Podcasts about hccs

Will the peace talks lead to lasting peace in Ukraine? Journalist Irina Matviyishyn will give us the latest from Ukraine. Jose Peralta from Hybu Cig Cymru is with us to defend HCCs posts about agricultural emissions and Rory Francis from the Snowdonia Society explains why it's important to be scientific about climate change. After an unannounced inspection of Parc Prison found that drugs are widely available there, Vanessa Frake-Harris tells us how she cut down on drug use at Wormwood Scrubs during her time there as governor. And following the Pope's funeral, Papal knight Lord Don Touhig and practising Roman Catholic Delyth Jewell MS mourn his passing.Jess Blair from the Electoral Reform Society and Plaid Cymru group leader on Vale of Glamorgan council review the papers.

What's up, y'all?! We actually did it! Two Monday's in a row! This is real proof of what can happen when you set your mind to somthing. Today's guest practices a nearly extinct form of photography, renovated a church into a studio / living space, and is an all around bad ass renaissance woman. If you're already inspired, that's okay, we are too! We're SO excited to share this episode with you, as it's been eating away at my soul to have held this conversation for as long as I have. Well over a year ago now, I sat down with the indelible Margaret Muza, the guest described above, to start off our second season of HCCS. Long story short, life got crazy, time went by, and now, FINALLY, we get to share this little time capsule with you all. Listen in for a deep dive into the magic of wet plate photography, how Margaret discovered this nearly lost art, the core tenants of her practice as an artist who creates truly timeless heirlooms, and the madness of purchasing and renovating an old church (a dream I've personally held for years).

Dr. Ann McLean, Founder of HCCS and board member of The Jefferson Council, joins John Reid to talk about the war on Virginia's history.  

In the world of value-based care, there's one set of diagnosis codes that carry much greater weight than all the rest: HCCs. What are HCCs and why are they so important? Scott Williams, MD, joins Heather and Mike with the answers.

As more and more provider organizations engage in risk-based contracts, including Medicare Advantage, understanding quality and performance along with clinical workflow integration is critical to contract success. On our third episode of our three-part series focusing on risk-based contract and performance, we invited two special guests from QRC to join the show to  dive deeper into Risk Adjustment Factor (RAF) scores and the impact of Hierarchical Condition Category codes (HCCs).   Tune into the latest episode of Value-Based Care Insights, as our host Daniel J. Marino speaks with Gene Rondenet and Paula Gallagher on how data and information critical to proactively build a prospective risk model is key to to manage the potential risks of health care cost increases and prepare the organization for the future.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/lumina-health-partners/message

Host Daniel J. Marino speaks with Gene Rondenet and Paula Gallagher on how data and information critical to proactively build a prospective risk model is key to to manage the potential risks of health care cost increases and prepare the organization for the future. As more and more provider organizations engage in risk-based contracts, including Medicare Advantage, understanding quality and performance along with clinical workflow integration is critical to contract success. On the third episode of this three-part series focusing on risk-based contract and performance, Marino invited two special guests from QRC to join the show to dive deeper into Risk Adjustment Factor (RAF) scores and the impact of Hierarchical condition category codes (HCCs). To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio.” 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

A major focus for many hospitals is understanding the changes that impact Hierarchical Condition Category (HCC) reimbursement methodology – changes made as a result of the Inpatient Prospective Payment System (IPPS) rule that will become effective in 2024.Because it's important for you to know about these changes, we invited John Pitsikoulis principal at Premier Health, to be the special guest during the next live edition of Talk Ten Tuesdays.Pitsikoulis is expected to report on these recent regulatory and payment model changes, noting that for the first time, the Centers for Medicare & Medicaid Services (CMS) used ICD-10 codes in their analytics for policy changes.These changes are expected to impact your Medicare Shared Savings Plan (MSSP), Medicare Advantage, and other payment models.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news.SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of coding and the 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.

