Robert Wood Johnson Foundation Advances Guidance to Address SDoH
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
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

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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