A Healthcare Regulatory Year in Review
Federal oversight of healthcare is changing, with a greater emphasis on equity and consumer rights. In this first year of the new administration, we saw
Federal oversight of healthcare is changing, with a greater emphasis on equity and consumer rights. In this first year of the new administration, we saw
All employers with more than 100 employees will have to begin monitoring vaccination status next month, under the new regulations. Starting Dec. 4, all employers
There is one significant change worth noting. Despite the ongoing COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) has continued to update regulations
From LOS to CC 44 and the Pepper Report, important news, and updates. Last week was (thankfully) a boring regulation week. So instead of working
FDA approval of the new Alzheimer’s drug appears to be raising new questions and concerns. The soaring cost of new medications and technologies is not
The most recent CDC guidance on masks is again, just guidance. If you’re like me, you went out this past weekend to Home Depot or
Members of Missouri’s legislature voted to overturn the expansion plan. What happens when a state votes to pass Medicaid expansion? One would think it mean
Impactful legislation is already in play with the interoperability and transparency initiatives. A client asked me last week what the Biden Administration’s agenda for the
The watchdog agency is warning of possible violations of the nation’s vaccination program. The U.S. Department of Health and Human Services (HHS) Office of Inspector
A federal judge ordered the government to reduce the massive backlog of healthcare hearings – and if recent events are any indication, it may finally
Last week was a busy week for healthcare policy in Washington. About half the Democrats in the House co-sponsored and introduced a Medicare-for-all bill, bringing
Both are expected to impact on clinical and administrative elements of U.S. healthcare. I keep saying this, every week, but I really think that Congress
The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.
Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.
Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks. Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.
Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.
Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.
Join Beth Wolf, MD, CPC, CCDS, for an in-depth webcast on the FY2025 spinal fusion MS-DRG updates. Discover key changes in DRG classification, understand impacts on documentation and CMI, and learn strategies to ensure compliance.
Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.
Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.
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