CDI seen as a key solution to meeting regulatory policy changes. One thing is inevitable this time of year for all of us in healthcare:
Poorly designed EHRs likely the culprit for the proliferation of false medical records. Last week Talk Ten Tuesdays listener “Robert” discussed during the weekly Internet
Nation’s healthcare infrastructure remains fragile following historic storm. San Juan, Puerto Rico – Hurricane María was the strongest storm to slam Puerto Rico in 89
Mental health diagnoses offer possible insight into the mind of suspected Las Vegas mass murdered Stephen Paddock. EDITOR’S NOTE: The following are remarks by nationally
Electronic medical record (EMR) technology offers both advantages and pitfalls, but EMR errors must be investigated nonetheless. EDITOR’S NOTE: In this article Dr. John Irwin,
Complexity of medical decision-making is key, but you can’t bill for something you didn’t do. This article was prompted by a Talk Ten Tuesdays listener’s
The American Hospital Association steps in; the American Medical Association steps up. On Sept. 27, 2017, the Centers for Medicare & Medicaid Services (CMS) announced
Using the phrase “Hx of” and substituting “F/U of” will make a difference to the risk profile of outpatient providers. Lately I have been getting
High degrees of variation abound in areas of coder productivity, certification. In a recent poll, only 80 percent of respondents to a question of how
Amid the chaos of the ED, order is needed. EDITOR’S NOTE: This is the final installment in a two-part series on clinical documentation integrity (CDI)
A Talk Ten Tuesdays listener weighs in on woefully insufficient documentation of a routine visit. EDITOR’S NOTE: During last Tuesday’s Talk Ten Tuesdays broadcast, a
AHIMA conference programs include subjects designed to improve one’s proficiency in the areas of coding, documentation and compliance. The American Health Information Management Association (AHIMA),
Stay ahead of Medicare Advantage’s 2025-2026 regulatory changes in this critical webcast featuring expert Tiffany Ferguson, LMSW, CMAC, ACM. Learn how new CMS rules limit MA plan denials, protect hospitals from retroactive claim reopenings, and modify Two-Midnight Rule enforcement—plus key insights on omitted SDoH mandates and heightened readmission scrutiny. Discover actionable strategies to safeguard revenue, ensure compliance, and adapt to evolving health equity priorities before the June 2025 deadline. Essential for hospitals, revenue cycle teams, and compliance professionals navigating MA’s shifting landscape.
Struggling with CMS’s 3-Day Payment Window? Join compliance expert Michael G. Calahan, PA, MBA, CCO, to master billing restrictions for pre-admission and inter-facility services. Learn how to avoid audit risks, optimize revenue cycle workflows, and ensure compliance across departments. Critical for C-suite leaders, providers, coders, revenue cycle teams, and compliance teams—this webcast delivers actionable strategies to protect reimbursements and meet federal regulations.
Providers face increasing Medicare audits when using skin substitute grafts, leaving many unprepared for claim denials and financial liabilities. Join veteran healthcare attorney Andrew B. Wachler, Esq., in this essential webcast and master the Medicare audit process, learn best practices for compliant billing and documentation, and mitigate fraud and abuse risks. With actionable insights and a live Q&A session, you’ll gain the tools to defend your practice and ensure compliance in this rapidly evolving landscape.
Dr. Ronald Hirsch dives into the basics of Medicare for clinicians to be successful as utilization review professionals. He’ll break down what Medicare does and doesn’t pay for, what services it provides and how hospitals get paid for providing those services – including both inpatient and outpatient. Learn how claims are prepared and how much patients must pay for their care. By attending our webcast, you will gain a new understanding of these issues and be better equipped to talk to patients, to their medical staff, and to their administrative team.
Stop revenue leakage and boost hospital performance by mastering risk adjustment and HCCs. This essential webcast with expert Cheryl Ericson, RN, MS, CCDS, CDIP, will reveal how inaccurate patient acuity documentation leads to lost reimbursements through penalties from poor quality scores. Learn the critical differences between HCCs and traditional CCs/MCCs, adapt your CDI workflows, and ensure accurate payments in Medicare Advantage and value-based care models. Perfect for HIM leaders, coders, and CDI professionals. Don’t miss this chance to protect your hospital’s revenue and reputation!
Struggling with ICD-10-CM coding for diabetes and complications? This expert-led webcast clarifies complex combination codes, documentation gaps, and sequencing rules to reduce denials and ensure compliance. Dr. Angela Comfort will provide actionable strategies to accurately link diabetes to complications, improve provider documentation, and optimize reimbursement—helping coders, CDI specialists, and HIM leaders minimize audit risks and strengthen revenue integrity. Don’t miss this chance to master diabetes coding with real-world case studies, key takeaways, and live Q&A!
Uncover critical guidance. HIM coding expert, Kay Piper, RHIA, CDIP, CCS, provides an interactive review on important information in each of the AHA’s 2025 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.
Uncover critical guidance. Kay Piper provides an interactive review on coding guidelines and more in the AHA’s fourth quarter 2025 ICD-10-CM/PCS Coding Clinic in an easy to access on-demand webcast.
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