CDC Holds Call to Update Provider Community on Coronavirus Response
The federal agency has recommended that healthcare workers self-report symptoms and not work if ill. EDITOR’S NOTE: On March 5, the Centers for Disease Control
The federal agency has recommended that healthcare workers self-report symptoms and not work if ill. EDITOR’S NOTE: On March 5, the Centers for Disease Control
The nation’s largest healthcare conference has been canceled amid the growing threat. The deadly coronavirus (COVID-19) has resulted in the cancellation of HIMSS20, the 2020
Global cases are approaching 100,000 as the U.S. braces for the worst. The Centers for Medicare & Medicaid Services (CMS) has suspended non-emergency facility inspections
More education is needed to explain when waivers are allowed. The age-old question of “can we offer cash-pay discounts, professional courtesy, and/or the waiver of
Case reveals Practice Fusion’s kickback scheme. Healthcare providers often talk about the importance of behavioral “nudges” to their patients – gentle pushes to encourage healthy
List of factors for front-line professionals to consider keeps evolving. Everyone wants to know how to assess the social determinants of health (SDoH). The healthcare
The new rule contains two key requirements—annual disclosure of prices and 300 “shoppable” items. Effective Jan. 1, 2019, the Centers for Medicare & Medicaid Services
There are growing fears that the spread of the disease could yield racial bias against Americans of Asian descent. EDITOR’S NOTE: The cacophony of news
More changes are likely coming. As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The
Privacy is the right of an individual to keep oneself and one’s information concealed from unauthorized access and view by others. As the world moves
I’m making a pitch for reciprocal education. EDITOR’S NOTE: Dr. Erica Remer reported this story live during a recent edition of Talk Ten Tuesday. The following
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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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