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