EPAS Recordings Archive
Below are links to the archived EPAS Shows.
Shows are listed in Chronological Order, Newest First
The TopTen WINNING UR Program Services for 2025 – Part 2
Does YOUR UR Program have all TEN services?
What are your UR Program’s Focus Areas?
Do you know acceptable vs. unacceptable documentation?
Which "Mode" are you in? Denial Mgmt or Denial Avoidance? ...
What are your UR Program’s Focus Areas?
Do you know acceptable vs. unacceptable documentation?
Which "Mode" are you in? Denial Mgmt or Denial Avoidance? ...
The TopTen WINNING UR Program Services for 2025
Does YOUR UR Program have all TEN services?
What are your UR Program’s Focus Areas?
Do you know acceptable vs. unacceptable documentation?
Which "Mode" are you in? Denial Mgmt or Denial Avoidance? ...
What are your UR Program’s Focus Areas?
Do you know acceptable vs. unacceptable documentation?
Which "Mode" are you in? Denial Mgmt or Denial Avoidance? ...
Acceptable Case Manager Documentation Practices
Do you know how to detect "radioactive" documentation?
Do you know the critical practices of Clinical Case Management?
Do you know acceptable vs. unacceptable documentation?
Do you have clarity on how “standing ...
Do you know the critical practices of Clinical Case Management?
Do you know acceptable vs. unacceptable documentation?
Do you have clarity on how “standing ...
AMI Patient Leaves AMA: What can you bill and how?
Tests for AMI, give Aspirin, monitor 90 mins, then he leaves...
NOW what? And what Status can you bill and get paid?
What will the Payer Auditor look for?
And what if ...
NOW what? And what Status can you bill and get paid?
What will the Payer Auditor look for?
And what if ...
Effect of Chevron Verdict on UR/Physician Advisors
Do you know Chevron deference was all about before now?
Do you know HHS Regulations might now be challenged?
Do you know how such challenges may affect reimbursements?
Do you ...
Do you know HHS Regulations might now be challenged?
Do you know how such challenges may affect reimbursements?
Do you ...
Navigating Medical Necessity for Inpatient as True North – Part 2
Do you know how documentation denotes only Mild Cellulitis?
Do you know how it denotes Moderate or Severe?
Do you know how it denotes Critical or Life-Threatening?
Do you know what to do ...
Do you know how it denotes Moderate or Severe?
Do you know how it denotes Critical or Life-Threatening?
Do you know what to do ...
Navigating Medical Necessity for Inpatient
Do you know how documentation denotes only Mild CHF?
Do you know how it denotes Moderate or Severe?
Do you know how it denotes Critical or Life-Threatening?
Do you know what to do ...
Do you know how it denotes Moderate or Severe?
Do you know how it denotes Critical or Life-Threatening?
Do you know what to do ...
Review of CMS’ Secret FAQs for MA Plans
Do you know if they can make up their own criteria??
Do you know how to get their internal criteria?
Do you know what to do if they ignore the 2MN rule?
Do ...
Do you know how to get their internal criteria?
Do you know what to do if they ignore the 2MN rule?
Do ...
All Aboard the Two-Midnight Train to Inpatient
Do you know the Keys to Understanding the Two-Midnight Rule??
Do you know what’s necessary to reach the Two-Midnight Benchmark?
Do you know when the Two-Midnight Presumption is acceptable?
Do you have guardrails ...
Do you know what’s necessary to reach the Two-Midnight Benchmark?
Do you know when the Two-Midnight Presumption is acceptable?
Do you have guardrails ...
What’s in YOUR UR Program?
Do you have Physician Advisor & UR Gap Coverage?
Do you have Comprehensive Dx Specific OnDemand & Live Education?
Do you have Front-to-Back Analytics Service?
Do you have a Denial Avoidance & Management ...
Do you have Comprehensive Dx Specific OnDemand & Live Education?
Do you have Front-to-Back Analytics Service?
Do you have a Denial Avoidance & Management ...
The TopTen WINNING UR Services in 2023
Condition Code 44 Revisited in 2022
Do you know the key requirements to use Code 44?
Do you know what's CHANGED recently?
Do you know how to proactively identify the need to use Code 44?
Do ...
Do you know what's CHANGED recently?
Do you know how to proactively identify the need to use Code 44?
Do ...
