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In this episode of AAPC Social Hour, we chat with Erica Simpson, AAPC's Placement Director, about the latest updates to the Project Xtern program and share tips to help new CPC-As land their first job. Plus, we talk with Kelly Shew about her feature article in the May 2025 issue of AAPC The Magazine: Principal, Chronic, and Complex Care Management Pay Off. #medicalcoding #healthcarecareers #cpcjourney
May 9, 2025 In this episode, Scott, Mark, and Ray answer questions that came into the PRS Helpdesk.One of my specialties is pedsurology and there is just not much guidance for surgery coding.Is it appropriate to use 54360 (plastic operation on penis to correct angulation) for correction of penile torsion?I found an article from AAPC dated 2005 that stated to use 14040 for penile torsion repair when performed with a MAGPI hypospadias repair (54322).What if the penile torsion repair is not performed with another procedure or at least without a hypospadias repair?If Medical technologists (Medical assistants trained to perform Urodynamics) can perform this test why are Medical assistants not permitted by CMS to perform catheter insertion and removal in non regulated sites of services? (I have seen MAs in non regulated spaces perform catheter changes, bladder instillations--etc---how are practices able to get away with having MAs incorporated in their work flow as such?)In regulated sites of service (Hospital based clinics) what documentation should be used to ensure proper billing when an MA performs 51798 (bladder scan) (incident to billing for a hospital-employed physician).Free Kidney Stone Coding CalculatorDownload NowPRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a Quote Join the Urology Pharma and Tech Pioneer GroupEmpowering urology practices to adopt new technology faster by providing clear reimbursement strategies—ensuring the practice gets paid and patients benefit sooner.https://www.prsnetwork.com/joinuptp Click Here to Start Your Free Trial of AUACodingToday.com The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/
Meet Paul Daddona—last year he attended AAPC's HEALTHCON as a newly certified CPC-A with no job experience, just determination and a dream. He came to learn, network, and take the first steps in his career. Shortly after the conference, he landed his very first position in the healthcare revenue cycle. In this follow-up interview at HEALTHCON 2025, Paul shares where his journey has taken him over the past year, what he's learned, and his best advice for students and new coders entering the field.
In this inspiring interview, Stephanie Vargason shares her remarkable path to becoming a Certified Professional Coder (CPC) with AAPC. What started as a challenging chapter in her life—facing serious health issues—became the catalyst for a rewarding new career.
AAPC HEALTHCON Recap On Compliance, Change, And What's Next In RCM Join Stuart Newsome, VP of Marketing at Infinx, for a candid reflection on key takeaways from the 2025 AAPC HEALTHCON conference in Orlando, Florida. This year's event offered a rich mix of content spanning compliance, legal risk, medical coding evolution, and the growing influence of technology in revenue cycle management. In this Office Hours session, Stuart will share general insights and memorable moments from sessions that explored regulatory expectations, personal liability concerns, and the industry's shifting posture toward AI and automation. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen
Meet Kim Steffenhagen—she started at the front desk and never imagined where it would lead. In this interview, Kim shares how her curiosity, hard work, and a little nudge from fate brought her to medical coding. Hear how she prepared for the CPC exam with AAPC and why she never looked back. #medicalcoding #aapc #cpcexam #careerjourney
In this edition of AAPC Social Hour, Sabrina Skeldon shares how to give physicians a financial literacy checkup, while Heather Greene dives into the key performance indicators that define a top-notch CDI team.
Stuart Newsome shares high-level reflections from AAPC HEALTHCON, highlighting emerging trends in compliance, legal risk, coding evolution, and automation. Hear how the broader revenue cycle community is responding to change and preparing for the future.Brought to you by www.infinx.com
In this episode of RCM Insights, we bring you candid conversations from the AAPC HEALTHCON conference, where attendees shared how AI is influencing their work in coding, compliance, education, and denial prevention. From early adoption to cautious curiosity, their insights reveal the human side of integrating AI into the revenue cycle.
Independent Review Organizations (IROs) play a crucial role in healthcare compliance, particularly when organizations are under a Corporate Integrity Agreement (CIA). In this episode of Compliance Conversations, CJ Wolf interviews Stephani Scott, VP of Audit Services at AAPC, on what it really means to be an IRO. You'll discover: - What IROs do and why independence matters - The key components of CIA audit timelines and expectations - How RAT-STATS ensures unbiased sampling
Join us for a discussion with Jacqueline Bloink on medical liens and the vital role medical coders play in them. Plus, Wendy Cox shares expert tips on how to start your career as a medical coder!
Join us as Missy Kirshner and Angela Clements discuss global surgery, with Melinda Craig joining to share insights on coding quality. Plus, we'll explore ways AAPC members can get more involved with the organization!
