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We're living in a hybrid world. And now the hybrid concept has become part of the coding and clinical documentation integrity (CDI) world.The process of physician querying is already a stressful activity for many CDI and coding professionals. It has recently become even more stressful, because many hospitals are receiving a new type of denial: a hybrid between coding and clinical validation. It arises when a payer denies a diagnosis added by query, because their auditor determined that the query was non-compliant.During the next live edition of Talk Ten Tuesdays, senior healthcare consultant Cheryl Ericson will return to the broadcast to help coders and CDI specialists (CDISs) better code and report amid this new added twist of a threat.Also part of the broadcast will be these instantly recognizable panelists, who will report more news during their segments:• Field Report: Substituting for Tiffany Ferguson will be Laurie Johnson, who is expected to report on trauma coding occasioned by Wednesday's fatal shooting of the UnitedHealthcare CEO, Brian Thompson.• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, 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.
Feeling parched?Well, you're not alone. Hospitals across the country are dealing with a saline shortage.Thanks to Hurricane Helene's unwelcome visit to the Baxter International facility in North Carolina, your IV bags may be running low. Imagine a busy highway suddenly reduced to a single lane: that's what this IV shortage feels like for impacted healthcare providers.During the next live edition of the long-running and popular live Internet radio program Talk Ten Tuesday, Dr. Nick van Terheyden will report on just about everything related to this topic, from switching to oral meds (because who needs a needle when you can swallow?) to challenging those pesky “keep the veins open” (KVO) orders (seriously, do you really need to keep those veins open all the time?)Join Talk Ten Tuesdays and leave feeling hydrated and empowered!Also part of the broadcast, these instantly recognizable panelists will report more news during their segments:• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will continue with the final installment in her three-part series on the significant changes in the newly released ICD-10 codes.• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, 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.Cozen O'Connor Public Strategies - The Beltway BriefingListen for of-the-moment insider insights, framed by the rapidly changing social and...Listen on: Apple Podcasts Spotify
Health and longevity are within reach for everyone, no matter from where you're starting. And it's never too late to begin.During the next live edition of Talk Ten Tuesdays, Dr. Nick van Terheyden will cover some key areas upon which to focus so you can start bringing about improvements in your life by making small, consistent changes that are expected to lead to lasting improvements in your well-being.Over the course of the next few coming Tuesdays, Dr. Nick will dive deeper into these areas and beyond to explore additional healthy fundamentals. You are invited you to send in your suggestions for future topics – for example, what exactly are macronutrients and micronutrients, and why should we know?Also during the broadcast, these instantly recognizable panelists will report more news during their segments:• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will begin a three-part series on the significant changes in the newly released ICD-10 codes.• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, 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.Cozen O'Connor Public Strategies - The Beltway BriefingListen for of-the-moment insider insights, framed by the rapidly changing social and...Listen on: Apple Podcasts Spotify
As global temperatures soar and heatwaves become more frequent, the connection between climate change and rising heat is undeniable. The results are not limited to uncontrolled wildfires but extend to widespread health consequences of excess heat from immediate threats like heat exhaustion and heat stroke to the exacerbation of chronic conditions such as cardiovascular and respiratory diseases.Vulnerable populations, including the elderly, children, and outdoor workers, face heightened risks, with heat stress also impacting mental health, leading to increased anxiety and depression.The broader implications for public health are staggering, straining healthcare systems and economic resources and further impacting populations through air quality declines, vector-borne diseases, and food insecurity.To address this burgeoning problem America need comprehensive strategies, including public health interventions, urban planning innovations, and robust updates to policies and behavior. During the next live edition of Talk Ten Tuesday, Dr. Nick will explore how we mitigate and adapt to our new warmer future.Also during the next Talk Ten Tuesday broadcast, these instantly recognizable segments will include the following:• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesday News Desk.• Point of View: Dr. James S. Kennedy, president of CDIMD, will report on the latest hospital rankings from U.S. News and World Reports.
Each year the Medicare Payment Advisory Commission, MedPAC, provides Congress a report on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage (MA) program, and the Medicare prescription drug program (Medicare Part D). Within the MedPAC report is also the often (until now) under-reported Chapter 12.During the next live edition of Talk Ten Tuesdays, Colleen Ejak, Solution Advisor for 3M/Solventum, will report on the particulars from Chapter 12 of this report, including the status of the MA program.Colleen will be sharing specifics from the report regarding MA enrollment trends and updates on risk adjustment reporting and risk-conscious coding practices.The live broadcast will also feature these other instantly recognizable segments:• Dateline Healthcare: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest healthcare news.• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.• Point of View: Angela Comfort, guest cohost of the live broadcast, will report on a subject that has caught her attention.
