Validating the shift to higher office visit levels and the impact of the 2021 E&M guidelines. Between 2019 and the end of 2021, a lot
Implementing an effective strategy begins with an assessment of E&M claims data by specialty. Evaluation and management (E&M) services are cognitive services of physicians and
It’s about time. I talked about the medical decision-making element regarding the updated 2021 Office and Ambulatory Services Evaluation and Management (E&M) Guidelines a few
Why are providers not using the new rules to their advantage? This past week, I was sitting in a new client’s office (finally!) in Georgia
Chronic or acute: questions persist in the new guidelines. You know, we have been using the new evaluation and management (E&M) guidelines for 96 days
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
The 2021 evaluation and management (E&M) changes are definitely happening. We’ve seen the Medicare Physician Fee Schedule proposed rule for next year, and there’s no
Many of us have been immersed in COVID-19 and telehealth billing, coding, and the varying rules among payors of late, all the while the clock
Choosing a proper office visit code can become confusing unless one understands the rules separating preventative medicine and evaluation and management coding. Preventative medicine codes
New E&M codes will take effect Jan. 21, 2021. Our number one priority is supporting our healthcare organizations during the COVID-19 pandemic, yet we still
A year before CPT® rules change, payers are expected to crack down on E&M codes. Even as a major change to outpatient evaluation and management
More changes are likely coming. As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The
During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.
Learn how to navigate the proposed elimination of the Inpatient-Only list. Gain strategies to assess admission status, avoid denials, protect compliance, and address impacts across Medicare and non-Medicare payors. Essential insights for hospitals.
RACmonitor is proud to welcome back Dr. Ronald Hirsch, one of his most requested webcasts. In this highly anticipated session, Dr. Hirsch will break down the complex Two Midnight Rule Medicare regulations, translating them into clear, actionable guidance. He’ll walk you through the basics of the rule, offer expert interpretation, and apply the rule to real-world clinical scenarios—so you leave with greater clarity, confidence, and the tools to ensure compliance.
Bring your questions and join the conversation during this open forum series, live every Wednesday at 10 a.m. EST from June 11–July 30. Hosted by Chuck Buck, these fast-paced 30-minute sessions connect you directly with top healthcare experts tackling today’s most urgent compliance and policy issues.
Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
This third session in our 2026 IPPS Masterclass will feature a review of FY26 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
This second session in our 2026 IPPS Masterclass will feature a review the FY26 changes to ICD-10-PCS codes. This information will be presented by nationally recognized ICD-10 coding expert Christine Geiger, MA, RHIA, CCS, CRC, with bonus insights and analysis from Dr. James Kennedy.
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