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Get the most up-to-minute news and information on ICD-10. Join Chuck Buck and Erica Remer, MD, FACEP, CCDS, every Tuesday as they welcome ICD10monitor contributing editors and special guests...
Learning how daily payer logs can help you and your utilization review (UR) team identify denials earlier, strengthen communication between...
The Association of Clinical Documentation Integrity Specialists (ACDIS) will conclude the formal agenda of its Annual Conference at the clos...
Many of you dedicated healthcare professionals no doubt often find yourselves wearing many different hats, as does Penny Jefferson, cohost o...
As federal oversight of risk adjustment and documentation practices intensifies, healthcare organizations are facing new scrutiny regarding...
A recent False Claims Act case is raising an important question for CDI professionals: what if the diagnosis is clinically valid, but the pr...
Data breaches have unfortunately become a fact of life in America’s healthcare system. The next edition of the popular Talk Ten Tuesdays wil...
After two powerful segments introducing her neurodiversity coding initiative, Tami McMasters Gomez, Executive Director for the Mid-Revenue C...
The rise of third-party payer audits is no secret to healthcare professionals and facilities, but one type of audit has gained particular at...
It’s huge, and serious. Its implications may impact millions, even beyond the halls of healthcare. In fact, it’s the eighth-largest healthca...
Part II of the groundbreaking Talk Ten Tuesday series concludes as Tami McMasters Gomez returns to share the real-world impact of UC Davis H...
Once a relic symbolic of earlier times in medicine, the Inpatient-Only (IPO) List has been added to the junkyard of outdated medical process...
What if the solution to healthcare’s coding workforce challenges has been hiding in plain sight? The conversation doesn’t end with rethinkin...
What if the solution to healthcare’s coding workforce challenges has been hiding in plain sight? During this special two-part Talk Ten Tuesd...
While many of you might have been enjoying the holiday season, the beat of healthcare keeps on beating. Much has happened in the world of me...
What’s new when it comes to artificial intelligence (AI) and coding? Listen to the next edition of the long-running and popular Talk Ten Tue...
Are you wondering what connects the nouns in the headline together? It’s a Medicare cognitive screening devise. Look at these words and comm...
Anyone who has been working within the scope of hospital case/utilization management for any period of time has heard of the Centers for Med...
They were once called “clinical documentation improvement” specialists, charged with correcting the medical record to identify an overlooked...
Since 80 percent of a person’s health is influenced by factors outside of medical care, it is critical that a healthcare system has an under...
It’s often said that “words matter.” And hospital patient status assignment is no exception. What do your teams say when a patient is in inp...
A new version of the Sequential Organ Failure Assessment (SOFA) score, has been introduced. The new revision aligns the organ dysfunction me...
Welcome to “Is Ambient Listening Right for You?” Or, in the alternative, “Free AI Tools and Other Expensive Mistakes.” Nick van Terheyden, M...
H.R. 1, known as the One Big Beautiful Bill Act (OBBBA), is set to reshape hospital finances by cutting an estimated $840 billion from Medic...
Have you been told that Medicare and Medicare Advantage (MA) patients who have difficulties with activities of daily living (ADLs) are appro...
Join us this coming Tuesday, Oct. 14, when Talk Ten Tuesday will bring you an exclusive interview with two nationally recognized healthcare...
The revenue cycle helps keep hospital revenue flowing. But sometimes, it seems to sputter out, as if not all the cylinders are firing. And t...
When the final rule take effect Oct. 1, 2025, coders, providers, and administration leaders will need to adjust to several key changes, incl...
Prolonged hospitalizations can result from many different barriers and delays within the hospital setting. However, a new challenge is emerg...
Could sepsis be healthcare’s new frontier? During the next live edition of the popular Internet broadcast, Talk Ten Tuesday, James S. Kenned...
You waited and waited. Finally, the big day came, and just as quickly, day turned into evening – and there you were with cloudy vision, halo...
Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI...
At one time, a physician advisor in a hospital was a rarity. That was then, but this is now, with many healthcare systems having not just on...
Although the proposed rule for the 2026 Inpatient Prospective Payment System (IPPS) has been released by the Centers for Medicare & Medicaid...
During the next live edition of the popular Talk Ten Tuesday Internet broadcast, you’ll learn how artificial intelligence (AI) and autonomou...
According to the Centers for Disease Control and Prevention (CDC), accidental falls are the leading cause of injury for adults 65 and older,...
Substance abuse is a pervasive issue with profound implications for hospitals. It has been estimated that up to 25 percent of hospitalized p...
Attention, calling all coders! Is your hospital compliantly following all the the steps in the Condition Code W2 process? It’s imperative to...
Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI...
As state laws, federal regulations, and insurance policies continue to evolve, healthcare organizations face growing demands to ensure that...
Your pets might be doing more than just keeping you company. They could be reshaping your immune system. Early exposure to pets, especially...
Could physician advisors become dinosaurs in healthcare, bound for extinction? The role of the physician advisor has developed into an absol...
One of the largest regional coding organizations in America’s healthcare universe – the California Health Information Association (CHIA) – w...
The national conference of the largest regional coding organization chapters in America’s healthcare universe gets underway this weekend – a...
UnitedHealth Group (UHG) stock is plummeting following the abrupt resignation of its CEO Andrew Witty. His sudden departure, coming on Tuesd...
Radiology reports are rich in clinical detail, yet ICD-10 codes often fail to fully capture the complexity and specificity of imaging findin...
The revenue cycle can be thought of as a machine that keeps churning nonstop, making everything work, financially speaking, for your hospita...
Payer edits and denials are pervasive in healthcare reimbursement. These problems typically arise from coding inaccuracies, insufficient doc...
Custodial and social hospitalizations have long been a hospital challenge. From inadequate patient support and services to medically unwarra...
In today’s healthcare environment, America’s hospitals are experiencing increases in payer denials as a result of incorrect application of d...
Effective communication is a critical skill in navigating clinical and non-clinical interactions to avoid disaster striking a facility’s bot...