Conduct yields looming regulatory questions. EDITOR’S NOTE: Bryan Nordley is the MedLearn Publishing healthcare writer and editor In January, the saga of Elizabeth Holmes and
CMS inserted regulatory language in 42 C.F.R. § 410.20(e) indicating that they loosened the signature requirement. Sometimes, the desire to save money by skipping legal review
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
The prevalence of audits is soaring after the expiration of COVID-related regulatory relaxation. Despite the strain that hospitals and health systems are facing with the
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
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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