POPULARITY
Hosted by glenn krauss
Hosted by glenn krauss
10 episodes with glenn krauss
2 episodes with glenn krauss
2 episodes with glenn krauss
16 episodes with glenn krauss
In this episode of HIPcast, Glenn Krauss, shares his experience in Clinical Documentation Improvement across the country. Glenn also challenges the future role of the HI Professional in CDI and the evolving Physician Documentation Excellence programs. #HIPcast with Shannan and Seth.HIPcast brought to you by Enterprise Social Record Show Sponsor:DocuVoice - FaircodeLearn more at https://www.faircode.com/Steve Hansen – steve@docuvoice.com or 615-600-2166
In this episode, we are joined by our friend Glenn Krauss from CORE-CDI. Glenn and I had the opportunity to sit down and review the CDI programs for Inpatient and Outpatient and how important CDI is to the healthcare industry. We will discuss the following: The medical record as a communication tool versus a reimbursement tool Physician documentation improvement must be physician-centric and physician driven Compliance and ethics in Physician Documentation Improvement must be an integral part of any program Can CDI programs elevate compliance risk unknowingly without proper precautions being taken? Find Glenn at the upcoming Pain Management Compliance Symposium on April 13 and CDI Symposium 2023 on September 13-14 --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 2 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ Sonal's 7th Season is winding down and Episode 16 features a special Newsworthy return guest, Glenn Krauss. We discuss a troubling OIG report pointing their fingers at millions in possible overpayments. We get fired up and defend our good names (as coders and CDI specialists!!), as well our physicians (who we are champions of!!) Trusty Tip features Sonal's compliance recommendations on coding and billing for Home and Residence Services on claims starting January 1, 2023. Spark inspires us all to reflect on purpose and impact based on the inspirational words of Leonardo Da Vinci. Find Glenn Krauss on various social media platforms: LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Website: https://core-cdi.com/ Website: https://www.topgunauditschool.com/about-tgas Paint The Medical Picture Podcast now on: Anchor: https://anchor.fm/sonal-patel5 Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8zMGYyMmZiYy9wb2RjYXN0L3Jzcw== Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast Pocket Casts: https://pca.st/tcwfkshx Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw Find Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A Find Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/ And checkout the website: https://paintthemedicalpicturepodcast.com/ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/sonal-patel5/message Support this podcast: https://anchor.fm/sonal-patel5/support
Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Help Sonal kick off her 2nd year of podcasting by supporting it!! Sonal's 6th Season begins and Episode 8 features Creator and Founder of Core-CDI© and Co-Founder of Top Gun Audit School, LLC© and Newsworthy special guest, Glenn Krauss. Trusty Tip features Sonal's compliance recommendations on Mental Health Visit Requirements for FQHCs and RHCs. Spark inspires us all to reflect on vision and leadership based on the inspirational words of Daisaku Ikeda. Find Glenn Krauss on various social media platforms: LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Website: https://www.core-cdi.com/ Website: https://www.topgunauditschool.com/about-tgas Paint The Medical Picture Podcast now on: Anchor: https://anchor.fm/sonal-patel5 Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8zMGYyMmZiYy9wb2RjYXN0L3Jzcw== Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast Pocket Casts: https://pca.st/tcwfkshx Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw Find Paint The Medical Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A Find Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/ And checkout the website: https://paintthemedicalpicturepodcast.com/ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com --- Send in a voice message: https://anchor.fm/sonal-patel5/message Support this podcast: https://anchor.fm/sonal-patel5/support
Glenn Krauss talks with Dr. Kush Singh, MHA CPC, about consulting with MA Plans about HCCs and Risk Adjustment, and the unfortunate contributing factors to the latest examples of improper "loading" of HCCs to secure greater reimbursement for the plan - now perhaps up to $9 Billion. https://www.core-cdi.com/ http://www.topgunauditschool.com/
Glenn Krauss talks with Ernie de los Santos, co-founder of "TopGun Audit School" and creator of "Finally Friday! LIVE" - about how CDI Specialists are being shackled by KPIs that measure tasks instead of effectiveness in documentation that survives audit. https://www.core-cdi.com/ http://www.topgunauditschool.com/
