Some rural communities are experiencing a decline in brick and mortal pharmacies. Last week I discussed the disappearing OB/GYN services across rural hospitals, and disappearing
The report provides detailed information on successful Medicaid initiatives across the states. Much has been written this past year about Medicaid’s response to issues associated
Grants large and small add to hope to those in need at the intersection of the social determinants of health (SDoH). How do organizations bridge
Fiscal shortfall translates to concerning issues for safety-net and community health centers. During the assorted phases of COVID, safety-net clinics stepped up; community health centers,
World Mental Health Day is Oct. 10, and the funding frenzy is on. Mental health was a priority pre-pandemic, but such issues have risen across
Understanding the intersection of COVID-19 and SDoH. Over the past 20 months, I’ve reviewed countless nooks and crannies of COVID’s intersection with the social determinants
Hunger and food insecurity cost the U.S. economy more than $160 billion in poor health outcomes. Another week, another report on Americans facing concerning access
Living in a disadvantaged neighborhood was associated with lower active life expectancy. Significant data already proves increased disease morbidity and mortality for populations who reside
Latest surge cited as reason for delays. Hospitals continue to experience challenges from the latest wave of COVID patients; over 750,000 patients were hospitalized last
Life at the intersection of the latest Census Report and SDoH. There was tremendous buzz last week about the U.S. Census report on shifting demographics
The data encompasses 30 distinct measures of health for disparities across all 50 states and the District of Columbia. Over the past year I’ve talked
Surge in funding reflects growing need for services. UnitedHealthcare recently announced granting $11.4 million to community-based organizations (CBOs) across the U.S.! Such entities remain the
Get clear, practical answers to Medicare’s most confusing regulations. Join Dr. Ronald Hirsch as he breaks down real-world compliance challenges and shares guidance your team can apply right away.
Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.
During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.
Learn how to navigate the proposed elimination of the Inpatient-Only list. Gain strategies to assess admission status, avoid denials, protect compliance, and address impacts across Medicare and non-Medicare payors. Essential insights for hospitals.
Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
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