Two News Updates: UnitedHealthcare FCA and the RACs
Monday, Oct. 23, 2017 10-10:30 a.m. ET; 7-7:30 a.m. PT SPECIAL GUEST Former Tennessee Senator Roy Herron ALSO FEATURING Janelle Ali-Dinar, PhD; Nancy
Monday, Oct. 23, 2017 10-10:30 a.m. ET; 7-7:30 a.m. PT SPECIAL GUEST Former Tennessee Senator Roy Herron ALSO FEATURING Janelle Ali-Dinar, PhD; Nancy
Monday, Oct. 30, 2017 10-10:30 a.m. ET; 7-7:30 a.m. PT SPECIAL GUEST Marian Grant, DNP, ACNP-BC, ACHPN, FPCN, RN, Senior Policy Advisor, Coalition
SPECIAL CURRENT EVENTS NEWSCAST Monday, Oct. 16, 2017 10-10:30 a.m. ET; 7-7:30 a.m. PT SPECIAL GUEST Former Tennessee Senator Roy Herron ALSO
Monday, Oct. 2, 2017 10-10:30 a.m. ET; 7-7:30 a.m. PT SPECIAL GUEST Frank Cohen, MPA, DoctorsManagement ALSO FEATURING Janelle Ali-Dinar, PhD; Nancy
Monday, Oct. 9, 2017 10-10:30 a.m. ET; 7-7:30 a.m. PT SPECIAL GUEST Dale C. Van Demark, JD Partner McDermott Will & Emery
Toting boxes filled with plaques, awards, and photos earned from decades of professional advocacy, speaking, writing, and volunteer work in the field of health information
CERT claim review highlights need for strategic approach. How do you handle your appeals when there is more than one issue being denied? For example,
The automated review focused on “excessive units” of untimed therapy, approved by CMS for the RACs, continues to vex therapy providers. Automated review focused on
UHC bulletin excerpt underscores necessity of close scrutiny. In the June 2017 UnitedHealthcare (UHC) network bulletin, there was an article that addressed UHC’s decision to
The surprise is approval for RACs to audit admissions to inpatient psychiatric hospitals for medical necessity for inpatient psychiatric care. As we all know, all
Senate Republicans will not vote to repeal and replace Obamacare. Congress must still deal with many other healthcare initiatives before Sept. 30. Who doesn’t love
Hospital CDI managers always look for process improvement. Essentia Health’s outpatient CDI operation provides a practical case study. EDITOR’S NOTE: This the final installment in

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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