Medicaid expansion advances in Missouri. Among news relating to the social determinants of health (SDoH) this week are the latest events associated with Medicaid expansion
A number of key events have recently occurred to leverage the necessary legislation, funding, and reimbursement required to implement sustainable social determinants of health (SDoH)
Medicaid is a safety net for millions of people. The numbers have been all over the media this past week: More than 80 million people
Recent conference reveals proposed legislation focused on the social determinants of health. Last week I got a bird’s eye view of all that is happening
Actions speak louder than words. Several impactful events occurred in the arena of the social determinants of health (SDoH) over these past few weeks. The
There are glaring disparities caused by gender, race, ethnicity, and sexual orientation, as well as socioeconomic status, disability and trauma. So much routinely happens in
Many plans charge a daily copayment, starting the first day, compared to deductibles charged by traditional Medicare plans. Last fall, I reported on the rise
Grant awardees address rural health disparities. One of the silver linings of the COVID-19 pandemic has been the massive emergence of telehealth platforms. The majority
How national initiatives are addressing ongoing gaps in care for pregnant women of color, and those of child-bearing age. Last week was all about
The CDC stance finally affirms how serious a threat racism is for population health. The date of April 8 is important in my world:
Loopholes in rental and lease agreements may force individuals and families into crowded living situations. I value when our Monitor Monday and RACmonitor listeners reach
More people are expected to struggle with ongoing hardships. There continues to be considerable news focused on ongoing health disparities and inequities. First, the Kaiser
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.
Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.
Breast biopsy procedures may be clinically straightforward but accurately translating them into compliant billing can be anything but. In this focused webcast, Shawn Blackburn, CPC, CPMA, CIC, CRC, CCS-P breaks down how imaging guidance, lesion count, laterality, and payer expectations all impact how these procedures should be reported. Through clear explanations and real-world scenarios, you’ll gain practical insight into aligning clinical workflows with billing requirements, avoiding common pitfalls, and ensuring your documentation supports accurate reimbursement and compliance.
Gain clarity and confidence in OB‑GYN coding with this expert‑led webcast featuring Sherri L. Clayton, RHIT, CSS. You’ll learn how to apply global maternity package rules accurately, select the right CPT codes for procedures and visits, and identify documentation gaps that lead to denials. With practical guidance and real examples, this session helps you strengthen compliance, reduce audit risk, and ensure accurate reimbursement for women’s health services.
Uncover essential coding insights with nationally recognized coding authority Kay Piper, RHIA, CDIP, CCS. Through ICD10monitor’s interactive, on‑demand webcast series, Kay walks you through the AHA’s 2026 ICD‑10‑CM/PCS Quarterly Coding Clinics, translating each update into practical, easy‑to‑apply guidance designed to sharpen precision, ensure compliance, and strengthen day‑to‑day decision‑making. Available shortly after each official release.
Uncover critical guidance on the ICD-10-CM/PCS code updates. Kay Piper reviews and explains ICD-10-CM/PCS coding guidelines in the AHA’s fourth quarter 2026 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
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