I've been in the coding and CDI worlds since 2004, and in that time watched the rise of Facebook, YouTube and other social media. And as early 2011 or so I began to wonder, will anyone pair these two together? When will see our first social media creator in the world of medical coding, making it his or her full-time gig? I'm pleased to say that the day has arrived. Victoria Vo is a Medical Coding Educator, Auditor, YouTuber, Entrepreneur, and founder of Contempo Coding, LLC. Her YouTube channel has 187,000 subscribers and she's created close to 600 videos, some of which have racked up more than half a million views. If you've met or seen Victoria you know this did not happen by chance. She's a natural educator, charismatic and personable. But she's also very knowledgeable about coding, passionate about the profession, and an outspoken industry advocate. We get into all this and more in a very social episode of Off the Record. On this show we discuss: Victoria's coding origin story Contempo Coding, the business and what it's about Becoming a creator: Challenges and early side-hustle successes, timeline to earning her first $, and how she left coding to become full-time entrepreneur Three times she was recognized as a coding celebrity outside of AAPC conferences Advice for someone who wants to pursue content creation A joint ChatGPT rant (we both sound off on how we use it, and see it abused) What makes for a good coding professional Other fun stuff including her top resources and Off the Record Spotify playlist selection
Join us as we introduce Yvonne Ellison, the new AAPCCA Chapter Advisory Board (CAB) Executive Chair! Yvonne shares her background and vision for the CAB during her tenure. We're also joined by William (Bill) Fiala, who discusses his article, Legitimizing Psychedelic Medication Therapy, featured in the February 2025 issue of AAPC The Magazine.
Join us as we talk about the 2024 Salary Survey and our new policy change allowing eBook use during exams.
Clinical documentation improvement (CDI) is essential for accurate patient care, compliance, and effective risk adjustment. Health plans and providers must work together to address common challenges like incomplete records, workflow disruptions, and slow technology adoption. By integrating solutions that fit seamlessly into provider workflows—whether through EMR-compatible platforms or flexible engagement models—health plans can reduce administrative burdens while ensuring compliance with CMS guidelines and HIPAA requirements.This episode explores best practices for health plans to support providers with clinical documentation and how proactive risk adjustment strategies improve efficiency by addressing documentation gaps upfront, reducing costly retrospective corrections.Listen to this episode to learn how to build a stronger partnership between health plans and providers, improve compliance, and enhance operational efficiency.About Our Guest:Keicia Hutchinson has been in the healthcare industry for over 18 years specializing in medical billing, Medicaid and Medicare auditing, and clinical documentation improvement. She is a member of AAPC and holds credentials in COC, CPC, CPC-P, CDEO, CPMA, and CRC.
Join us for a conversation with Rhonda Buckholtz, AAPC's new National Advisory Board President. Rhonda shares her journey with AAPC and discusses her vision and initiatives for the board. Plus, get a sneak peek from HEALTHCON presenters as they share insights into their upcoming sessions this April! Learn more about HEALTHCON at healthcon.com. #heatlhcare #healthcareconference #medicalcoding #medicalcoder #healthcareeducation #healthcarecareers #aapc #aapcnab #aapcnationaladvisoryboard
In this edition of AAPC Social Hour, Terry Fletcher discusses updates to Telehealth 2025 and the final rule. We're also joined by members of AAPC's National Advisory Board to explore the Emerging Leaders program, now accepting applications through January 31, 2025. Learn more and apply here: https://www.aapc.com/training-and-events/emerging-leaders-program #telehealthcare #finalrule #aapc #aapcemergingleaders #medicalcoding #medicalcoder
Victoria Vo, CPC, COC, CPMA, CRC, CPFC, CPCD, CPRC, CEMA, AAPC Approved Instructor, and AAPC Fellow, didn't always have a clear career path. However, her determination and passion for medical coding transformed her journey. Discover how she rose to prominence as a respected medical coder and one of the industry's most influential voices in this inspiring interview.
Join us as we gear up for Thanksgiving! In this video, we dive into everything you need to know about AAPC exams, including what to expect on test day, essential items to bring, and plenty of helpful tips to ensure you're prepared. Don't miss out!
Join us as Leigh Poland talka about her article in the November AAPC Magazine, High-Risk Debridement Coding and Documentation. Kathrine Abel from AAPC's content team also joins the broadcast to share updates on AAPC's education and exams.
Today on the CodeCast podcast, Terry discusses best practices for the -25 Modifier, where to find her latest blog on the AAPC website, and what the MAHA (Make America Healthy Again) movement means to our country. Subscribe and Listen You can subscribe to our podcasts via: Apple Podcasts – https://podcasts.apple.com/us/podcast/codecast-medical-billing-coding-insights/id1305926627 Spotify – https://open.spotify.com/show/1lA69Q7EnjSMuVr3sXVWlX TuneIn – https://tunein.com/radio/CodeCast–Medical-Billing-p1056702/ […] The post The 25 Modifier and More appeared first on Terry Fletcher Consulting, Inc..
Watch Corella Lumpkins and Annie Barnaby join us to talk about resume writing and the Project Xtern program.
Join us as we speak with a panel of experts from the AAPC national office about the new code updates for 2025.
Join us as we talk about the great time we had in Philadelphia for our HEALTHCON Regional Conference. We also talk about our upcomong DOCUCON conference. https://www.aapc.com/training-and-events/docucon
Curious about how a temporary job can lead to a lifelong career? Join us as we welcome Corella Lumpkins, a healthcare revenue cycle expert with over 35 years of experience. Corella's journey is truly captivating—from stepping into a coding position unexpectedly to becoming a seasoned professional even before AAPC was founded. We'll explore her fascinating story and discuss the vital role of certifications in establishing credibility within the industry. Corella's experience underscores the importance of continuous learning and adapting to the evolving landscape of medical coding.Ever wondered how a strong foundation in medical billing and coding can open doors to various career paths? This episode sheds light on Corella's transformative journey from entry-level roles to leadership and teaching positions, illustrating the limitless possibilities that come with expertise in this field. Listen in as we discuss the challenges she faced, the importance of finding the right job fit, and how adapting teaching methods for different audiences can make a significant impact. Learn about initiatives like Project Xtern that provide invaluable opportunities for graduates and discover the evolving career landscape of healthcare.Balancing work and personal life is crucial, and Corella shares her insights on how to recharge through her passion for concerts and dancing. We discuss the ongoing efforts within the National Advisory Board, including the significance of mentorship programs and the challenges of expanding initiatives like Project Xtern. Networking and community-building are key themes, and we highlight ways to get involved and support these initiatives. Don't miss this enriching conversation with Corella Lumpkins as she imparts her vast knowledge and experience in the healthcare revenue cycle.