1,005 Reasons to Appeal 100% of Your Denials (and how to affordably do that)
Do you know DANGERS of NOT Appealing all those Denials? Do you know the top 5 reasons you must appeal ALL denials?
Do you know the SIXTH reason you ...
Do you know the SIXTH reason you ...
EPAS: To Be or Not to Be… and you do NOT need a Whistle!
Do you know what to do if you stumble onto a Compliance issue? Do you know why, how and when to do the right thing?
Do you know why, how ...
Do you know why, how ...
EPAS: More on the Use of Revenue Cycle Automation
Do you know what role Automation can play in the Revenue Cycle? Do you know what you can do with HL7 & FHIR in the Revenue Cycle?
Do you ...
Do you ...
EPAS: The Transformation of Physician Advisor Services
Do you know what role Automation can play in the Revenue Cycle?
Do you know if the claims of "Complete Revenue Cycle Automation" are real?
Do you know how your ...
Do you know if the claims of "Complete Revenue Cycle Automation" are real?
Do you know how your ...
EPAS: Behavioral Health Care & Medical Necessity
Do you know the Medical Necessity Guidelines for Behavioral Health?
Do you know the 13 Requirements for Psychiatric Acute Inpatient Criteria?
Do you know the 10 Continuing Requirements for Continued ...
Do you know the 13 Requirements for Psychiatric Acute Inpatient Criteria?
Do you know the 10 Continuing Requirements for Continued ...
EPAS: Condition Code 44 Revisited
Do you know the key requirements to use Code 44?
Do you know how to proactively identify the need to use Code 44?
Do you know how a Physician Advisor can offer ...
Do you know how to proactively identify the need to use Code 44?
Do you know how a Physician Advisor can offer ...
EPAS: COVID Effects on Denials, Physician Advisors and KPIs
Do you know which KPIs are being affected?
Do you know how much the KPIs are being affected and WHY?
Do you know how to validate the increasing value of a Physician ...
Do you know how much the KPIs are being affected and WHY?
Do you know how to validate the increasing value of a Physician ...
EPAS: Lessons Learned from Ridiculous Denials for COVID-19
Do you know how to find all the links to the updated waivers? Do you know your State’s regulations on UR Teams, licensing, etc.? Do you know what to do ...
EPAS: History of Pandemics – Lessons Learned & Lessons Ignored
Do you know which tests are coming back fast or reliable or not? Do you know what the Medico-legal concerns are for these patients? Do you know the differences between ...
EPAS: When is COVID-19 Inpatient?
Do you know when Inpatient is appropriate for COVID-19? Do you know how long to keep them in the ICU or in the house? Do you know when the patient ...
EPAS: Readmissions – Bundled or Unbundled?
Can you recognize a readmission vs. a new admission? Do you know all the factors that might influence a readmission? Do you know how to define the processes needed to ...
EPAS: When is a Patient *REALLY* Discharged?
Do you really understand the WHEN of a Discharge? Do you know all the elements & processes of an "appropriate" Discharge? Do you know how to deal with the WHEN ...
EPAS: The CMS Two Midnight Rule – 4 Years Later
Do you really understand the 2MN Rule of TODAY? Do you know how different Payers apply the Rule in different scenarios? Do you know how THEY define Medical Necessity, Safe ...
EPAS: To P2P, or Not to P2P… Should You Ask the Question?
Do you know if they actually sent a DENIAL or just a notice of intent? Do you know how to make your P2P discussion useful for a subsequent appeal? Do ...
EPAS: Controversies in TKA Bedding
Do you know how better treatments cause so much payment confusion? Do you know if the 2 Midnight Rule is helping or just causing more confusion? Do you know how ...
EPAS: Lessons Learned from Ridiculous Denials for Readmissions
Do you know how to submit claims for Same Day Readmissions? Do you know how to submit claims for Different Day Readmissions? Do you know how to document & argue ...
EPAS: Lessons Learned from Ridiculous Denials for Sepsis
Do you know why Sepsis denials are increasing and their sources? Do you know if your processes support billing throughput or a bottleneck? Do you know if the definition for ...
EPAS: Vision: A Key Element to Transforming Documentation
Do you know why professionals the world over use coaches? Do you know what CDI's original purpose was, compared to what it does today? Do you know how inspire others ...
EPAS: Lessons Learned from Ridiculous Denials
Do you know a single picture could make a huge difference for a denial? Do you know how your will to appeal can make a big difference in denials? Do ...
