Capturing the complexity of care with CDI will be more important than ever. The COVID-19 pandemic is “hot-spotting” in places like New York City, New
NUBC guidance has been updated with the missing ICD-10-AHA code for screening: Z11.59. EDITOR’S NOTE: During recent weeks, the Centers for Medicare & Medicaid Services
Reimbursement has not been established at this time. The American Medical Association (AMA) CPT® Editorial Panel has revised one code and created two new codes
In practice, doctors may use these terms synonymously. We are in the midst of a COVID-19 global pandemic that is changing the world as we
Swift federal action was recently taken via the Families First Coronavirus Response Act, as public and several private healthcare programs are now covering COVID-19 testing
COVID-19 TalkBack follow-up. During the Talk Ten Tuesdays weekly Internet radio broadcast last week, we received many questions which we never got to answer. I
Examining the layers supporting the methodology behind social distancing. The Institute of Health Metrics and Evaluation (IHME) is an independent population health research center at
The patient has COVID-19? How is the infection manifesting? You need a code for that detail. The rapidity with which our medical world is evolving
New condition code for COVID-19 released for healthcare claims. We are in a state of flux with information, details, instructions, and changes impacting the revenue
COVID cases worldwide approached a million in number as April began. Two new codes became effective for use on April 1; first, U07.1 (COVID-19) may
The new template was designed by a former ED physician. Front-line emergency departments facing an onslaught of patients suspected of contracting the novel coronavirus that
He is worried about his own level of exposure to the coronavirus. It is part of my job to stay informed, but I must say
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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