Glenn Krauss talks with Ernie de los Santos, co-founder of "TopGun Audit School" and creator of "Finally Friday! LIVE" - about how CDI can help with both the advantages and dangers of templating for documenting in EMRs. https://www.core-cdi.com/ http://www.topgunauditschool.com/
Glenn Krauss speaks about Revenue Cycle moving to the future of clinical documentation integrity Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: https://www.topgunauditschool.com/
Glenn Krauss speaks about more tips for documenting necessity Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/
Glenn Krauss discusses a recent conversation with a CFO who understands the value of CDI Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/
Hospitals & health systems face unprecedented operational financial challenges recovering from the painful COVID pandemic, disrupting usual operations, subjecting facilities to operational challenges stemming from lost revenue & increased costs. In this episode, Adam Torres and Glenn Krauss, Creator and Founder of Core-CDI and Co-Founder of Top Gun Audit School, explore how Core-CDI is offering solutions to some of the current problems health systems are facing. Follow Adam on Instagram at https://www.instagram.com/askadamtorres/ for up to date information on book releases and tour schedule.Apply to be interviewed by Adam on our podcast:https://missionmatters.lpages.co/podc...Visit our website:https://missionmatters.com/
Ernie de los Santos and Glenn Krauss discuss the recent OIG Report. Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/
Glenn Krauss is an avid CDI supporter. His passion for making CDI the best can be heard throughout this podcast. He speaks to what he sees the problems to be, and his ideas for improvement. BIO Glenn Krauss is a well-recognized and respected subject matter expert in the revenue cycle with a specialized emphasis and focuses upon collaborating and working closely with physicians in promoting, advocating for, educating, and achieving sustainable improvement in clinical documentation that accurately reflects and reports the communication of fully informed coordinated patient care. His experiences include working with a wide variety of healthcare systems spanning the entire spectrum ranging from critical access hospitals, community hospitals, Federal Qualified Healthcare Centers to large academic medical centers and fully integrated healthcare systems. He possesses twenty-five-plus years of progressive practical hands-on experience in clinical coding and documentation improvement, subscribing to the philosophy that quality of medical record documentation strongly correlates with the overall quality of care achieved and the overall achievement of a high-performing revenue cycle. Glenn has demonstrated the unique skill sets and core knowledge of principles and standards in best practices of clinical documentation, effectively and successfully driving physician engagement through proven strategies that create and foster a sustainable model for clinical documentation improvement. What sets Glenn apart in the clinical documentation improvement arena is the recognition of clinical documentation effectiveness, accuracy, completeness, and contextual consistency as fundamentally integral and intertwined with all components of the revenue cycle. He has conducted encompassing assessments of CDI programs utilizing a unique approach that embraces the concept of holistic documentation improvement that incorporates elements of complete, accurate, and consistent documentation in support of quality patient care, medical necessity, and optimal coding and reimbursement with financial and compliance integrity. Glenn is a professional speaker, sought after for speaking engagements throughout the country on a wide variety of cutting edge thought provocative clinical documentation improvement topics and subjects. Glenn has served on the ACDIS Advisory Board as well as founded the WI ACDIS Chapter, leading a highly active chapter for six years. The inspiration for the creation of a LinkedIn page titled Physician Documentation Improvement- A New Paradigm is the goal of creating a forum for sharing thought provocative ideas and concepts on all things CDI including an awareness of the opportunity to transform the profession of CDI into one that truly supports the patient and the overall healthcare delivery model. CREDENTIALS To view Glens article listings, speaking engagements, certificates, credentials, and publications, please go to https://urjustanumber.com/2021/01/25/a-passion-for-improvement/ LINKS LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ CORE CDI: https://www.core-cdi.com/ Top Gun Audit School: https://www.topgunauditschool.com/
Welcome to the Alpha Coding Podcast series with your host, Toni Elhoms, CCS, CPC, CRC, AHIMA-Approved ICD-10-CM/PCS Trainer! In episode 44, we sit down with special guest, Glenn Krauss, Founder and CEO at Core CDI and Top Gun Audit School. Queries play an important role in validating clinical documentation. In this episode, Glenn shares his best Pro-Tips for Facilitating Effective Physician Queries. Join us every Monday for your all-access pass to medical coding and billing Pro-Tips that help you start your week off smarter! If you would like to become a sponsor of Alpha Coding Podcast, please contact us directly for pricing: AlphaCodingExperts@gmail.com
