Hospital’s Glory Days May Have Passed Us By
Stanley Nachimson, MS
June 28, 2021
Are we entering a new era: the era of hospital de-construction? My favorite thing to do when visiting one of the medical centers in our
Are we entering a new era: the era of hospital de-construction? My favorite thing to do when visiting one of the medical centers in our
The U.S. Supreme Court has upheld the Patient Protection and Affordable Care Act (PPACA), commonly referred to as Obamacare, for the third time. In March,
An examination of areas of focus to reduce wasteful healthcare spending on services with little to no clinical benefit, and finding opportunities in improving the
This program could be a windfall for accountants, but also a huge bottleneck. The Provider Relief Fund (PRF) became law as part of the Coronavirus
The key is to focus on capturing everything relevant to a patient’s condition. As we observe Mental Health Awareness Month this May, what better time
May is National Mental Health Awareness Month. EDITOR’S NOTE: The following are remarks delivered by Dr. H. Steven Moffic during a recent broadcast of Talk Ten
The sequester is expected to end next year in the absence of any legislation. Times change – there was a time when deficit spending caps
Revenue is not a goal; it is an outcome. Healthcare providers, hospitals and other services, have struggled for the last decade to maintain sustainable revenue
Comments on these proposed rules are due by June 7. Hospice payment rates, as well as those for skilled nursing facilities (SNFs), constitute the subjects
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
HIP Week is April 18 Through April 24. Health Information Professionals (HIP) Week will be recognized April 18 through April 24 according to the American
March is National Nutrition Month. In honor of National Nutrition Month (March), here is a review of weight-related diagnoses. The Official Coding and Reporting Guidelines
Join Ronald Hirsch, MD, FACP, CHCQM for The PEPPER Returns – Risk and Opportunity at Your Fingertips, a practical webcast that demystifies the PEPPER and shows you how to turn complex claims data into actionable insights. Dr. Hirsch will explain how to interpret key measures, identify compliance risks, uncover missed revenue opportunities, and understand new updates in the PEPPER, all to help your organization stay ahead of audits and use this powerful data proactively.
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Expert presenters Kathy Pride, RHIT, CPC, CCS-P, CPMA, and Brandi Russell, RHIA, CCS, COC, CPMA, break down complex fracture care coding rules, walk through correct modifier application (-25, -57, 54, 55), and clarify sequencing for initial and subsequent encounters. Attendees will gain the practical knowledge needed to submit clean claims, ensure compliance, and stay one step ahead of payer audits in 2026.
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Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
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