Easing back into the new “Normal.” Everyone is anxious for life to return to normal, but none more than those patients who had planned to
With regulatory guidance changing faster than ever, it’s important to keep up with what various organizations mean when they use often interchangeable terms. In the
EDITOR’S NOTE: Deb Grider is a longtime RACmonitor and ICD10monitor contributing editor and a popular guest panelist on Talk Ten Tuesdays. We welcome here back
A poliovirus and SARS-CoV-2 are at a bar, looking over potential victims. Polio starts bragging. “Hey, new guy. Ever hear the expression, ‘mess you up
The word “better” is one of those unusual words that can function as an adjective, a noun, an adverb, and a verb. During my recent
GOP senators are not likely to support another bipartisan coronavirus recovery bill. The U.S. House of Representatives flew into town last Friday and passed a
COVID-19 exposes chronic failure in dealing with the inevitability of death. Reform is desperately needed. A physician and I were recently discussing an ICU patient,
Telehealth and Medicaid eligibility nuances are expected to be future hot topics of RAC and MAC audits. Someday, around a campfire, we will tell our
The ripples of moist sand suggested the undulating waves momentarily had retreated deeper into the Adriatic. Straight west was Croatia. Smugglers from the entrenched late-medieval
Since COVID-19, courts across the country have been closed. Judges have been relaxing at home. As an attorney, I have not been able to relax.
From DC to the nation’s heartland, officials are weighing economic and public health concerns against one another. As states ponder the financial benefits and the
Providers nationwide are seeking to identify ways to mitigate the uncontrolled spread of the virus amid vulnerable populations. Since the first American case of COVID-19
Medicare regulations are complex and even seasoned professionals struggle to apply them consistently. Due to overwhelming demand, Dr. Hirsch returns for Part 2 of Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules to answer even more of Medicare’s most misunderstood questions, covering inpatient status, observation, SNF access, Medicare Advantage denials, and more. Join Dr. Hirsch as he provides clear, referenced answers to real-world questions submitted by your peers, helping you navigate Medicare compliance with confidence and clarity.
Traditional utilization management models can no longer keep pace with regulatory shifts, payer scrutiny, and operational pressures. In this webcast, Tiffany Ferguson, LMSW, CMAC, ACM, ACPA-C, introduces an Adaptive Model strategy that modernizes UM through role specialization, technology-driven workflows, and proactive, team-based processes. Attendees will learn how to restructure programs to improve efficiency, strengthen clinical collaboration, and enhance financial performance in a rapidly changing healthcare environment.
Federal auditors are intensifying their focus on inpatient psychiatric facilities, using advanced data analytics to spotlight outliers and pursue high‑dollar repayments. In this high‑impact webcast, Michael Calahan, PA, MBA, Compliance Officer and V.P., Hospital & Physician Compliance, breaks down what regulators are really targeting in IPF-PPS admissions, documentation, treatment and discharge planning. Attendees will learn practical steps to tighten processes, avoid common audit triggers and protect reimbursement and reduce the risk of multimillion-dollar repayment demands.
In this timely session, Stacey Shillito, CDIP, CPMA, CCS, CCS-P, CPEDC, COPC, breaks down the complexities of Medical Decision Making (MDM) documentation so providers can confidently capture the true complexity of their care. Attendees will learn practical, efficient strategies to ensure documentation aligns with current E/M guidelines, supports accurate coding, and reduces audit risk, all without adding to charting time.
Prepare for FY 2027 IPPS changes with a comprehensive 3-part masterclass covering ICD-10-CM/PCS updates, MS-DRG shifts, NTAPs, compliance risks, and reimbursement strategies.
Stay ahead of FY 2027 reimbursement changes with expert analysis of MS-DRG shifts, NTAP updates, Medicare Code Edits, and emerging technologies impacting inpatient payment accuracy.
Stay ahead of FY 2027 ICD-10-PCS changes with expert analysis of new procedure codes, revised guidelines, and high-impact updates affecting reimbursement, compliance, and inpatient coding accuracy.
Master the FY 2027 ICD-10-CM changes, including new diagnosis codes, CC/MCC updates, and coding guideline revisions, with practical insights from nationally recognized coding and CDI experts.
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