One of the most frustrating situations faced by physicians and case managers is the patient who can no longer live independently. Most of these patients
The Centers for Medicare & Medicaid Services (CMS) recently published its final Outpatient Prospective Payment System (OPPS) rule that addresses policies relating to off-campus provider-based
Clinics that provide MRI, CT, or PET scans and health systems that employ physicians and would consider compensating a physician in part for work done
Inpatient rehabilitation facilities (IRFs) continue to face audits for multiple agencies, and additional documentation requests (ADRs) have become routine rather than the exception. In our
Monday, March 6, 201710-10:30 a.m. EST; 7-7:30 a.m. PST SPECIAL GUESTStanley Sokolove, CPA, ALJ Emeritus ALSO FEATURINGJanelle Ali-Dinar, PhD; Nancy Beckley, MS, MBA, CHC;
With the March 8 deadline to implement the Centers for Medicare & Medicaid Services (CMS) Medicare Outpatient Observation Notice (MOON) bearing down on providers, Wednesday’s
SPECIAL GUEST Marc Tucker, DO FEATURING Janelle Ali-Dinar, PhD; Nancy Beckley, MS, MBA, CHC; David Glaser, Esq.; Ronald Hirsch, MD, FACP, CHCQM; and J. Paul
What does a doctor or other provider know about clinical documentation and integrity? What does a surgeon know? Why is it important? How do surgeons
It’s been a year since the “sepsis-3” definition was released at the Society of Critical Care Medicine (SCCM) meeting and concurrently published in the Journal
EDITOR’S NOTE: What follows is the second piece of a two-part series examining how health risk, severity, and complexity impact healthcare policy, payment, and quality
The American Society of Nuclear Cardiology recommends nuclear medicine imaging code 78803 or 78800 with A9538 (for PYP) for patients with cardiac amyloidosis. Would either of the 788XX codes above be the correct CPT for this exam?
What is the difference between the Tier 1 and Tier 2 molecular pathology CPT codes?
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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