A well-known complication of atrial fibrillation for patients to form clots. EDITOR’S NOTE: Dr. Remer reported this story during a recent edition of Talk Ten
The term “antibody” has entered our main-stream vocabulary due to the advent of SARS-CoV-2 with manifestation of disease as COVID-19. Antibodies are also called immunoglobulins.
As we all know, President Trump has returned to the White House after a three-day stay at Walter Reed National Military Medical Center, where he
There is a term we now use for patients who are suffering from sequela conditions of COVID-19 which is Long Haulers. There are many conditions/signs
All payers are becoming more aggressive with their claim reviews. COVID-19 alone may trigger enough denials or requests for records to keep one or more
The hiatus of audits was short-lived. The ongoing COVID-19 pandemic and resulting public health emergency (PHE) has brought about massive and quick changes in the
Documentation of strokes is tricky. My personal provider’s MyChart has become pretty sophisticated. In preparation for an outpatient visit with my doctor, I have to
Not all new technologies are created equal. Facility-specific coding guidelines are key to code hospital visits and encounters consistently. Another role that facility-specific guidelines play
Effective research leads to correct coding. With the 2021 ICD-10 code updates already in use and the CPT® and HCPCS updates right around the corner,
EDITOR’S NOTE: H. Steven Moffic, MD is a nationally renowned psychiatrist and award-winning author whose fifth book, “The Ethical Way: Challenges & Solutions for Managed
Major changes are found in the 2021 Evaluation and Management guidelines. As we enter the final quarter of 2020, I hope everyone is committed to
EDITOR’S NOTE: Edward Hu, MD, CHCQM-PHYADV, a past president of the American College of Physician Advisors, also contributed to this article. Dr. Hu and Dr.
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.
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.
Master the FY 2027 ICD-10-CM changes, including new diagnosis codes, CC/MCC updates, and coding guideline revisions, with practical insights from nationally recognized coding and CDI experts.
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