EPAS: The Magic of Pharmacology by a Physician Advisor
Do you know how & why Warfarin got its name, and where it came from? Do you know how you can use the half-life of drugs to reduce costs? Do ...
EPAS: The Potential for the Use of Six Sigma in Healthcare
What can we learn from the use of 6σ in Abu Dhabi? Do you know how to use a Dashboard to sustain improvements? Do you know how to AVOID Killing ...
EPAS: Zero Trust in Healthcare – The Physician Advisor & Cybersecurity
Do you know the TRUE Financial (and Personal) Risks of being Hacked? Do you know all the risks your facility faces with all those Mobile devices? Do you know how ...
EPAS: Decisions vs. Judgements: Tools for Clinical Decision Support
Do you know the benefits of using Artificial Intelligence (AI) for Clinical Decision Support? Do you know HOW and WHY AI can work in Real-Time and how it does that ...
EPAS: Blood Cultures on Trial – How to Protect Your Diagnosis
Do you know how to detect FALSE Positive Blood Cultures & why they happen? Do you know which microorganisms represent TRUE infections 90% of the time? Do you know how ...
EPAS: P2P Strategies That Overturn IPOL Surgery Denials
Do you know how a Surgeon can correctly choose his/her own codes? Do you know why even a professional Coder might choose the wrong code? Do you know that you ...
EPAS: Reducing Unnecessary Observation Stays
Do you know the difference a Physician Advisor can make on OBS Rates? Do you know what a True OP is versus True IP versus True OBS? Do you know ...
EPAS: The Role of the Physician Advisor in the Emergency Room
Can a Physician Advisor make a difference in Emergency Room documentation? Do you know why and how to create an ER Peer Review Process? Do you know how to analyze ...
EPAS: Strategies to Avoid Denials for IPOL Surgeries
Do you know how to EASILY find the right codes for these Surgeries? Do you know all the rules about Admission Orders for these Procedures? Do you know what tools ...
EPAS: Encephalopathy and Altered Mental Status
Do you know how to confirm and/or discount these diagnoses? Do you know when Altered Mental Status is NOT Encephalopathy? Do you know how MUSIC will help you properly document ...
EPAS: Pitfalls of Acute Myocardial Infarction Documentation
Do you know how to document everything your coders need for AMI? Do you know what the FOUR key elements are for coding AMI? Do you know how to properly ...
EPAS: Managing Physician Conflict
Do you know how to deconstruct conflict at the Personal Level? Do you know what the FIVE styles of Conflict Resolution are? Do you know how to prepare for and ...
EPAS: Compliant Use of HINN & ABN Forms
Do you know which forms to use for Outpatient or Inpatient? Do you know what the four types of HINN forms are used for? Do you know what the prohibitions ...
EPAS: Medicare Reimbursement Primer for Physician Advisors
Do you know the 3 Medicare Rules you need to understand to get paid appropriately? Do you know the most common denials and why they happen? Do you know why ...
EPAS: Infusing Documentation for Blood Transfusions
Do you know why about 27% of all blood components transfused are unnecessary? Do you know the latest results of studies comparing Hgb Level thresholds? Do you know how those ...
EPAS: The Physician Advisor & Artificial Intelligence: The New Dream Team?
What can you trust about Artificial Intelligence? What is Artificial Intelligence already doing in Healthcare today Can Artificial Intelligence really help with something like TKA Status? How (and Why) should ...
EPAS: Total Knee Arthroplasty – IP or OP?
What do you do when CMS can't make up their mind? What's different about documentation for Inpatient NOW? What documentation points to Outpatient NOW? How (and Why) do you teach ...
EPAS: Turbo-Charging Your Analytics for CDI
Ok, in case you don't recognize it, that's a Turbo-Charger, above... How can you detect trends in under-documentation? How can you detect trends in over-documentation? How does Benchmarking mislead you ...
EPAS: Hunting and Bagging Opportunity Days
How can you detect unnecessary hospital days? How do you reduce the number of those days? How do you get the data and the resources to do that? Hunting ...
EPAS: On the Ins and Outs of GI Bleed
Which kinds of cases are trending up or down? How do you prove medical necessity for this? Which of the 3 common "Scores" is best to use? On the ...
EPAS: Reinventing the Wheel – Ambulatory Dysfunction and Back Pain – Then and Now
Should you still be diagnosing Failure to Thrive? Can you instead go with Ambulatory Dysfunction? What is the effect on your Patient if you do that? Reinventing the Wheel: ...