There has been a lot of talk lately on the best approach to mitigating the risk of cyber-attack - including on this podcast. My guest in this episode has a very different take on how best to defend an organisation from this incessant risk.Having recently published his first monograph, Dr Patrick Scolyer-Gray's career has been devoted primarily to the design, development and implementation of Human-Centric Cybersecurity (HCCS), a methodological framework that extends and improves upon the conventional techno-centric ‘layered' approach to cybersecurity.In his current role, Patrick leads the Human-Centric Cybersecurity (HCCS) consulting practice at the Expert Management Agency (EMA) 460degrees. Throughout his career, Patrick has maintained that the key to achieving a stronger security posture lies not in technology, but instead in social and cognitive elements, such as culture, decision-making and behaviour.This is a fascinating discussion and a must listen for those that want to understand another critical element to cyber defense.Patrick's Contact details:LI: linkedin.com/in/dr-patrick-scolyer-grayE: patrick.scolyer-gray@460degrees.comW: https://www.460degrees.com/expert/dr-patrick-scolyer-gray/Offers:Human-Centric Cybersecurity (HCCS): A Framework: https://lnkd.in/g3UnJgu9 (this is a whitepaper with the full HCCS methodology)Artistic Works of Fiction and Falsehood: An Analysis of the Production and Consumption of Knowledge on 4chan: https://www.amazon.com.au/dp/B0BF9MDSV4 (Kindle version. Also available as a paperback and a hardback edition).Contact ABM Risk Partnership email us: info@abmrisk.com.au Tweet us at @4RiskCme Visit our LinkedIn page https://www.linkedin.com/company/18394064/admin/ Thanks for listening to the show and please keep your guest suggestions coming!

Get ready for an engaging episode of HCP as we welcome Ross, the founder of High Caliber Cleaning Supplies, to the show. Join us as we dive into the intriguing story behind HCCS and discover the passion that sparked its creation. But that's not all – we explore a wide range of topics with Ross, including his love for fly fishing, his hunting adventures in England, and his very own fly fishing podcast, "The Fly Fisher's Podcast." Through our conversation, we gain insights into Ross's journey as an entrepreneur, his deep connection to the world of fly fishing, and the inspiration behind his successful podcast. Whether you're an avid fly fisherman, a hunting enthusiast, or simply interested in the stories of passionate individuals, this episode promises something for everyone. Make sure to follow High Caliber Cleaning Supplies on Instagram (@highcalibercleaningsupplies) and visit their website at https://www.highcaliber.com.au/ to discover top-notch cleaning supplies for your firearms. And don't forget to check out "The Fly Fisher's Podcast" for even more captivating content from Ross. So, sit back, relax, and join us on this fascinating episode filled with insights, inspiration, and a shared love for the outdoors.

ICD10monitor correspondent Linda Holtzman, founder of Clarity Coding, will return to the Talk Ten Tuesdays (TTT) broadcast this coming Tuesday, March 7 to report on the activities at the Coordination & Maintenance Committee (C&M) meeting taking place from the headquarters of the Centers for Medicare & Medicaid Services (CMS).Holtzman, a longtime C&M observer, will bring her knowledge and expertise to her reporting of this important event – an essential meeting for coders and clinical documentation integrity specialists (CDISs). The two-day meeting will be held on March 7 and 8, virtually. The usual program will begin at 9 a.m. EST until 5 p.m. EST, until the business is finished. The tentative agendas are light this spring, with 18 topics on the diagnosis side and nine proposals for procedure codes. The procedure code information, however, will not be presented during the meeting. Remember, TTT will be covering this event live!The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will also report on the C&M meeting.The Dunn Report: Legendary HIM professional Rose Dunn, COO at First Class Solutions, and past president of the American Health Information Management Association (AHIMA), will report on the latest news about hierarchical categories of classification (HCCs).SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of coding and the 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.

Is your health system considering taking on more downside risk? In this episode, join Dr. Sandeep Wadhwa, global chief medical officer at 3M Health Information Systems, as he dives into key Medicare, Medicaid and commercial insurer payment trends that will influence risk adjustment, quality and population health.

