The initiative includes an ambitious plan to slash racial disparities in maternal health. The social determinants of health (SDoH) were gaining momentum as a hot-button
The problems are real, but the solutions are within reach. EDITOR’S NOTE: This series of articles were published in 2021. The complete article is offered
LETTER FROM THE PUBLISHER – DECEMBER 2021 – Dear Colleague, You and I have experienced a sea change this past year in our world of
Mary Stanfill Joins ICD10monitorProminent healthcare consultant to be ICD-11 correspondent for ICD10monitor. SAINT PAUL, Minn. (PRWEB) December 21, 2021 — We here at ICD10monitor and
The cost to appeal is worth the claim reimbursement and modification of payer behavior. As we approach 2022, one of our new year’s resolutions should
All three of the federal government’s mandates have encountered legal challenges. Let’s dive into the somewhat confusing status of the Biden Administration’s vaccine mandates.
Auditors appear to be hungry to deny. Right on schedule, the Centers for Medicare & Medicaid Services (CMS), through their contractor, has released the latest
New rule could severely impact the wallets of physicians. Medicare published multiple final rules for 2022 on Nov. 2, with their provisions having been added
New Year’s resolutions for readers of ICD10monitor. For providers, resolve to provide excellent clinical care to your patients, and invest the time needed to document
The package includes three ICD-10-CM and seven procedure codes. The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services
Experts have been burning through Greek letters as new strains of the virus continue to emerge worldwide, prompting renewed concerns. Viruses adapt by mutating, and
The problems are real, but the solutions are within reach. EDITOR’S NOTE: This is the second installment in a series in which Dr. Zelem explores
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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