August 23, 2024 Mark, Scott, and Ray talk about two questions that came into the PRS Communities:I have Optum requesting records on all of our clot evac cases where something in the bladder was fulgurated during the same session and after record review we fail the audit.Now compliance is very quick to say refund it, stop billing it, its bundled, etc.But we know a modifier is allowed so when is it allowed????Everything I find online like AAPC says to bill both 52214 and 52001-59 but there is nothing recent and nothing concrete about what is considered distinct. I mean using a clot evacuator is different than using a loop electrode. Below are the Optum rationales.So the urologist does a cysto on hematuria work up, and they wind up using an evacuator to remove huge amounts of clot burden. Then use a loop electrode to fulgurate some areas that look suspicious.Why is that service not considered distinct? Compliance says its incidental but they can't tell me when it wouldn't be incidental and I don't want to let optum take back money without an argument.Hi, I would like to ask a coding question please. Thank you so much!For Robot-assisted left partial nephrectomy and Resection of a left renal hilar lymph node, Do we code any additional CPT to capture renal hilar lymph node, in addition to partial nephrectomy 50543?Pathology report had a separate report for Renal hilar lymph node dissection, which was negative for carcinoma. And for partial nephrectomy, path showed Renal cell carcinoma. PRS Billing and Other Services - Book a Call with Mark Painter or Marianne DescioseClick Here to Get More Information and Request a QuoteUrology Advanced Coding and Reimbursement Seminars - In-Person SeminarsRegister Now for the Urology Advanced Coding and Reimbursement SeminarSpecial Early Bird code: 25UACRS732 Click Here for Information and RegistrationEvent DetailsLocation:Las Vegas: December 6-7, 2024, at HorseshoeNew Orleans: January 31-February 1, 2025, at Harrah'sTime: Friday 8 am - 4 pm, Saturday 8 am - 3:30 pmIncludes: Breakfast and Lunch on both days, plus 14 AAPC CEUs The Thriving Urology Practice Facebook group.The Thriving Urology Practice Facebook Group link to join:https://www.facebook.com/groups/ThrivingPractice/ Join the discussion:Urology Coding and Reimbursement Group - Join for free and ask your questions, and share your wisdom.Click Here to Start Your Free Trial of AUACodingToday.com
In this episode, we delve into the high-stakes world of entrepreneurship with Sarah Chen-Spellings, a venture capitalist, strategist, and co-founder of Beyond the Billion. Join us as we explore the journey of building billion-dollar unicorns, where success is not just about having a great idea, but mastering the art of pitching, navigating the inevitable rejections, and persisting through the toughest challenges.Sarah shares her unique insights on what it truly takes to succeed in today's fast-paced entrepreneurial landscape. From her experience leading a global consortium investing over $1 Billion in women-founded companies to her work as a seasoned strategist and host of the "Billion Dollar Moves" podcast, Sarah offers invaluable advice for entrepreneurs aiming to make their mark.Whether you're an emerging entrepreneur or a seasoned founder, this episode is your masterclass on how to pitch, overcome rejection, and ultimately succeed in the billion-dollar game. Learn the critical strategies that differentiate those who thrive from those who fall short, and discover the mindset needed to turn risk into reward.In this episode, you'll discover:• The art of pitching: How to craft a compelling pitch that stands out in a crowded market.• Overcoming rejection: Proven strategies for turning setbacks into opportunities and building resilience.• Navigating risk: Insights on how to manage and mitigate the risks inherent in scaling a business to unicorn status.• The modern entrepreneur's mindset: What it takes to succeed in today's competitive and rapidly evolving business environment.• Entrepreneurial diversity: Strategies for bringing more diverse entrepreneurs—women, Black, Latina, Asian, and others—to the table and ensuring they have the resources and support needed to succeed in the billion-dollar game.• Sarah's personal journey: Lessons from her experience co-founding Beyond the Billion and her role in shaping the future of venture capital.Don't miss this opportunity to gain actionable insights from one of the leading voices in venture capital and entrepreneurship. Tune in to learn how you can build your own billion-dollar unicorn! Connect With Sarah Chen-Spellings:• Listen to the Billion Dollar Moves Podcast with Sarah Chen-Spellings• Learn about Beyond The Billion's mission to catalyze capital for innovative, venture-backable women-funded companies • Visit Sarah's website to see all of the things she has going on• Connect with Sarah on LinkedIn Beyond The Episode Gems:• Learn More Starting Your Own Business With Amazon's Delivery Service Program• Start Creating Exceptional Sites & Business Solutions Using Wix Studios • Grow Your Business Faster Using HubSpot's CRM Platform• Use The Same Recording Platform I Use For My Podcast, Try Riverside.fm For Free• Buy Troy's Book, Strategize Up That Is Referenced In This Episode: StrategizeUpBook.com• Discover All Podcasts On The HubSpot Podcast Network#####Support The Podcast & Connect With Troy: • Rate & Review iDigress: iDigress.fm/Reviews• Follow Troy's LinkedIn @FindTroy• Get Strategy Solutions & Services: GrowWithTroy.com• Follow Troy's Instagram @FindTroy
