The federal government is giving away free rapid tests – and it could be the key to a return to normal. Are you confused? Me
Confusion continues to obfuscate the intent of this new regulation, creating uncertainty for coding, billing and compliance. There is a hierarchy in coding: the Official
Burnout in healthcare professionals, and physicians in particular, was high pre-COVID. We are hearing stories every day about healthcare delivery professionals being caught up in
There is some confusion on the “for” or “with” COVID-19 diagnosis. From the start of the pandemic, some people have downplayed COVID-19 deaths, particularly those
There are 200 new codes, 62 revised titles, and 107 deleted codes. The Centers for Medicare & Medicaid Services (CMS) released a new erratum for
Judging vaccine efficacy depends on reliable data. The National Center for Health Statistics (NCHS) proposed the creation of codes for unvaccinated (Z28.310) and partially vaccinated
Distrust in healthcare is deep seeded especially in the black community. “I have a dream that one day this nation will rise up and live
“Upcoding” remains a common mechanism of improper payments. “Healthcare compliance is the process of following rules, regulations and laws that relate to healthcare practices,” according
Clinical documentation integrity (CDI) is more important than ever, in the age of COVID-19. I have been hearing grumbles on TV and in social media
As part of its ongoing mission to improve the health of America, the Blue Cross Blue Shield Association (BCBSA) announced its National Health Equity Strategy
CMS also released Medicare Severity Diagnosis-Related Group (MS-DRG) V39.1 The Centers for Disease Control and Prevention (CDC) released its April 1, 2022 diagnosis files on
Omicron is much more contagious. Are you confused about the Centers for Disease Control and Prevention’s (CDC’s) ever-changing guidance on COVID-19? If so, it is
Medicare regulations are complex and even seasoned professionals struggle to apply them consistently. Due to overwhelming demand, Dr. Hirsch returns for Part 2 of Ask Dr. Hirsch: Clarifying Medicare’s Most Misunderstood Rules to answer even more of Medicare’s most misunderstood questions, covering inpatient status, observation, SNF access, Medicare Advantage denials, and more. Join Dr. Hirsch as he provides clear, referenced answers to real-world questions submitted by your peers, helping you navigate Medicare compliance with confidence and clarity.
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.
Artificial intelligence is rapidly transforming healthcare revenue cycle operations, from coding and auditing to compliance and denials. Join industry leaders Pam Warren (MaineHealth) and Raemarie Jimenez (AAPC) for a live fireside chat exploring how AI is changing workflows, workforce roles, payer-provider dynamics, and compliance risk—and what organizations should be doing now to prepare.
Prepare for FY 2027 IPPS changes with a comprehensive 3-part masterclass covering ICD-10-CM/PCS updates, MS-DRG shifts, NTAPs, compliance risks, and reimbursement strategies.
Stay ahead of FY 2027 reimbursement changes with expert analysis of MS-DRG shifts, NTAP updates, Medicare Code Edits, and emerging technologies impacting inpatient payment accuracy.
Stay ahead of FY 2027 ICD-10-PCS changes with expert analysis of new procedure codes, revised guidelines, and high-impact updates affecting reimbursement, compliance, and inpatient coding accuracy.
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