It’s out and it’s already creating controversy: the Centers for Medicare & Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS) proposed rule, which becomes effective January 2021. The rule, issued Aug. 4, would eliminate the Medicare inpatient-only list of services while increasing the number of Ambulatory Surgical Center (ASC)-eligible procedures. The rule would also increase 340B payment cuts, and it looks to overhaul the hospital star-rating system.It’s an interesting time for such changes, amid the impact of COVID-19. Dissecting the OPPS proposed rule during the next edition of Talk Ten Tuesdays will be Susan Gatehouse, founder and CEO of Axea Solutions.The live broadcast will also feature these other segments:CDI Report: Senior healthcare consultant Glenn Krauss, founder and creator of Core-CDI.com, files the CDI report, in which he’s expected to discuss what he calls the stagnation of clinical documentation integrity (CDI) as a result of visionary leadership being replaced by task leaders.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson reports on a the upcoming coordination and maintenance meeting in September.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
Mary-Claire is dedicated to her passion for health care & medicine. She has a unique background in health care. Over the years, she has contributed to clinical research & assumed leadership roles. She is currently completing her graduate medical education. Here she aims to obtain excellent medical & professional competencies. She considers herself a lifelong learner & is committed to engendering a culture of excellence wherever she goes. Mary-Claire Cotner on LinkedIn: https://www.linkedin.com/in/maryclairecotner/ Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/ This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Mary-Claire is dedicated to her passion for health care & medicine. She has a unique background in health care. Over the years, she has contributed to clinical research & assumed leadership roles. She is currently completing her graduate medical education. Here she aims to obtain excellent medical & professional competencies. She considers herself a lifelong learner & is committed to engendering a culture of excellence wherever she goes. Mary-Claire Cotner on LinkedIn: https://www.linkedin.com/in/maryclairecotner/ Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/ This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Eric Rubenstein is a seasoned federal law enforcement officer (25 years), specializing in white-collar crime investigations. Wide-ranging experience involving federal healthcare programs, with an emphasis on crimes involving the Medicare and Medicaid programs by health care providers, including physicians, pharmacies and health care entities. He is currently the Director of Litigation Fraud Waste and Abuse Support for Advize Health. Eric Rubenstein on LinkedIn: https://www.linkedin.com/in/eric-rubenstein-oig/ Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/ This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Eric Rubenstein is a seasoned federal law enforcement officer (25 years), specializing in white-collar crime investigations. Wide-ranging experience involving federal healthcare programs, with an emphasis on crimes involving the Medicare and Medicaid programs by health care providers, including physicians, pharmacies and health care entities. He is currently the Director of Litigation Fraud Waste and Abuse Support for Advize Health. Eric Rubenstein on LinkedIn: https://www.linkedin.com/in/eric-rubenstein-oig/ Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/ This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Outpatient clinical documentation improvement (CDI) programs have moved into the mainstream, as hospitals and healthcare systems continue to embrace consulting companies’ push into the outpatient arena. As the CDI profession matures and the market for CDI consulting becomes more competitive and less lucrative, these companies have identified a new long-term revenue stream associated with consulting engagements, in addition to software.Joining us this week onTalk Ten Tuesdays will be Glenn Krauss, CEO and Founder of Core- CDI, to discuss the effectiveness of outpatient clinical documentation improvement (CDI) programs.The live broadcast will also feature these other segments:Tuesday Focus: Gloryanne Bryant, reports on CPT codes for Remote Patient Monitoring in relation to COVID19.The Coding Report: Laurie Johnson reports on coding obesity 3.News Desk: Timothy Powell, anchors the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays host, will report on race desparities of COVID19.