On this roundtable Sean is joined by Terry Fletcher, Karen George, Stephanie Allard, Christine Hall, and Paul spencer for a discussion on the following: 1. Information Blocking Rule 2. No Surprises Act / Independent Dispute Resolution 3. Preparing for a Payor and/or Contractor Audit 4. MDD Audits and their impact on HCCs

Today's guests are Mary Rogers, CCS, CRC, COC, CPC, CCDS-O, supervisor of CDI, professional practices, and Patricia Swierczynski, RN, CRC, CCDS, CCDS-O, manager of CDI at Cooper University Health in Camden, New Jersey. Today's show is co-hosted by Melissa Varnavas, editorial director of events and education at ACDIS based in Middleton, Massachusetts. Today's show is supported by Nuance. Nuance CDI is a comprehensive portfolio of cloud-based technologies designed to help increase the productivity and effectiveness of CDI teams to drive clinical documentation excellence. Its clinically focused program and services deliver documentation guidance, AI-powered encounter prioritization, workflow management, denials support, and analytics to drive better documentation across the care continuum. Visit www.nuance.com for more details. Featured solution: Today's featured ACDIS solution is Imagine: 2022 ACDIS Conference. Imagine the possibilities and join your CDI peers in Orlando May 2–5, 2022, at the Gaylord Palms Resort & Convention Center! As we reconnect after the COVID-19 pandemic, we all need a little magic in our lives, and we all need to Imagine what might be in store for us professionally. The ACDIS annual conference provides countless opportunities to engage personally and professionally with like-minded individuals across the healthcare spectrum. The educational offerings are unparalleled. The networking opportunities are extensive. Our exhibitors are waiting to share their national knowledge. The only necessary ingredient remaining is you. This year we are offering dedicated outpatient CDI content, a masterclass track to improve your interpersonal skills so critical to CDI success, a location with shuttle busses running to the major Disney theme parks, and more! Learn more or register by clicking here. (http://ow.ly/rG5Y30s7Pzt)  In the News: “News: OIG audit for malnutrition,” from CDI Strategies (http://ow.ly/LUKX30scmMx) ACDIS update: “New resources added by the Forms & Tools Committee,” from CDI Strategies (http://ow.ly/aQG730scmNA) 

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/

This episode continues the discussion on Hierarchical Condition Categories, or HCCs, examining the impact of HCCs on reimbursement, approaches to risk-adjustment and changes in payment policies.   Guest speaker: Angela Hunt, RN, MBA, CCDS Principal Operations and Quality Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [00:43] RAF scores defined [01:22] Importance of RAF scores for reimbursement [03:40] Importance of understanding HCCs and their documentation [04:07] Risk adjusting patients [06:07] Payment structures in commercial policies [06:49] Approach and input from the Vizient team – focus on documentation [07:59] The future of HCCs and documentation   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Angela Hunt's contact email: angela.hunt@vizientinc.com Hierarchical Condition Categories Coding (AAFP) Click here HCC Fact Sheet (Vizient) Click here   Subscribe Today! Apple Podcasts Spotify Android Google Podcasts Stitcher RSS Feed

Outpatient CDI programs can have real impact with risk adjustment and Hierarchical Condition Categories (HCCs). An important component of the HCC risk adjustment model is accurate and appropriate HCC capture, representing a patient's disease burden year over year.HCCs reflect hierarchies within related disease categories. A patient can have multiple HCC categories assigned, and each category, along with patient demographics, is factored into the patient's overall risk adjustment factor (RAF) score.The higher the RAF score, the sicker the patient. On the upcoming edition of Talk Ten Tuesdays, we'll will cover the basics of HCCs and what steps to take in order to begin your outpatient CDI program with a focus on these factors. Broadcast Special Guest Colleen Deighan will also conduct a Talk Ten Tuesdays Listener Survey on this topic.The live broadcast will also feature these other segments:The Coding Report: In keeping with the broadcast's theme, Laurie Johnson will report on the new psychiatric codes for fiscal year 2022.Tuesday Focus: CMS Resumes Targeted Probe-and-Educate Program: Nationally recognized professional, coder, auditor, and educator Terry A. Fletcher will return to the broadcast to report on the resumption of the Centers for Medicare & Medicaid Services (CMS) Targeted Probe-and-Educate (TPE) program, which was delayed in response to the COVID-19 public health emergency (PHE) in March 2020. CMS has given the Medicare Administrative Contractors (MACs) the go-ahead to resume paused TPE reviews and initiate new reviews.Special Report: CMS One-Year Extension: Susan Gatehouse, founder and president of Axea Solutions, will report on the CMS one-year extension of New Technology Add-on Payments (NTAPs) for 13 technologies for which the payments otherwise would have discontinued beginning in 2022.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