Medicare audits can be a daunting challenge for any healthcare provider. With a maze of regulations, different types of audits, and a complex appeal process, it's easy to feel overwhelmed. That's why we invited Alicia Shickle, AHFI, CHC, CPC, CPCO, CPMA, CRC, the President and CEO of ProCode Compliance Solutions LLC, to share the knowledge and strategies you need to navigate this tricky terrain. Tune in to the episode as we discuss: - The top issues that trigger Medicare audits - How to prepare your practice and avoid common pitfalls - The five levels of Medicare appeals and how to effectively manage them - Why proactive compliance programs are crucial for your practice Thank you, Alicia, for sharing your time and expertise with us! About Alicia Shickle Alicia has decades of clinical and administrative healthcare experience. Her areas of expertise include revenue cycle integrity, documentation, coding and billing compliance, Medicare, MSP, and Medicaid regulations, practice workflow and operations, compliance program assessments, development, and implementation. Alicia provides advisory services to attorneys, healthcare administrators, providers, and organizations. She frequently works with business litigation and health law practices on fraud and abuse intervention and providing independent and objective assessments for both plaintiff's and defense teams. She works closely with clients on both routine and complex documentation and coding reviews. She provides in-depth coding and claims data analysis, education, and assists providers with navigating complex regulatory and policy requirements, identifying and mitigating potential FCA risks while optimizing revenue. She has extensive experience developing and implementing effective compliance programs including all seven elements. Alicia served as the Director of Compliance for the American Academy of Professional Coders (AAPC). She has worked with some of the top consulting and health law practices and, was a Family Practice Administrator for over a decade. Alicia has presented educational training boot camps and seminars nationally on compliance, documentation and coding, and practice management. She was a medical billing and coding instructor at a community college. She is a frequent author for online physician blogs, and journals. Alicia is an Accredited Health Care Fraud Investigator (AHFI) with the National Health Care Anti-Fraud Association (NHCAA), and is certified in Healthcare Compliance (CHC, CPCO) through the Health Care Compliance Association (HCCA), and AAPC. She is a Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), and certified in Risk Adjustment Coding (CRC). She is also a Certified Physician Practice Manager (CPPM). Alicia is an active member of the American Academy of Professional Coders (AAPC) and served as the President of AAPC's Manhattan Local Chapter for two years. She is a member of the Health Care Compliance Association (HCCA), and the National Health Care Anti-Fraud Association (NHCAA), and American Health Lawyers Association (AHLA). She is a member of American Health Information Management Association (AHIMA), the National Alliance of Medical Auditing Specialists (NAMAS), and a member of Medical Group Management Association (MGMA).
Join us for this edition of Social Hour as we chat with Trenton Strode about landing his first job and how healthcare employers should reconsider hiring for CDI roles. We also have a conversation with the National Advisory Board about the Emerging Leaders Program.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
It's becoming increasingly important to ensure your care team stays up to date with best practices for managing patients with cardiac implantable electronic devices (CIED) in the device clinic. On this MedAxiom HeartTalk, host Melanie Lawson, MS, speaks with James Allred, MD, FACC, CEO and co-founder of CV Remote Solutions; Austin Reed, vice president of Business Development, Strategy and Innovation, at CV Remote Solutions; and Nicole F. Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation at MedAxiom. They discuss the unique challenges related to highly technical roles and complex workflows in the device clinic. They also offer educational solutions to enhance your care team's understanding of function, programming and troubleshooting CIEDs. GUEST BIOS James Allred, MD, FACC CEO and Co-Founder, CV Remote SolutionsAs Chief Executive Officer and Co-Founder of CV Remote Solutions, Dr. Allred partners with clinicians nationwide to ensure optimal care for patients with cardiac implanted electrical devices. Before launching CV Remote Solutions, Dr. Allred previously served as chief of Electrophysiology Services and medical director of the Atrial Fibrillation (AF) Clinic at Cone Health in Greensboro, NC. After establishing the world-class AF Clinic in Greensboro, he consults with individual clinicians, clinics and hospitals on starting or improving their AF clinic efforts and programs. He has also served on advisory boards for the Heart Rhythm Society and the American Heart Association. Dr. Allred completed an internal medicine residency at Duke University and fellowships in cardiovascular disease and electrophysiology at the University of Alabama at Birmingham, AL. In addition to partnering with MedAxiom to create educational material for clinicians, he has authored several published manuscripts on AF clinical efficiencies and healthcare savings. Austin Reed, MBA Vice President of Business Development, Strategy, and Innovation, CV Remote Solutions. In his role, Austin is responsible for sculpting strategic growth initiatives, pioneering innovative solutions, and driving business development efforts to help CV Remote Solutions continue to be at the forefront of the industry. In his previous role as vice president of Operations, he managed multiple business areas, including operations, marketing and human resources. Austin was instrumental in developing brand strategies and initiatives that responded to the needs and projected future of the healthcare industry. Before his time at CV Remote Solutions, Austin served as a director of Physician Services for HCA Healthcare, one of the nation's top providers. With over 15 years of healthcare industry experience spanning multi-site operations in primary care, cardiology, oncology and pulmonology, his robust understanding of the healthcare landscape is a key pillar of