Featured Article

This is the first of many reports to come on the topic of SDoH. It’s just February, but a steady stream of reports and surveys touting the top social determinants of health (SDoH) and mental health (SDoMH) for 2021 have already begun to appear. First up is the 2021 Consumer…
Certify the certifiers. Have you ever been in a Medicare hearing and realized the person testifying for the auditor does not understand what they are talking about? Recently, I was in such a hearing. A number of claims filed by my client had been rejected because of poor documentation. Now,…
January 28, 2021

The Big Apple's Cyber Nightmare

By Edward Roche, PhD, JD
Failure to integrate information systems leaves New Yorkers seeking COVID-19 vaccination out of luck. EDITOR’S NOTE: This is the first in a series of articles called “Cyber Watch,” produced by RACmonitor and authored by Edward Roche. New York City is supposed to be one of the most advanced data processing…
January 21, 2021

Think in Ink

By John Zelem, MD
Documentation should be concise information, justifying the acuity of an inpatient level of care when appropriate. Statements that physician documentation needs improvement are always being made. These thoughts come from many levels: executives, nurses, utilization review, quality, clinical documentation integrity specialists (CDISs), physician advisors, and so many others. For years,…
January 14, 2021

Deepening Disparities Continue for Vulnerable Populations

By Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP
A preview of issues on the SDoH Radar for 2021. We are less than two weeks into 2021, but the priority for healthcare organizations continues to be … wait for it … the social determinants of health (SDoH) and mental health (SDoMH). The industry’s hot-ticket item, pre-pandemic, has only grown…
December 17, 2020

HHS Unveils Proposed HIPAA Changes

By Mark Spivey
The move is just one of many regulatory tweaks being made amid the looming presidential transition. In a landmark move made amid a flurry of other regulatory revisions affecting the healthcare industry, federal officials announced that they are proposing changes to the Health Insurance Portability and Accountability Act’s (HIPAA’s) Privacy…
December 10, 2020

Two Healthcare Initiatives Fly Under the Radar

By Matthew Albright
Both are expected to impact on clinical and administrative elements of U.S. healthcare. I keep saying this, every week, but I really think that Congress will finally get it done. Everyone – the House, the Senate, the planets – seem to be aligning behind a $900 billion COVID relief package…
December 3, 2020

Amid the pandemic, eyes turn to Congress for Relief

By Matthew Albright
December will be a busy month for lawmakers. Like the rest of us, Congress has a lot to do before the end of the year. Unlike the rest of us, they’ve only given themselves 10 working days to do it. First, without funding, the federal government will shut down on…