Hierarchical Condition Categories (HCCs) aren't a new concept, but as more and more organizations shift to value-based care, there has been renewed issue in the subject. This is based on the recognition that without solid foundational knowledge of HCCs, health systems risk lower rates of reimbursement, or sometimes not getting paid at all.   On this program, we will explore the use of HCCs and their importance to medical practice.   Guest speaker: Angela Hunt, RN, MBA, CCDS Principal Operations and Quality Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Principal Clinical Operations and Quality Vizient   Show Notes: [01:36] Background and definition for HCCs [02:24] Using HCCs [02:54] Physicians and clinicians who use HCCs [04:08] Importance [05:34] Documentation approaches [08:47] Deriving value through the HCC designation   Links | Resources: To contact Modern Practice: modernpracticepodcast@vizientinc.com Angela Hunt's contact email: angela.hunt@vizientinc.com Hierarchical Condition Categories Coding (AAFP) Click here HCC Fact Sheet (Vizient) Click here   Subscribe Today! Apple Podcasts Spotify Android Google Podcasts Stitcher RSS Feed

And just like that, we've reached Episode 10 of Hot Coffee for the Creative Soul, and the Finale of Season 1! If you've been with me since Episode 1, or have enjoyed any, or every, episode that followed, there aren't words to express how much I appreciate you. Thank you for taking this journey with me, and I absolutely cannot wait to share what I have in store for Season 2 with y'all. Rest assured, it will be bigger and better than ever! For HCCS's final episode of Season 1, I've put together a cumulative review of the greatest moments from my nine conversations thus far. Throughout the course of these chats, five recurring themes made themselves apparent. This episode, with insights from HCCS host Ryan Castelaz, Owner and Creative Director of discourse | a liquid workshop, offers words of wisdom from all of our past guests in a condensed and consolidated form. If you listen to just one episode of HCCS, make it this one. The Five Lessons 1.) The heart of creativity is storytelling, regardless of the medium. 2.) Start small to maximize your creative freedom. 3.) Fail fast, fail forward. 4.) Adopt a mindset of "Yes, and..." - or "No, but...". 5.) Distance yourself from the narrative of the starving artist.

HCCS fam, do we ever have a treat for you this week! Joe Dolan is a nationally celebrated architect, designer, and educator responsible for some of the nation's most beautiful spaces: from massive sports stadiums, to intimate spaces like Chicago's rum-centric cocktail haven, Sparrow, and the Alinea group's casual fine-dining hot spot, Roister. Ryan and Joe discuss the tremendous impact of design on the modern world, the reconciliation of money and creativity, the pros and cons of perfectionism, and the quintessential importance of storytelling in any creative medium. For creatives working in the world of design, or for anyone interested in taking their creative practice to the next level, this episode is essential listening.

Accurately capturing complex and commonly misdiagnosed health conditions, represented by higher-weighted hierarchal condition categories (HCCs), is one of the most challenging aspects of the coding and documentation process. Because such HCCs often represent higher predicted healthcare costs, it's vital to improve the process of coding for these chronic healthcare issues. Our latest episode of the miniVHAN podcast takes a deeper dive into five top HCCs for conditions that are often misdiagnosed.

Support your association with EyeCode Clinical Update! Show Notes: Below is a (non-exhaustive) list of commonly used codes in optometry that if appropriate should be included on the claim form once per year even if it is a secondary diagnosis:   H40.10X(0,1,2,3,4) - Unspecified open-angle glaucoma H40.11X(0,1,2,3,4) - Primary open-angle glaucoma H40.121(0,1,2,3,4) - Low-tension glaucoma, right eye H40.122(0,1,2,3,4) - Low-tension glaucoma, left eye H40.123(0,1,2,3,4) - Low-tension glaucoma, bilateral H40.129(0,1,2,3,4) - Low-tension glaucoma, unspecified eye H40.131(0,1,2,3,4) - Pigmentary glaucoma, right eye H40.132(0,1,2,3,4) - Pigmentary glaucoma, left eye H40.133(0,1,2,3,4) - Pigmentary glaucoma, bilateral H40.139(0,1,2,3,4) - Pigmentary glaucoma, unspecified eye H40.15(1,2,3,9)      - Residual stage of open-angle glaucoma H43.1(0,1,2,3)        - Vitreous hemorrhage I10                          - Essential (primary) hypertension