John Zelem, MD, FACS is the president and owner of Streamline Solutions Consulting, Inc. He is a Board-Certified general surgeon with more than 25 years of clinical experience, has transitioned out of clinical practice into Healthcare Executive Leadership. Dr. Zelem is a renowned industry author who has published many books and is a well-known motivational speaker and presents often to professional and public/patient audiences on health and wellness, personal development, and leadership and success. Joe Crea, DO is the medical director for Advisory Services for Sound Physicians. He brings a decade of physician advisory experience to this position as well as extensive experience in both clinical and academic settings. He holds a Health Care Quality & Management Physician Advisor certification. Dr. Crea considers himself an "amateur chef," and loves to cook in his spare time. He is an avid traveler who loves to experience new places and is looking forward to becoming a part of the Harlan, KY community. John Zelem, MD, FACS on LinkedIn: https://www.linkedin.com/in/john-zelem/ Streamline Solutions Consulting, Inc.: https://www.streamlinesolutionsconsulting.com/ Joe Crea, DO on LinkedIn: https://www.linkedin.com/in/jecrea/ Sound Physicians: https://soundphysicians.com/ Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/ This podcast was produced by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
John Zelem, MD, FACS is the president and owner of Streamline Solutions Consulting, Inc. He is a Board-Certified general surgeon with more than 25 years of clinical experience, has transitioned out of clinical practice into Healthcare Executive Leadership. Dr. Zelem is a renowned industry author who has published many books and is a well-known motivational speaker and presents often to professional and public/patient audiences on health and wellness, personal development, and leadership and success. Joe Crea, DO is the medical director for Advisory Services for Sound Physicians. He brings a decade of physician advisory experience to this position as well as extensive experience in both clinical and academic settings. He holds a Health Care Quality & Management Physician Advisor certification. Dr. Crea considers himself an "amateur chef," and loves to cook in his spare time. He is an avid traveler who loves to experience new places and is looking forward to becoming a part of the Harlan, KY community. John Zelem, MD, FACS on LinkedIn: https://www.linkedin.com/in/john-zelem/ Streamline Solutions Consulting, Inc.: https://www.streamlinesolutionsconsulting.com/ Joe Crea, DO on LinkedIn: https://www.linkedin.com/in/jecrea/ Sound Physicians: https://soundphysicians.com/ Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/ Core-CDI: CDI Consulting: https://www.core-cdi.com/ Top Gun Audit School: http://www.topgunauditschool.com/ This podcast was produced by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Glenn Krauss is the founder of Core-CDI, the co-founder of Top Gun Audit School, and the host of his new podcast, Wiser Wednesday - Experience Speaks. Glenn Krauss on LinkedIn Wiser-Wednesday: Experience Speaks Core-CDI Top Gun Audit School Hi-Pitch Podcast Episode with Anny Pang Yuen --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/necpodcast/message Support this podcast: https://anchor.fm/necpodcast/support
January's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests: Dr. Vedi Patel, a practicing hospitalist in Chicago Elaine Maldonado, a 30+ year Coding Manager from California They share their thoughts on the role of documentation, especially in relation to communicating the patient's story, and what the effect of CDI work is on effective coding. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
January's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests: Dr. Vedi Patel, a practicing hospitalist in Chicago Elaine Maldonado, a 30+ year Coding Manager from California They share their thoughts on the role of documentation, especially in relation to communicating the patient's story, and what the effect of CDI work is on effective coding. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Glenn Krauss interviews Dr. Vedi Patel, a hospitalist in Chicago, and Elaine Maldonado, a coding manager from California, asking them about the role of documentation, especially in relation to communicating the patient's story, and what the effect of CDI work is on effective coding.
December's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests: Dr. Mahesh Moolani, Adjunct Clinical Professor of Internal Medicine, KY College of Osteopathic Medicine Dr. Doug Cutler, a practicing hospitalist at Yavapai Medical Center They share their thoughts on why and how residents should be getting useful education on proper documentation and the need for being complete, accurate and compliant. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
December's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests: Dr. Mahesh Moolani, Adjunct Clinical Professor of Internal Medicine, KY College of Osteopathic Medicine Dr. Doug Cutler, a practicing hospitalist at Yavapai Medical Center They share their thoughts on why and how residents should be getting useful education on proper documentation and the need for being complete, accurate and compliant. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
