Anticipated schedule of the posting of new ICD-10 codes, including dates for public comment. Typically, after the annual Coordination and Maintenance Committee meeting, the next
Each patient’s story should be told in the official record. The clinical documentation integrity (CDI) profession has only scratched the surface of instilling positive change
In last week’s answer, you suggested looking at the list of tests granted waived status under CLIA to find which of the POC manufacturers and instruments or devices have been assigned CPT® 82962 or 82947. Can you tell me where this list can be found?
Does CMS provide any guidelines for the documentation required for respiratory devices and other common respiratory procedures?
When we have a patient who has a lower extremity and upper extremity venous duplex scan (CPT®s 93970 and/or 93971), we sometimes (although rarely) evaluate for an upper and lower deep vein thrombosis (DVT). How should we bill if we image all four extremities?
Where does CMS publish the HCPCS level II code updates?
What ICD-10 code should be used for a routine device check done every 30 or 90 days? What ICD-10 code should be used for device checks where the patient has symptoms? What code would be assigned for the symptom?
We are getting conflicting information on split-shared evaluation and management (E & M) visits in the hospital. The Medicare information I have found says that a consult code cannot be split-shared. But our question is this: If the patient has Medicare and we cannot bill the consult code, can that visit be split-shared if the intent was a consult?
June 8, 2018 is the deadline for participation. Like watching the sunset approach the horizon, time is running out for hospitals and health systems weighing
Many healthcare professionals have unwittingly placed their facilities at risk for ransomware attacks. Many of us watched Mark Zuckerberg testify before Congress last week, in
The latest and greatest in Medicaid news, state by state. While Medicare is a nationwide healthcare insurance program, Medicaid, the government-funded health insurance for the
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.
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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