There was a time when the coin of the realm in the world of coding was knowledge of complications or comorbidities (CCs) and major complications or comorbidities (MCCs).But 10 years later, the industry has changed rapidly, and to avoid going the way of the dinosaur, coders today need to embrace all patients’ refined diagnosis-related groups (APR-DRGs) and hierarchical condition categories (HCCs). A coder’s staying power lies beyond MS-DRGs, according to Kristi Pollard, who reports our lead story during this edition of Talk Ten Tuesdays.The live broadcast will also feature these other segments:The Coding Report: Laurie Johnson reports on the latest coding news that has been making headlines. Johnson is a nationally recognized coding authority and senior healthcare consultant at Revenue Cycle Solutions, LLC.Tuesday Focus: A recent meta-analysis of studies published by the Journal of the American Medical Association (JAMA) on the effects of nutritional support on clinical outcomes is a trending topic in healthcare’s social media universe. We will have two reports on this topic: Molly Hegarty, founder and CEO of Junum, reports on possible revenue loss when the presence of a malnutrition diagnosis is not documented appropriately, and Dr. McClain Blanton, a physician advisor with the Brundage Group, reports on the clinical aspects of the study.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on another thought-provoking topic that has captured her attention.

Exclusive reporting on ICD-11 and the need for early preparation for the new code set continues at ICD10monitor and Talk Ten Tuesdays.Among those skills that will need to be honed is hierarchical classification category (HCC) coding. HCCs thrive on specificity. Although it was thought that ICD-10 delivered the ultimate level of specificity, ICD-11 is expected to surpass ICD-10 in that area. But HCCs require documentation, and the key looming question remains, at this time, unanswered: will the documentation rise to meet the specificity level needed under ICD-11?Nationally recognized health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn, the chief operating officer for First Class Solutions, will explore that issue during the next edition of Talk Ten Tuesdays.The live broadcast will also feature these other segments:Mental Health Report: Although the industry hasn’t turned the corner on reducing mental healthcare burnout, a nationally prominent psychiatrist and author H. Steven Moffic suggests a fresh new approach in the deploying “edge leaders.”RegWatch: Stanley Nachimson, former CMS career professional turned well-known healthcare IT authority, returns to the broadcast to continue his reporting on regulatory news coming from Washington, D.C.The Coding Report: Cari Underwood reports on significant changes in Chapter 12 Diseases of the Skin and Subcutaneous Tissue, including new codes for reporting diagnoses of deep tissue damage and a new guideline directing the assignment of these codes. News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk and reports on the Google compliance cloud.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on a few thought-provoking topics that have captured her attention.

There was a time when therapy documentation was the focus of Recovery Audit Contractor (RAC) audits. Under the Patient-Driven Payment Model (PDPM), however, reimbursement for Medicare Part A patients being treated in skilled nursing facilities (SNFs) will be driven by patient condition, rather than therapy minutes. And this creates a target-rich opportunity for auditors, because certain documentation can easily lead to higher reimbursement – and the likelihood of audits leading to claim denials. Reporting on this development during this edition of Monitor Mondays is healthcare attorney Knicole Emanuel, partner in the Potomac Law Group.Other segments to appear during broadcast include:Court Report: The Reckitt Benckiser Group has agreed to pay $1.4 billion to resolve its potential criminal and civil liability related to a federal investigation of the marketing of the opioid addiction treatment drug Suboxone. Whistleblower attorney Mary Inman, partner in the London office of Constantine Cannon, reports on how an addiction specialist filed a False Claims Act (FCA) motion leading to the largest settlement in U.S. history related to the opioid crisis.Monday Focus: Senior healthcare analyst Frank Cohen returns to Monitor Mondays with a unique perspective on artificial intelligence (AI). Cohen reports on how the more accurate term for the ubiquitous AI should be “augmented intelligence,” as it relates to non-clinical areas of healthcare.SDoH Report: Ellen Fink-Samnick, nationally recognized expert on the social determinants of health (SdoH), will have the latest news on this trending topic that is attracting significant media attention. Ellen also conducts the Monitor Mondays Listener Survey.Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.