EPAS: Moving from WHAT to HOW – A New Way to Do CDI
Can you teach your CDI Specialists to look for Quality Metrics, too? Moving from WHAT to HOW: Discussion of CDQI - A New Concept in CDI: The Quality-Geared Approach No ...
EPAS: What Lies Beneath: Differentiation in TIA/CVA
Are you looking beneath what's showing? How to make sure you're dealing with the right diagnosis... What Lies Beneath: Differentiation in TIA/CVA Cases Discussion of TIA/CVA Cases, Coding, Documentation, Medical ...
EPAS: The Walking Dread – Ambulatory Dysfunction
How Do YOU Decide? How Systems Deal with Patient Care, Safety Concerns, Patient Status, and Who's Responsible for What The Walking Dread: Ambulatory Dysfunction Discussion of Patient Status, Documentation, Teams ...
EPAS: Dealing with HOT STUFF in Your PEPPER Report
What's in YOUR Pepper? How One Physician Advisor Was Able to Positively Impact SEPSIS Mortality Rates After Studying PEPPER Reports How to Deal with HOT STUFF in PEPPER Discussion of ...
EPAS: The Three Fates of Medical Records
A Surgeon's Story of how he learned to stop worrying and love documentation. The Three Fates of Medical Records: Documentation, Sharing & Security Discussion of How Documentation is Much More ...
EPAS: Doctors without Limits
You've heard of Doctors without Borders? Well. this doesn't involve as much travel... Doctors without Limits Discussion of Learning a Non-Clinical Skill Set as a Medical Legal Consultant No Frills, ...
EPAS: Survivor – Beyond Payor Islands
SURVIVOR: Beyond Payor Islands Discussion of How to Survive the Move from Fee-For-Service to Value-Based-Payment No Frills, No Fluff Case Discussions on Disease Specific Topics BY Physician Advisors Every Week ...
EPAS: Extirpation of Inpatient Length of Stay
Extirpation of Inpatient Length of Stay ( extirpation [ek-ster-pey-shun] - in medical coding, removal of foreign body ) Discussion of Identifying & Analyzing Leading Indicators to Reduce Inpatient Length of Stay ...
EPAS: Drawing Down Sepsis
Drawing Down Sepsis Discussion of Identifying, Treating, Repeating Exams, Coding and Documentation of Sepsis No Frills, No Fluff Case Discussions on Disease Specific Topics BY Physician Advisors Every Week Sepsis ...
EPAS: Managing Chronic Care Management
Managing Chronic Care Management Discussion of Managing, Enabling and the Impact of Chronic Care Management Services (CCM) No Frills, No Fluff Case Discussions on Relevant Processes & Disease Specific Topics ...
EPAS Scheduling and Compensation Models
Learn from Hospitalist Scheduling & Compensation Models Discussion of Scheduling & Compensation Models for Hospitalists vs. Physician Advisors No Frills, No Fluff Case Discussions on Disease Specific Topics BY Physician ...
EPAS: Learn to Leverage Data to Enhance Physician Advisor Performance
Learn to Leverage Data to Enhance Physician Advisor Performance Discussion of Results YOU Can Obtain from USING Both CMI and CDI to Improve the Bottom Line No Frills, No Fluff Case ...
EPAS: Hooking Pneumonia
"Hooking" Pneumonia Discussion of Pneumonia: Management, Medicolegal, Reimbursement, Case Studies No Frills, No Fluff Case Discussions on Disease Specific Topics BY Physician Advisors Every Week
- Industry News - Ernie ...
EPAS: Acute Kidney Injury
Appeasing Acute Kidney Injury Discussion of Acute Kidney Injury, Management, Medicolegal, Reimbursement and Case Studies No Frills, No Fluff Case Discussions on Disease Specific Topics BY Physician Advisors Every Week ...
EPAS: Cellulitis
Covering Cellulitis Discussion of Cellulitis, Telehealth & Wound Care, Malpractice Concerns, Plus Case Studies No Frills, No Fluff Case Discussions on Disease Specific Topics BY Physician Advisors Every Week
- ...
EPAS: Chronic Obstructive Pulmonary Disease (COPD)
Capturing, Controlling and Obstructing COPD On our maiden show, we proudly introduce our weekly format, and go over the pitfalls and proclivities of regulatory and reimbursement details, for treating and ...