his strategic approach. Austin obtained his Bachelor of Science degree in health care administration from Western Kentucky University and a Master of Business Administration from Murray State University. His commitment to healthcare extends beyond his role at CV Remote Solutions as he continues to serve on the Nashville Health Care Leadership Council and the Medical Group Management Association, contributing valuable insights and leadership. Nicole F. Knight, LPN, CPC, CCS-PExecutive Vice President, Revenue Cycle Solutions and Care Transformation ServicesAs the Executive Vice President of Revenue Cycle Solutions and Care Transformation Services at MedAxiom, Nicole provides guidance to MedAxiom's membership in cardiovascular operations, LEAN process improvement and the revenue cycle. Nicole applies her decades of healthcare experience in cardiovascular and neurology practice operations, clinical management, business office management and consulting to leading the Revenue Cycle Solutions team at MedAxiom. Prior to joining MedAxiom, Nicole served as a practice administrator for Baptist Neurology and Northeast Florida Cardiology and director of operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has delivered physician and staff coding and compliance education sessions nationally. Nicole has completed numerous education hours towards a Bachelor of Science in health care administration. In addition, she maintains her licensed practical nurse credential in Florida. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified American Health Information Management Association (AHIMA) ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She has also served on the Physician Practice Council for AHIMA.Areas of Expertise: • Cardiology and neurology practice operations • Clinical and business office management • LEAN process improvement • Office-based cath lab implementation • Revenue cycle performance and metrics • Coding, compliance audits and education in numerous specialties, including cardiovascular • Documentation and implementation guidelines • Complex procedure coding education • Risk adjustment coding • Cardiovascular service line integration • Cath and electrophysiology lab optimization, revenue cycle services and facility coding
Join us as we speak with officers from the 2023 AAPC Chapter of the Year, the Minneapolis, MN chapter.
Join us as we get to know AAPC's 2023 Chapter Officer of the Year, Tonda Dawson. We also talk about our upcoming HEALTHCON Regional Conference in Philadelphia.
Join us as we talk about our HEALTHCON Regional Conference in Philadelphia, this coming August. Learn more about the event at this link: https://www.aapc.com/training-and-events/healthcon-regional-2024-philadelphia
Join us this week as Sonal Patel clarifies G2211 and we learn about becoming an inpatient coder.
In this podcast, I talk with Angelika Bodie, a seasoned medical auditor and AAPC-approved instructor. With over eight years of experience, Angelika shares her journey from a local call center to her current role as an auditor for Norwood. We discuss the critical skills needed to thrive in diverse industries, the importance of mentorship and education in medical coding, and practical advice for newcomers facing the job market. This video is packed with tips on career planning, staying adaptable, and the evolving standards in medical documentation. Don't miss out on this invaluable conversation for anyone looking to succeed in healthcare coding and auditing!
Despite NASA and the Pentagon intensifying their investigations into UAP, each agency maintains that no evidence of extraterrestrial technology has been found, and has presented only moderate results with their investigations. Meanwhile, civilian scientists are making significant contributions to our understanding of UAPs, with events like the Scientific Coalition for UAP Studies and its 2024 AAPC conference bringing together leading researchers and academics to discuss the science behind UAP sightings and their potential implications. This week on The Micah Hanks Program, we take a look at the SCU's analysis of flight characteristics of these phenomena, revealing extraordinary capabilities that challenge current technological understandings. We also dive into recent discussions with military and intelligence professionals that underscore the seriousness of the UAP issue, highlighting skepticism towards AARO's efforts and the need for a more collaborative approach to uncover the truth behind these mysterious encounters. Have you had a UFO/UAP sighting? Please consider reporting your sighting to the UAP Sightings Reporting System, a public resource for information about sightings of aerial phenomena. The story doesn't end here... become an X Subscriber and get access to even more weekly content and monthly specials. Want to advertise/sponsor The Micah Hanks Program? We have partnered with the AdvertiseCast to handle our advertising/sponsorship requests. If you would like to advertise with The Micah Hanks Program, all you have to do is click the link below to get started: AdvertiseCast: Advertise with The Micah Hanks Program Show Notes Below are links to stories and other content featured in this episode: NEWS: ChatGPT is down again – here's what we know about the latest outage OPENAI Insiders Warn of 'Reckless' Race for Dominance A Right to Warn about Advanced Artificial Intelligence SCU: The Scientific Coalition for UAP Studies NASA UAPIST: NASA's UAP Independent Study Team Report AARO: All-domain Anomaly Resolution Office BECOME AN X SUBSCRIBER AND GET EVEN MORE GREAT PODCASTS AND MONTHLY SPECIALS FROM MICAH HANKS. Sign up today and get access to the entire back catalog of The Micah Hanks Program, as well as “classic” episodes of The Gralien Report Podcast, weekly “additional editions” of the subscriber-only X Podcast, the monthly Enigmas specials, and much more. Like us on Facebook Follow @MicahHanks on Twitter Keep up with Micah and his work at micahhanks.com.
