The iconic foundation has published three Federal Policy Recommendations to Advance Health Equity. First, I’d like to follow up on last week’s article about The
Proposals were made during recent Coordination and Maintenance Committee. The healthcare industry has consistently asked when ICD-10-CM codes will better address the social determinants of
New AHIP report touts Medicaid MCO action for SDoH. While pressure continues for states to rein in costs associated with health and behavioral health, strategies
Drug overdose deaths were another influencer. Amid last week’s hottest reports was new data from the National Center for Health Statistics. While it was expected
Older adults continue to be at risk during the pandemic. COVID-19 vaccine distribution has prompted headaches across the country. However, older adults have been especially
This is the first of many reports to come on the topic of SDoH. It’s just February, but a steady stream of reports and surveys
Nonprofit hospitals spend an average of $67.9 billion annually on community benefits. 2021 is off and running, and healthcare organizations are positioning themselves for success;
The roadmap is a comprehensive and exhaustive review of all services and supports available to Medicaid recipients. Last week’s report on the state of the
A preview of issues on the SDoH Radar for 2021. We are less than two weeks into 2021, but the priority for healthcare organizations continues
As the nation readies itself for the vaccine, distribution remains a challenge. COVID-19 has been with us for almost a year. There is light at
Conversations about the social determinants of health (SDoH), along with health and mental health disparities, have escalated amid COVID and simultaneously occurring violence. Elimination of
Medline grants bridge the SDoH gap. Among the most effective funding initiatives for addressing the social determinants of health (SDoH) are those in which communities
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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