This week I would like to address myths about multiple-choice physician queries that persist, despite guidance from the American Health Information Management Association (AHIMA) and
I am so grateful to have the opportunity to use this platform and my Talk Ten Tuesdays segment, “My Talk,” to shine a spotlight on
President Donald Trump recently issued an executive order titled “Ending Radical and Wasteful Government DEI Programs and Preferencing,” aiming to dismantle diversity, equity, and inclusion
While we think of Oct. 1 as the date we look for new ICD-10 codes and changes, in the past few years we have seen
When performing flow cytometry for cell enumeration, should CPT® codes 88184 or 88185 ever be reported separately, or are these inherently bundled? Additionally, if a pathologist provides a distinct interpretation of the flow cytometry results, is there any scenario where CPT codes 88187-88189 could be reported separately, or is the interpretation always included in the procedure?
A respiratory therapist provides a brief smoking cessation counseling session lasting two minutes during a patient’s outpatient visit. The provider also bills an evaluation and management (E/M) service for the encounter. How should the counseling service be reported, and is it separately billable under codes 99406–99407?
When performing an MRI on a patient with an implanted cardiac device or neurostimulator, how should code 76018 be reported if the same provider conducting the device evaluation or neurostimulator analysis programming also prepares the device for MR safe mode? Would this scenario still qualify for separate reporting of 76018, or must a different provider perform the additional preparation for it to be billed?
When coding for intravenous infusions that begin outside the observation unit and continue upon the patient’s arrival, what specific documentation elements must be present to ensure compliance and avoid audit risks?
For coding a coronary intravascular lithotripsy (IVL) procedure performed in an outpatient hospital setting, which HCPCS Level II supply code should be reported to ensure eligibility for the OPPS transitional pass-through payment, and how long is this payment expected to be available
There is no way to sugarcoat the difficulty of drainage procedures. That is why expert guidance is paramount when facing these scenarios. When it comes
While political news is gushing from Washington on a daily basis, actual laws or regulations are not as forthcoming from DC as they are in
Artificial intelligence (AI) is revolutionizing the healthcare industry, bringing significant advancements in clinical applications, patient care, and administrative efficiency. However, while much of the discussion
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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