Join us as we speak with Dr. Samuel Church, MD, MPH, CPC, CRC, CPC-I, talks about his journey as a physician and how he became an advocate for physicians understanding medical coding.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Click here for the Revenue Recovery cheat sheet: https://hubs.ly/Q02yqht40Welcome to the next episode of our HeartTalk podcast series, Revenue Recovery. Host Melanie Lawson, MS, speaks with MedAxiom's Nicole F. Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation, and Linda Gates-Striby, CCS-P, ACS-CA, Revenue Cycle Solutions consultant. They discuss the coverage eligibility for Interprofessional Consultation services and share specific examples your practice can use to capture those services, all while improving patient care.Guest Bios:Nicole F. Knight, LPN, CPC, CCS-PExecutive Vice President, Revenue Cycle Solutions and Care Transformation ServicesAs the Executive Vice President of Revenue Cycle Solutions and Care Transformation Services at MedAxiom, Nicole provides guidance to MedAxiom's membership in cardiovascular operations, LEAN process improvement and the revenue cycle. Nicole applies her decades of healthcare experience in cardiovascular and neurology practice operations, clinical management, business office management and consulting to leading the Revenue Cycle Solutions team at MedAxiom. Prior to joining MedAxiom, Nicole served as a practice administrator for Baptist Neurology and Northeast Florida Cardiology and director of operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has delivered physician and staff coding and compliance education sessions nationally. Nicole has completed numerous education hours towards a Bachelor of Science in health care administration. In addition, she maintains her licensed practical nurse credential in Florida. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified American Health Information Management Association (AHIMA) ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She has also served on the Physician Practice Council for AHIMA. Areas of Expertise: • Cardiology and neurology practice operations Linda Gates-Striby, CCS-P, ACS-CAMedAxiom Consultant, Revenue Cycle SolutionsAs a Revenue Cycle Solutions Consultant at MedAxiom, Linda provides cardiovascular programs across the country with operational expertise, implementation strategies and recommendations for simplifying often complex initiatives to minimize risk and maximize revenue. Linda has worked in the medical field for over 30 years and has specialized in cardiology coding for 25 years. Her clinical experience includes working in the heart stations and coronary intensive care units and serving as an emergency medical technician for a level-one trauma center. As a coding specialist, she focuses on compliance, revenue cycle and quality for a large cardiology and multispecialty practice. She is also the director of quality assurance at the Ascension Medical Group in Indiana. Linda is a sought-after speaker and consultant and has conducted numerous national educational sessions focused on documentation, coding, auditing and revenue cycle improvement for clinicians, coders and administrators across the nation. Linda serves as a non-physician member of the American College of Cardiology's coding work group and publications subcommittee and has also served on the coding committee for the Heart Rhythm Society. Linda served as the cardiology chair on the Board of Advanced Medical Coding, led the development of the Advanced Cardiology and Specialty Cardiology Certification examinations, and acts as a technical editor for cardiology-focused newsletters. Linda has served as an independent review organization auditor for the Office of Inspector General Corporate Integrity Agreements and as an expert witness on behalf of cardiology practices.
MedAxiom HeartTalk: Transforming Cardiovascular Care Together
Click here for the Revenue Recovery cheat sheet:https://hubs.ly/Q02x7ncv0Welcome to the next episode of our HeartTalk podcast series, Revenue Recovery. Host Melanie Lawson, MS, speaks with MedAxiom's Nicole F. Knight, LPN, CPC, CCS-P, executive vice president of Revenue Cycle Solutions and Care Transformation, and Linda Gates-Striby, CCS-P, ACS-CA, Revenue Cycle Solutions consultant. They discuss specific use cases for CPT code 99211 and give implementation tips to help ensure your practice leaves no dollar on the table.Guest Bios:Nicole F. Knight, LPN, CPC, CCS-PExecutive Vice President, Revenue Cycle Solutions and Care Transformation ServicesAs the Executive Vice President of Revenue Cycle Solutions and Care Transformation Services at MedAxiom, Nicole provides guidance to MedAxiom's membership in cardiovascular operations, LEAN process improvement and the revenue cycle. Nicole applies her decades of healthcare experience in cardiovascular and neurology practice operations, clinical management, business office management and consulting to leading the Revenue Cycle Solutions team at MedAxiom.Prior to joining MedAxiom, Nicole served as a practice administrator for Baptist Neurology and Northeast Florida Cardiology and director of operations for Jacksonville Heart Center and Louisiana Cardiology Associates. She has extensive expertise in coding, compliance and education for various specialties including cardiology, neurology, radiology, hematology/oncology, orthopedic, ENT, gastroenterology and internal medicine. Nicole has delivered physician and staff coding and compliance education sessions nationally. Nicole has completed numerous education hours towards a Bachelor of Science in health care administration. In addition, she maintains her licensed practical nurse credential in Florida. She is a member of the American Academy of Professional Coders (AAPC) and the American Health Information Management Association. She received her Advanced Cardiovascular Coding Certification with the Board of Medical Specialty Coding and completed the AAPC inpatient coding and reimbursement course. Nicole is a certified American Health Information Management Association (AHIMA) ICD-10-CM Trainer and completed a LEAN Healthcare training course at Johns Hopkins University. She has also served on the Physician Practice Council for AHIMA. Areas of Expertise: • Cardiology and neurology practice operations Linda Gates-Striby, CCS-P, ACS-CAMedAxiom Consultant, Revenue Cycle SolutionsAs a Revenue Cycle Solutions Consultant at MedAxiom, Linda provides cardiovascular programs across the country with operational expertise, implementation strategies and recommendations for simplifying often complex initiatives to minimize risk and maximize revenue. Linda has worked in the medical field for over 30 years and has specialized in cardiology coding for 25 years. Her clinical experience includes working in the heart stations and coronary intensive care units and serving as an emergency medical technician for a level-one trauma center. As a coding specialist, she focuses on compliance, revenue cycle and quality for a large cardiology and multispecialty practice. She is also the director of quality assurance at the Ascension Medical Group in Indiana. Linda is a sought-after speaker and consultant and has conducted numerous national educational sessions focused on documentation, coding, auditing and revenue cycle improvement for clinicians, coders and administrators across the nation. Linda serves as a non-physician member of the American College of Cardiology's coding work group and publications subcommittee and has also served on the coding committee for the Heart Rhythm Society. Linda served as the cardiology chair on the Board of Advanced Medical Coding, led the development of the Advanced Cardiology and Specialty Cardiology Certification examinations, and acts as a technical editor for cardiology-focused newsletters. Linda has served as an independent review organization auditor for the Office of Inspector General Corporate Integrity Agreements and as an expert witness on behalf of cardiology practices.
