Court Case Changing the Calculus for Providers Switching Patient Status
There are sure to be appeals or rule changes, so stay tuned. The case I’m about to write about may ultimately become irrelevant, but it’s
There are sure to be appeals or rule changes, so stay tuned. The case I’m about to write about may ultimately become irrelevant, but it’s
Confirmation hearings have not yet been scheduled, though the president urged the senate to act swiftly. President Joe Biden, who had vowed to nominate a
Officials say the proposed move would harm competition in multiple markets. A newly filed federal lawsuit seeks to stop the owner of the nation’s largest
The latest action comes as the beleaguered legislation has been the subject of five lawsuits. The U.S. District Court for the Eastern District of Texas
The new suit seeks to repeal the prohibition on balance billing patients for certain out-of-network services. Last week we reported on the lawsuits related to
Latest lawsuit is one of four targeting the controversial legislation. Oral arguments were heard a little over a week ago on the Texas Medical Association
New initiatives capture attention on Capitol Hill. New this week: the rebirth of one sweeping health policy, the presumed death of another, and a hint
The HHS Secretary and the President both issued statements pledging to do more for communities of color. “Of all the forms of inequality,” Dr. Martin
Hospitals need to ensure that patients are placed in the right status from the start, so that patients have access to the benefits available to
Litigation is targeting the QPA, and its designation as the going rate for out-of-network providers. A number of provisions from the No Surprises Act took
Healthcare providers are now required to ensure that workers either are vaccinated or obtained an exemption. Last month, I noted that the U.S. Department of
Large employers will not have to enforce a mandate, but healthcare entities will. Last Thursday, the Supreme Court said yes to one of the Biden
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.
Fraud convictions don’t just punish a few bad claims; they can wipe out years of reimbursements. Don’t wait for an audit to learn the rules. Join Frank Cohen, MPA, for a live Q&A on spotting red flags, avoiding liability, and protecting your practice. Register now and bring your questions!
Substance abuse is everywhere. It’s a complicated diagnosis with wide-ranging implications well beyond acute care. The face of addiction continues to change so it’s important to remember not just the addict but the spectrum of extended victims and the other social determinants and legal ramifications. Join John K. Hall, MD, JD, MBA, FCLM, FRCPC, for a critical Q&A on navigating substance abuse in 2025. Register today and be a part of the conversation!
Stop revenue leakage and boost hospital performance by mastering risk adjustment and HCCs. This essential webcast with expert Cheryl Ericson, RN, MS, CCDS, CDIP, will reveal how inaccurate patient acuity documentation leads to lost reimbursements through penalties from poor quality scores. Learn the critical differences between HCCs and traditional CCs/MCCs, adapt your CDI workflows, and ensure accurate payments in Medicare Advantage and value-based care models. Perfect for HIM leaders, coders, and CDI professionals. Don’t miss this chance to protect your hospital’s revenue and reputation!
Struggling with ICD-10-CM coding for diabetes and complications? This expert-led webcast clarifies complex combination codes, documentation gaps, and sequencing rules to reduce denials and ensure compliance. Dr. Angela Comfort will provide actionable strategies to accurately link diabetes to complications, improve provider documentation, and optimize reimbursement—helping coders, CDI specialists, and HIM leaders minimize audit risks and strengthen revenue integrity. Don’t miss this chance to master diabetes coding with real-world case studies, key takeaways, and live Q&A!
Uncover critical guidance. HIM coding expert, Kay Piper, RHIA, CDIP, CCS, provides an interactive review on important information in each of the AHA’s 2025 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.
Uncover critical guidance. Kay Piper provides an interactive review on coding guidelines and more in the AHA’s fourth quarter 2025 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
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