November's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests: Craig Mills, Business Development Director for MBOS and Dr. Doug Cutler, a practicing hospitalist at Yavapai Medical Center They share their thoughts on why the EHR must be thought of as a communication tool rather than just a reimbursement tool. What should CDI be accomplishing to help facilitate recognition of the EHR as a communication tool that benefits the patient, the physician and all healthcare stakeholders. If the record is treated as a communication first and foremost, optimal reimbursement will be forthcoming. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
November's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests: Craig Mills, Business Development Director for MBOS and Dr. Doug Cutler, a practicing hospitalist at Yavapai Medical Center They share their thoughts on why the EHR must be thought of as a communication tool rather than just a reimbursement tool. What should CDI be accomplishing to help facilitate recognition of the EHR as a communication tool that benefits the patient, the physician and all healthcare stakeholders. If the record is treated as a communication first and foremost, optimal reimbursement will be forthcoming. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Our inaugural show was moderated by Glenn Krauss, CEO & Founder of Core-CDI with Special Guests: Terrance Govender, VP of Medical Affairs for ClinIntell Heidi Hillstrom, CDI Professional at St. Luke's Hospital, Duluth, MN They discuss KPIs for CDI programs as they are commonly being used today… Do current KPIs in CDI accurately and dependably measure true performance of a CDI program? Are these current measures valid and reliable? If so, to what purpose? What constitutes valid and reliable measures of CDI performance for driving and achieving continual documentation improvement? Listen in to hear the scoop on the current state of affairs in CDI when it comes to KPI measures and understand why the profession is simply measuring the wrong indicators, continuing to go down the wrong path using the wrong approach to achieving documentation improvement. Future shows will include cutting edge topics aside from CDI, with thought provoking discussion on the myriad of challenges hospitals face in the revenue cycle, begging the need for novel solutions to conquer and survive in the current economic climate of healthcare. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Our inaugural show was moderated by Glenn Krauss, CEO & Founder of Core-CDI with Special Guests: Terrance Govender, VP of Medical Affairs for ClinIntell Heidi Hillstrom, CDI Professional at St. Luke's Hospital, Duluth, MN They discuss KPIs for CDI programs as they are commonly being used today… Do current KPIs in CDI accurately and dependably measure true performance of a CDI program? Are these current measures valid and reliable? If so, to what purpose? What constitutes valid and reliable measures of CDI performance for driving and achieving continual documentation improvement? Listen in to hear the scoop on the current state of affairs in CDI when it comes to KPI measures and understand why the profession is simply measuring the wrong indicators, continuing to go down the wrong path using the wrong approach to achieving documentation improvement. Future shows will include cutting edge topics aside from CDI, with thought provoking discussion on the myriad of challenges hospitals face in the revenue cycle, begging the need for novel solutions to conquer and survive in the current economic climate of healthcare. --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Creator and Host, Glenn Krauss, talks about what to expect on Wiser Wednesday - Experience Speaks. Glenn Krauss on LinkedIn Core-CDI: CDI Consulting Top Gun Audit School This podcast was produced by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Creator and Host, Glenn Krauss, talks about what to expect on Wiser Wednesday - Experience Speaks. Glenn Krauss on LinkedIn Core-CDI: CDI Consulting Top Gun Audit School This podcast was produced by Brian Cui from MedicalCodingGeek.com --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/wiserwednesday/message
Never before has the responsibility of an organization to provide clear, facility-specific guidelines and in-depth training for coders been more apparent than it is today – especially now with the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) poised to conduct diagnosis-related group (DRG) validation audits. Reporting our lead story during this edition of Talk Ten Tuesdays will be Cari Greenwood who will discuss how your team should intensify training –- particularly when it comes to assigning correct codes for high-frequency, problem-prone, and high-cost diagnoses.Other segments to be featured on the broadcast include:News Desk: Mary A. Inman, partner at Constantine Cannon’s London office, reports on the expected dismissal of the $188.1 million False Claims Act lawsuit filed by Med Analytics, LLC against Providence Health, now Providence St. Joseph, for allegedly upcoding various diagnoses.RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C.Tuesday Focus: The Office of Disease Prevention and Health Promotion (ODPHP), on behalf of the Federal Interagency Steering Committee for Adverse Drug Events, recently released its final version of the National Action Plan for Adverse Drug Event Prevention (ADE Action Plan). Reporting on this developing story will be Ronald Hirsch, MD, vice president of R1 Physician Advisory Services.CDI Report: ICD10monitor contributor Glenn Krauss continues his reporting on clinical documentation integrity, but this time, he will focus on the recent decision by HHS OIG to conduct DRG validation audits.TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on an issue that recently caught her attention during her popular TalkBack segment.