Just a few months ago, Paul Daddona passed his medical coding certification exam, earning the CPC-A designation. Now, not only is he an active officer within his community's AAPC chapter, but he's also made strides by attending AAPC's national conference HEALTHCON. Join Paul as he shares his inspiring path into the healthcare.
Join us as Jennifer Wheeler, CPC, talks about her article in AAPC The Magazine, AI's Role in Insurance Claim Processing. We also speak with Wendy Willes from the AAPC national office who shares exciting updates to AAPC practice exams.
Our latest episode of Compliance Conversations features CJ Wolf, MD, and Brian Burton, our Chief Compliance and Privacy Officer, sharing their key takeaways from two of the most prominent industry conferences: HCCA's Compliance Institute and AAPC's HEALTHCON. Find out what they had to say about insights on the OIG's new General Compliance Program Guidance, industry-specific updates, and so much more. From discussions on artificial intelligence in compliance to the latest developments in Medicare Advantage and risk adjustment, this episode offers valuable insights for professionals across the healthcare spectrum. We also wanted to share a few resources CJ and Brian mentioned during their chat: - Our webinar on Leveraging Data Analytics for Proactive Compliance Management (https://www.healthicity.com/resources/leveraging-data-analytics-proactive-compliance-management-webinar) - The section of our Resource Center dedicated to the OIG's General Compliance Program Guidance (https://www.healthicity.com/resources/topic/oig-gcpg)
On Saturday, April 13th, the Cleveland Foundation's African American Philanthropy Committee's (AAPC) biennial summit will discuss philanthropy and the Black family; as well as how the ability to access resources essential to one's life and well-being means increased economic stability. This access includes employment, income, financial support, financial services - and of course - philanthropy. But what factors are involved in building intergenerational wealth and stability through community partnerships with financial institutions and businesses? And what role does philanthropy play on the path to prosperity?rnrnAhead of the weekend's Summit, join AAPC member Jeff Johnson as he leads a conversation with bank executives and entrepreneurs about striving for economic stability in Black families through banking, credit, and entrepreneurship.
Are you navigating the complex world of healthcare compliance, particularly when it comes to Medicare and Advanced Beneficiary Notices (ABNs)? We've got you covered in the latest episode of Compliance Conversations, featuring industry expert Keisha Wilson, founder of KW Advanced Consulting. Keisha brings over two decades of healthcare experience to the table, offering invaluable insights into the intricacies of ABNs. This episode delves deep into what ABNs mean for healthcare professionals and patients alike, recent changes to ABN forms, compliance risks, and the importance of proper education and implementation within healthcare settings. Why Tune In? - Uncover the essentials of ABNs: Learn what ABNs are and why they're critical in healthcare from a seasoned expert. - Stay updated: Get the scoop on the latest ABN form changes effective from June 2023 and how they impact practices. - Avoid common pitfalls: Keisha discusses frequent compliance risks and how to navigate them effectively. - Engage in comprehensive learning: From policy implementation to case studies, this episode is packed with actionable advice and best practices. Keisha's journey from aspiring social worker to healthcare compliance consultant adds a unique perspective to understanding patient communication and the nuances of Medicare coverage. Her passion for compliance and patient care shines throughout the conversation, making it a must-listen for anyone in the healthcare sector. You can also read a recent blog post from KW Consulting on ABNs. Keisha Wilson, CCS, CPC, CPCO, CPMA, CRC, CPB, Approved Instructor, is the Founder/CEO of KW Advanced Consulting LLC, Minority Women Own Business Enterprise (M/WBE) Certified, with 20+ years in healthcare specializing in various areas of compliance. Multi-specialty, Telehealth/Telemedicine, Risk Adjustment, provider and coder training. She currently sits on a Board of Directors for an outpatient mental health clinic. Keisha is a licensed PMCC who teaches coders looking to become Certified Risk Adjustment (CRC) and hosts various compliance documentation and coding webinars. She is a published author, having written for AAPC editors on Primary Care Coding Alert, Healthcare Business Monthly, and KW Advanced Consulting coding articles. Keisha can speak at various events this year, including the AAPC Regional Conference on Philidelphia and Cohen's Coding Summit on Telehealth in the U.S. vs Internationally.