Hierarchical Condition Categories (HCCs) have been included in Medicare's methodology for risk adjusting provider payment since 2004. And while not new, they continue to be a topic of concern. This video answers: what do physicians need to focus on regarding HCCs, how should HCCs be handled on the outpatient side, and what are some strategies to improve documentation and to best incorporate HCCs into the physician workflow? Linda Gates-Striby, CCS-P, ACS-CA is Director Quality Assurance, SVMG Ascension Indiana. Nicole Knight, LPN, CPC, CCS-P, is Director of Revenue Cycle Solutions and Senior Consultant, for MedAxiom, an ACC Company. For more information, email HeartTalk@medaxiom.com or visit https://www.medaxiom.com

What’s next, when it comes to risk-adjusted reimbursement? Home health is next. Just like diagnosis-related groups (DRGs) and hierarchical condition categories (HCCs), the patient-driven groupings model (PDGM) represents another tremendous opportunity for the health information management (HIM) professional because of the nationwide demands for ICD-10 expertise. The Centers for Medicare & Medicaid Services (CMS) is moving home health agencies away from a volume-based payment model and toward this new value-based payment system. During this edition of Talk Ten Tuesdays, where we hear from Bonnie S. Cassidy, past president of the American Health Information Management Association (AHIMA), who will share important news on the PDGM program. The broadcast will also feature these other segments:CDI Report: Glenn Krauss, nationally recognized clinical documentation improvement (CDI) expert, reports on the top 25 DRGs with improper payment due to insufficient documentation, medical necessity, and coding – and how while optimization through queries might help, the bottom line is getting paid.News Desk: Timothy Powell, a compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.Coding Report: Senior healthcare consultant Laurie Johnson returns to the broadcast to report on the diseases and the corresponding codes that are making the news.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on the development of the DRG: the backbone of the current prospective payment system.Materials from Dr. Remer's segment

With special guest James S. Kennedy, MD, CCS, CCDS, CDIP, president of CDIMD-Physician Champions, a Nashville-based group of physicians, coders, and clinicians engaged nationwide as CDI physician advisors, ICD-10 medical informaticists, and DRG and HCC compliance advocates. Co-hosted by Melissa Varnavas, the Associate Editorial Director for ACDIS.  To view the article "CMS releases rule on the risk adjusment program for the 2018 benefit year," please click here. To view the article "3M to acquire M*Modal's Technology Business" as featured on In the News, please click here. To review the categories for the 2019 ACDIS Achievement Awards or nominate a colleague, please click here. After the show, Dr. Kennedy provided the following link, which provides a map of ICD-10 codes to HCCs. Please click here to access.

This interview on Building a Best Practice HCC Audit Program with Autumn Reiter, RN, BSN, CCDS, CDIP, CCS, director of staffing services for TrustHCS, was re-recorded after sound problems experienced during the original ACDIS Radio broadcast on Oct. 10, 2018. 

Are you hearing more about risk adjustment methodologies and Hierarchical Condition Categories (HCCs)? No doubt you are. That's because they impact coding, clinical documentation integrity activities and reimbursement. So what impact can you have on any of these issues? During this episode Marie A. Morin, director at Alvarez and Marsal Healthcare Industry Group LLC, reports on her experiences in assisting clients with risk assessment, coding and documentation practices. Other segments featured in this episode include: News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk and presents the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. The Coding Report: Nationally recognized author and consultant Deborah Grider, a senior healthcare consultant with Karen Zupko & Associates, reports on coding trigger point injections for pain management. Trigger point injection therapy is used for the treatment of myofascial pain syndrome (MPS). Tuesday Focus: April is Child Abuse Prevention Month and ICD10monitor contributor Laurie Johnson, a senior healthcare consultant for Revenue Cycle Solutions, reports on using the ICD-10-CM Official Coding and Reporting Guidelines for the proper coding of child abuse and neglect—an epidemic which, according to the Center for Disease Control (CDC), accounted for 1,750 children expiring from abuse or neglect in 2016. Talk Ten Tuesdays. More than just talk.™

With special guests Brett Senor, MD, Physician Associate for Enjoin providing guidance and support for CDI quality initiatives and MS-DRG assurance programs, and Sonia Trepina, MPA, the Director of Ambulatory CDI Services for Enjoin. Co-hosted by Laurie Prescott, MSN, RN, CCDS, CDIP, CRC, the CDI Education Director for ACDIS in Middleton, MA.  To view Executive Leadership and Physician Well-Being as featured on In the News, please click here.

