Home – RACmonitor

Billing

Telehealth Coverage Extended, Meaning the Need to Get it Right Becomes Key

While the coverage of telehealth is definitely a good thing, it has caused needless confusion. I would like to address a little of that today. First, repeating what Cate Brantley and Adam Brennan from Zelis have reported, we can now rely on Medicare telehealth

David M. Glaser, Esq. February 25, 2026

Clinical Documentation

MEAT, TAMPER, PATIO – and the Regulatory Reality of Risk Adjustment

Risk adjustment has entered a new era. We are no longer operating in a documentation optimization environment; we are operating in an enforcement and recalibration

Penny Jefferson, MSN, RN, CCDS, CCDS-O, CCS, CDIP, CRC, CHDA, CRCR, CPHQ, ACPA-C February 25, 2026

Compliance

MOON Updated, PEPPER Error, and A Two-Midnight Rule Quiz

Compliance teams get nervous when rules are not followed. And when an expired form is used, they get really nervous. Thankfully, there is one fewer

Ronald Hirsch, MD, FACP, ACPA-C, CHCQM, CHRI February 25, 2026

CMS

Key Targets of the WISeR Program

In the Centers for Medicare & Medicaid Services’ (CMS’s) ongoing attempts to conquer fraud, waste, and abuse, it launched the WISeR (Wasteful and Inappropriate Service

Knicole C. Emanuel Esq. February 25, 2026