The third-quarter 2018 issue of AHA’s (the American Hospital Association’s) Coding Clinic for ICD-10-CM/PCS has been released, and during this edition of Talk Ten Tuesdays, Gloryanne Bryant will report on its significance.Other segments to be featured on the broadcast include:News Desk: Daniel Zirkman, MD, anchors the Talk Ten Tuesdays News Desk with the very latest news on hospitals in the disaster zone, coping with the aftermath of Hurricane Michael. Zirkman rode out Hurricane Florence from his hospital, CarolinaEast Health System, in New Bern, North Carolina, where he is chief physician advisor.Tuesday Focus: Rhonda Buckholtz, chief compliance officer for Century Vision Global, reports on a recent study her organization undertook involving certified coders and clinical documentation integrity specialists (CDISs).Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC and an ICD10monitor contributor, reports on the very public health issue being faced by radio personality Marty Griffin of KDKA. Griffin recently announced to his listening audience that he has cancer related to human papilloma virus (HPV), which infects 80 million people, according to the Centers for Disease Control and Prevention (CDC).CDI Report: ICD10monitor contributor Glenn Krauss continues his reporting on clinical documentation integrity, but this time, Krauss will focus on what he describes as the “query quagmire,” in which too much emphasis is placed upon the query process without changing physician patterns of documentation.Parting Shot: Guest co-host Deborah Grider, consultant, educator and AMA author, reports on the recurring issue of cloned documentation.
Glenn Krauss, founder of Core-CDI.com discusses suggestions for changes to the industry.
Glenn Krauss, founder of Core-CDI.com discusses the state of the industry and suggests some changes.
Twenty-nine new ICD-10 codes that are expected to leverage the ability of providers to document clients who might be at risk of sex and labor exploitation go into effect Oct. 1. Reporting on this developing story during this edition of Talk Ten Tuesdays is Nelly Leon-Chisen, the director of coding and classification for the American Hospital Association (AHA). The new codes will serve as the official diagnoses used to describe diseases, causes of diseases, and deaths related to human trafficking. Other segments to be featured on the broadcast include: News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk with the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. Dateline Washington: Leslie Krigstein, vice president of congressional affairs for the College of Health Information Management Executives (CHIME), reports on the latest healthcare news coming out of Washington, D.C. CDI Report: ICD10monitor contributor Glenn Krauss reports on clinical documentation integrity relative to the lawsuit against Providence Health to recover $188 million for alleged upcoding perpetuated by overly aggressive querying and guiding of physicians to document major comorbidities and complications (MCCs). TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on an issue that recently caught her attention during her popular TalkBack segment. Talk Ten Tuesdays. More than just talk.™
Questions are overflowing about the Centers for Medicare & Medicaid Services’ (CMS’s) proposed changes to evaluation and management (E&M) coding and reimbursement found inside the proposed 2019 Medicare Physician Fee Schedule. Returning this coming Tuesday for the next edition of Talk Ten Tuesdays will be Sally Streiber, president of Practical Coding Solutions, LLC. Sally is expected to answer some of those questions when she continues her two-part series reviewing the proposed changes. Sally will report on the “good” and the “bad” aspects of anticipated impacts. Other segments to be featured on the broadcast include: News Desk: Larry Field, DO, will anchor the Talk Ten Tuesdays News Desk with the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. CMS, Are You Listening? In the closing days before the public comment period ends (Sept. 10) for the proposed 2019 Medicare Physician Fee Schedule and E&M changes, nationally recognized coding authority Terry Fletcher will return to the broadcast to report on a number of specialties expected to be impacted if the proposed rule becomes effective Oct. 1. Tuesday Focus: Senior healthcare consultant Laurie Johnson with Revenue Cycle Solutions, LLC, will preview the upcoming Coordination and Maintenance meeting kicking off Tuesday, Sept. 11. CDI Report: ICD10monitor contributor Glenn Krauss, the clinical documentation improvement (CDI) manager at University Health Systems Las Vegas, will report on how providers too often approach CDI from a misguided and counterproductive direction, focusing too closely on reimbursement as the primary objective and endpoint of chart reviews. TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., will report on a current issue that caught her attention during her popular TalkBack segment.