Senior healthcare consultant Michelle Wieczorek returns to discuss six ideas she says will improve performance indicators for coding and clinical documentation integrity (CDI) departments.Wieczorek, who is a senior manager in the DHG Healthcare CFO advisory team, also discusses the ever-increasing importance of Hierarchical Condition Categories (HCCs) in the world of value-based care.Other segments to be featured this episode include:Tuesday Feature: Celebrated health information management (HIM) leader Bonnie Cassidy reports on major healthcare trends, including privacy, security, and a reduction in workforce in the HIM/CDI (clinical documentation improvement) industry. DocTalk: Nationally renowned psychiatrist H. Steven Moffic reports on a most unusual diagnosis for mental behavior - a diagnosis so new that it was just approved by the World Health Organization for inclusion in ICD-11. RegWatch: Healthcare industry expert Stanley Nachimson of Nachimson Advisors covers the latest regulatory and policy news from Washington, D.C. CDI Report: Glenn Krauss, managing director of clinical services for Precision Health Systems, reports on why CDI programs often fail to engage physicians effectively as willing participants. TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD joins the conversation on the shift in focus of CDI.Talk Ten Tuesdays. More than just talk.™

Tracy Barbour lives in Brooklyn, NY. A US Army veteran, Tracy was attending Rose Bruford College as a distance honors student in Theatre Studies when she dropped out to join a media group as a freelance photographer and journalist. From 2005 to 2008, she documented the growing Omaha music scene as well as covering international musicians such as Evanescence, Finger Eleven, Chevelle, Sick Puppies and Flyleaf while on tour. In 2009 she was nominated as an emerging artist in portraits and documentary for Blu Domain's Photographer of the Year program. In 2010, she was featured on Inside Analog Photo Radio's popular film photography podcast. Tracy became the Chair of the Digital Communications Advisory Board for HCCS in 2014, advising on their multi-media graphics and photography curriculum. A master storyteller, Tracy's work explores the grief and grace found in everyday life, from the streets of the world around her to connect one on one with those who have stories of hope and despair.   Resources: Download the free Candid Frame app for your favorite smart device. Click here to download for . Click here to download Click here to download for Support the work we do at The Candid Frame with contributing to our Patreon effort.  You can do this by visiting or visiting the website and clicking on the Patreon button. You can also provide a one-time donation via . You can follow Ibarionex on and .

Background/Aims: To evaluate the efficacy of multimodality treatment consisting of conventional transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) in patients with non-resectable and non-ablatable hepatocellular carcinoma (HCC). Methods: In this retrospective study, 85 consecutive patients with HCC (59 solitary, 29 multifocal HCC) received TACE followed by RFA between 2001 and 2010. The mean number of tumors per patient was 1.6 +/- 0.7 with a mean size of 3.0 +/- 0.9 cm. Both local efficacy and patient survival were evaluated. Results: Of 120 treated HCCs, 99 (82.5%) showed a complete response (CR), while in 21 HCCs (17.5%) a partial response was depicted. Patients with solitary HCC revealed CR in 91% (51/56); in patients with multifocal HCC (n = 29) CR was achieved in 75% (48 of 64 HCCs). The median survival for all patients was 25.5 months. The 1-, 2-, 3- and 5-year survival rates were 84.6, 58.7, 37.6 and 14.6%, respectively. Statistical analysis revealed a significant difference in survival between Barcelona Clinic Liver Cancer (BCLC) A (73.4 months) and B (50.3 months) patients, while analyses failed to show a difference for Child-Pugh score, Cancer of Liver Italian Program (CLIP) score and tumor distribution pattern. Conclusion: TACE combined with RFA provides an effective treatment approach with high local tumor control rates and promising survival data, especially for BCLC A patients. Randomized trials are needed to compare this multimodality approach with a single modality approach for early-stage HCC. Copyright (C) 2011 S. Karger AG, Basel