Larry Huynh is a Partner and founder of Trilogy Interactive, a trailblazing digital political firm. His path to politics is anything but typical...his family coming to the U.S. as refugees after the Vietnam War, his academic background in biochemistry, and early career in the finance sector. In this conversation, Larry talks his unconventional route to working in politics, the 2004 campaign that changed his trajectory, early days of the political internet, plus some of his favorite case studies, best practices, and thoughts on digital trends that have the potential to change politics. IN THIS EPISODEHow Larry's family had to flee Vietnam after the fall of Saigon...Growing up a Texan in a low-income family in Houston...Larry talks his pre-political interest in biochemistry and work in the financial sector...The 2004 movement to Draft General Wes Clark into the presidential race pulls Larry into politics...Memories of meeting General Clark the first time and the 2004 Clark campaign...What contributed to the massive spike of online fundraising in the 2004 presidential campaign...Larry starts one of the first digital political firms after the 2004 elections...How Barbara Boxer's approach to Senate hearings blazed a path for effective use of digital political tools...Larry on current trends in digital politics...Larry talks studies his firm has done to better utilize AI...Larry's perspective on the right type of people who should pursue a career in digital politics...Larry talks his role as President of the AAPC and smart ways to utilize the organization...AND alchemy, Bank of America, Stacey Bashara, best laid plans, Brent Blackaby, Blackrock, Doug Boxer, Howard Dean, Fort Chaffee, genetically-modified seeds, hard science, Jeff Hauser, jacked-up arms, Paul Johnson, Rose Kapolczynski, John Kerry, kill lists, Blanche Lincoln, Terry McAuliffe, John McCain, Jason McIntosh, Katie Merrill, Monsanto, MoveOn, Eli Pariser, Condaleeza Rice, Diana Rogal, Josh Ross, Randy Stearns, vice principals, windowless rooms....& more!
Code G2211 continues to be a gift disguised as something else.As many nuances surrounding the code continue to linger, there are still some areas that are not as clear-cut as many healthcare professionals would prefer.As a refresher, G2211 allows providers (primary care, as well as specialists) to bill for additional cognitive work effort that is not currently captured in the evaluation and management (E&M) codes typically billed for these services.One of the gray areas surrounding G2211 is the appropriate amount and/or type of documentation that should be noted in the medical record to support billing the code. Another issue involves the specific type of condition(s) that can trigger it, and what qualifies it for a high level of complexity.During the next live edition of Talk Ten Tuesdays, AAPC's Leonta Williams will continue to explore these nuances and provide updates based on the latest communication(s) from the Centers for Medicare & Medicaid Services (CMS) on proper code usage – and the criteria needed to stay out of hot water.The live broadcast will also feature these other recognizable segments:• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news happening at the intersection of medical record auditing and the social determinants of health (SDoH).• News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.
It's YOUR time to #EdUp In this episode, recorded LIVE & in person from the InsightsEDU 2024 conference in Phoenix, AZ YOUR guest is David Preece, Vice President of Products, AAPC YOUR host is Dr. Joe Sallustio Listen in to #EdUp! Thank YOU so much for tuning in. Join us on the next episode for YOUR time to EdUp! Connect with YOUR EdUp Team - Elvin Freytes & Dr. Joe Sallustio ● Join YOUR EdUp community at The EdUp Experience! We make education YOUR business! --- Send in a voice message: https://podcasters.spotify.com/pod/show/edup/message
This episode shines a light on the dynamic changes in the industry, including a significant 70% rise in AAPC membership dues over the past decade. We explore how these changes impact coders and CEU providers, offering a clear, insightful perspective on the industry's current state and future direction.But there's more! There is positive shift towards remote work in healthcare, a game-changer for many professionals. This transition not only boosts financial savings by eliminating commutes but also brings fresh challenges and opportunities in medical coding. We delve into the complexities and benefits of this new era, from maintaining up-to-date knowledge to enjoying a healthier lifestyle and better work-life balance.
This episode of the "MGMA Women in Healthcare Podcast" is the debut of MGMA consultant Adrienne Lloyd, MHA, FACHE, as the host of this show. The guest is Rhonda Buckholtz, CPC, CPMA, CRC, CDEO, CMPE, CHC, COPC, CGSC, CPEDC. Rhonda is a John Maxwell leadership coach and is also the President of the National Advisory Board for the AAPC. Rhonda's current role is the Chief Compliance Officer for Vision Innovation Partners. Adrienne met with Rhonda to discuss healthcare quality and innovation, including challenges such as quality of care issues and managing cultural changes post-COVID. Rhonda also emphasized the importance of understanding the full global picture regarding quality of care and patient experience. Sources discussed: MGMA Book Club: community.mgma.com/communities/com…c7-018c7e8a233a MGMA Book for January: www.amazon.com/Insight-Self-Awar…eed/dp/0451496817 Big Idea Podcast: podcasts.apple.com/dk/podcast/big-…uy/id1456686937 Sponsor: Physician Business Training (physicianbusinesstraining.com/) This course is for early-career physicians or physicians who need a comprehensive understanding of the business of medical practices. The course is 7 hours long and broken into 9 modules. It was developed by Medical Group Management Association (MGMA) and leaders from Johns Hopkins University School of Medicine. This course awards 7 hours of CME credit. MGMA Resources: MGMA Stat: mgma.com/stat Ask an Advisor: www.mgma.com/ask-an-advisor MGMA Membership: www.mgma.com/membership MGMA Advocacy: www.mgma.com/advocacy MGMA Consulting: www.mgma.com/consulting/overview WE WANT TO HEAR FROM YOU Let us know if there's a topic you want us to cover or an expert you would like us to interview. Email us at dwilliams@mgma.com.