Coding guidelines and advice are taking bronchoalveolar lavage (BAL) to a surgical DRG. Should the body part be the bronchus or the lung? Reporting our lead story is Erica Remer, MD and Inpatient Compliance Specialist Stacey Elliott. Both will discuss their concerns. Other segments to be featured on the broadcast include: Talk Ten Tuesdays News Desk: Timothy Powell, a nationally recognized expert on regulatory matters including the False Claims Act, ZPIC audits, and the OIG, reports on the latest healthcare news. Dateline Washington: Talk Ten Tuesdays legislative analyst Rhonda Taller has the latest news coming out of Washington, D.C. Rhonda is a member of the HIMSS professional development committee. CDI Report: The ICD10monitor contributor Glenn Krauss, the CDI manager at University Health Systems Las Vegas, reports on how CDI supports the revenue cycle. Talk Ten Tuesdays. More than just talk.™ Click here to view handout from Ellen Fink-Samnick on SDoH
Smoldering below the surface is burnout, and it’s taking a toll on physicians. With increasingly high rates of reported physician suicides and an alarming decline in the volume of medical school applications, this situation could be the nation’s next healthcare crisis. The good news: A study published in April’s World Journal of Urology reported that using scribes in a urology practice significantly increased physician efficiency, work satisfaction, and revenue. Enter Talk Ten Tuesdays special guest Dr. Suzette Sutherland, associate professor in the department of urology at the University of Washington School of Medicine. Dr. Sutherland reported on her facility’s training program and how using scribes is improving efficiency but also improving physician-patient relationships, patient satisfaction, and provider satisfaction, leading to less physician burnout. Other segments to be featured on the broadcast include: Tuesday Focus - Risk Adjustment: We had two reports on this trending topic: Sheri Poe Bernard, author of the American Medical Association 2018 publication “Risk Adjustment Documentation and Coding,” joined the broadcast to discuss her new book. And also reporting on the Tuesday Focus on risk adjustment was Marie A. Morin, director at Alvarez and Marsal Healthcare Industry Group LLC. Marie reported on risk adjustment payment methodologies. Talk Ten Tuesdays News Desk: Larry Field, DO, anchored the Talk Ten Tuesdays News Desk and presented the very latest healthcare news. Dr. Field is the treasurer of the American College of Physician Advisors. Coding Report: Nationally recognized coding and documentation authority Terry Fletcher will continued her report on errors she is uncovering in a review of more than thousands of records. Terry shared her findings in the third of a four-part series on auditing issues in physician documentation she is reporting exclusively for ICD10monitor. CDI Report: The ICD10monitor contributor Glenn Krauss, the CDI manager at University Health Systems Las Vegas, reported on how CDI supports the ancient oath: “First, do no harm. Talk Ten Tuesdays. More than just talk.™
It's auditing season, and nationally recognized coding and documentation authority Terry Fletcher will be reporting on errors she is uncovering in a review of more than 1,000 records. During this episode, she shares her findings in the first of a four-part series on auditing issues in physician documentation. While maintaining that CPT® and ICD-10 coding does become less risky when documentation is done properly, she offers corrective actions one can to take to prevent negative payer audits. Other segments featured in this episode include: News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk and present the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. CDI Report: The ICD10monitor contributor Glenn Krauss, the CDI manager at University Health Systems Las Vegas, reports on a holistic approach to documentation improvement versus a narrowly defined approach centering on diagnoses capture. Mental Health Report: Mental and behavioral disorders have recently taken a spotlight in the forefront with recent events, and coding of these disorders can sometimes be tricky, as Rhonda Buckholtz reports. Buckholtz is the Chief Compliance Officer for Century Vision, LLC. Talk Back: Dr. Erica Remer discusses the importance of teaching physicians clinical documentation. Talk Ten Tuesdays. More than just talk.™
We will continue to focus on cardiology during this episode, as Jeffrey E. Epstein, MD, FACPA, appears as a special guest along with Glenn Krauss. Together the pair co-authored a paper titled "Physician Documentation Impacts Hospital Mortality Rates for Acute Myocardial Infarctions." Dr. Epstein reports on the need for better physician documentation to achieve better clinical outcomes – and why the challenge, of course, is physician education. Other segments featured in this episode include: News Desk: Senior healthcare coding educator and consultant Laurie Johnson anchors the Talk Ten Tuesdays News Desk, reporting on the latest ICD-10 headline news. CDI Report: The aforementioned Glenn Krauss, the CDI manager at University Health Systems Las Vegas, has the CDI Report. Coding Report: Nationally recognized coding authority Terry Fletcher returns to report on coding for supervised exercise therapy. RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C. Talk Ten Tuesdays. More than just talk.™
Not Elsewhere Classified is a podcast presented and produced by MedicalCodingGeek.com about the medical coding, health information technology, and clinical documentation community, For show notes for this episode, go to MedicalCodingGeek.com/podcast --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/necpodcast/message Support this podcast: https://anchor.fm/necpodcast/support
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