Purpose: To evaluate the efficiency of a multimodality approach consisting of transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) as bridging therapy for patients with hepatocellular carcinoma (HCC) awaiting orthotopic liver transplantation (OLT) and to evaluate the histopathological response in explant specimens. Materials and Methods: Between April 2001 and November 2011, 36 patients with 50 HCC nodules (1.4-5.0 cm, median 2.8 cm) on the waiting list for liver transplantation were treated by TACE and RFA. The drop-out rate during the follow-up period was recorded. The local efficacy was evaluated by histopathological examination of the explanted livers. Results: During a median follow-up time of 29 (4.0-95.3) months the cumulative drop-out rate for the patients on the waiting list was 0, 2.8, 5.5, 11.0, 13.9 and 16.7% at 3, 6, 12, 24, 36 and 48 months, respectively. 16 patients (with 26 HCC lesions) out of 36(44.4%) were transplanted by the end of study with a median waiting list time of 13.7 (2.5-37.8) months. The histopathological examination of the explanted specimens revealed a complete necrosis in 20 of 26 HCCs (76.9%), whereas 6 (23.1%) nodules showed viable residual tumor tissue. All transplanted patients are alive at a median time of 29.9 months. Imaging correlation showed 100% specificity and 66.7% sensitivity for the depiction of residual or recurrent tumor. Conclusion: We conclude that TACE.combined with RFA could provide an effective treatment to decrease the drop-out rate from the OLT waiting list for HCC patients. Furthermore, this combination therapy results in high rates of complete tumor necrosis as evaluated in the histopathological analysis of the explanted livers. Further randomized trials are needed to demonstrate if there is a benefit in comparison with a single-treatment approach. copyright (C) 2012 S. Karger AG, Basel

Hepatocellular carcinoma (HCC) is a very frequent tumor worldwide. Its incidence is linked to the distribution of liver cirrhosis and viral hepatitis, which are the main risk factors for the development of HCC. For the evaluation of the cirrhotic liver and for the diagnosis of HCC, multidetector computed tomography (MDCT) proved to be a robust and reliable tool. In MDCT the diagnosis of HCC can be made based on neovascularization with increased arterial and decreased portal venous supply. With modern magnetic resonance imaging (MRI), spatial resolution and robustness increased dramatically. Beside the evaluation of neovascularization by means of gadolinium-enhanced early dynamic MRI, the main advantages of MRI are additional information on tissue composition and liver-specific function. With diffusion-weighted imaging or plain T(1)- and T(2)-weighted sequences, different tissue elements like fat, hemorrhage, glycogen, edema and cellular density can be evaluated. Liver-specific contrast agents give insight into the Kupffer cell density or the hepatocellular function. The integration of all these parts into the MR examination allows for a very high detection rate for overt HCC nowadays, although very small HCCs are still a challenge. Moreover, insight into the different stages of hepatocarcinogenesis can be possible with MRI. Despite its limited availability in some countries, it has to be rendered to be the modality of choice for the distinct evaluation of the cirrhotic liver. Copyright (C) 2009 S. Karger AG, Basel

Background: cJun terminal kinase (JNK) is constitutively activated in most hepatocellular carcinomas (HCCs), yet its exact role in carcinogenesis remains controversial. While tumour necrosis factor (TNF)-related apoptosisinducing ligand (TRAIL) is known as a major mediator of acquired immune tumour surveillance, and is currently being tested in clinical trials as a novel cancer therapy, the resistance of many tumours to TRAIL and concerns about its toxicity in vivo represent obstacles to its clinical application. In this study we investigated whether JNK activity in HCC could contribute to the resistance to apoptosis in these tumours. Methods: The effect of JNK/Jun inhibition on receptormediated apoptosis was analysed by pharmacological inhibition or RNA interference in cancer cells and nontumour cells isolated from human liver or transgenic mice lacking a phosphorylation site for Jun. Results: JNK inhibition caused cell cycle arrest, enhanced caspase recruitment, and greatly sensitised HCC cells but not normal hepatocytes to TRAIL. TRAILinduced activation of JNK could be effectively interrupted by administration of the JNK inhibitor SP600125. Conclusions: Expression and TRAIL-dependent feedback activation of JNK likely represent a mechanism by which cancer cells escape TRAIL-mediated tumour surveillance. JNK inhibition might represent a novel strategy for specifically sensitising HCC cells to TRAIL thus opening promising therapeutic perspectives for safe and effective use of TRAIL in cancer treatment.