In recognition of May's National Mental Health Awareness Month, ICD10monitor and Talk Ten Tuesdays have invited world-renowned psychiatrist and award-winning author H. Steven Moffic, MD to update his theory of social psychopathologies for the next live edition of the weekly Internet radio broadcast. According to Dr. Moffic, those are harmful individuals and group “isms,” “antis,” and social phobias.The live broadcast will also feature these other recognizable segments:RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.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).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.
The continued onslaught of cybersecurity attacks is only getting worse.These attacks have impacted the healthcare system in dramatic fashion, starting with the Change Healthcare payment network being brought down.Hopefully, everyone – including coders – will be more vigilant and wary of potential attacks and attempts to breach security. The constant development of new approaches and innovative tools means that if you or your facility have not yet been subject to an attack, it is likely only a matter of time before this comes knocking on your door. In helping providers get prepared, ICD10monitor and Talk Ten Tuesdays (TTT) have invited Nick van Terheyden (aka Dr. Nick), the clinical specialist at Iodine Software, to share his recent experiences and insights – and to offer some suggestions on how you might be fooled and what you can do to protect yourself, your business, and your family. The live broadcast will also feature these other recognizable segments:•RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.•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. On Medical GroundsOMG features interviews, mystery cases, slides, and select continuing education credits.Listen on: Apple Podcasts Spotify
During the next live edition of Talk Ten Tuesdays, award-winning author H. Steven Moffic, MD, considered to rank among the world's most renowned psychiatrists, will report on what he calls “social psychoexemplaries” – the other side of what he reported two weeks ago on social psychopathologies.Moffic, in his popular daily column in Psychiatric Times, recently mused on the notion of positive social psychiatry, writing “I have come to wonder if positive psychiatry can be expanded to positive social psychiatry, meaning to groups besides individuals. In other words, are there positive social psychiatry group characteristics?”Learn more about how positive social psychiatry might be a part of your daily experience.The live broadcast will also feature these other recognizable segments:• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.• News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.• Point of View: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will be the guest cohost, substituting for Dr. Erica Remer. Tiffany will report on a subject that has caught her attention during her popular segment.
Major updates regarding progress on the imminent ICD-11 code set were made during the recent meeting of the National Committee of Vital Health Statistics (NCVHS), including a request for information on the enigmatic code set, yet to be adopted by the U.S.Stanley Nachimson, longtime editorial contributor to ICD10monitor and former career professional at the Centers for Medicare & Medicaid Services (CMS), now an IT consultant, monitored the recent meeting and will report other NCVHS actions, including the updating Health Insurance Portability and Accountability Act (HIPAA) standards. Moreover, Nachimson is expected to report on a surprise move made by the Committee.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.
Recorded from WEDI's Summer Forum in July, Matthew talks about the first interim final rule issued by CMS to implement the provisions of the No Surprises Act with Stanley Nachimson of Nachimson Advisors. Upcoming WEDI Educational Events: TEFCA Presentation with ONC's Micky Tripathi PHD and Sequoia Project's Mariann Yeager- FREE to the industry, August 26 on Zoom WEDI National Conference, October 18-21, 2021 on Zoom. Use the code PODCAST for 15% off your registration fee Visit www.wedi.org to register
On June 17, WEDI presents a special one-day educational and informational event on Price Transparency and the No Surprises Act. Register at wedi.org and enter the code PODCAST to receive 15% off the registration fee. Matthew has a fantastic discussion with Stanley Nachimson, Principal of Nachimson Advisors and a veteran of Health Technology for over 30 years. Stanley is the author of the authoritative paper on the cost of ICD-10 for physician practices and is an active member of electronic transaction bodies including HIMSS, WEDI, and X12. Matthew and Stanley discuss price transparency and how patients must prepare for the coming wave of technological access that is moving their way.
Host Jim Tate talks to Elaine O' Bleness and Stanley Nachimson, leading the effort to educate patients and providers on the importance of the Unique Device Identifier. This data element is critical to tracking implanted devices and is a critical element of a patient's medical record. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW 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
The long-awaited and highly anticipated Inpatient Prospective Payment System Final rule was released late Tuesday afternoon, September 2nd. Due to the rule being published Tuesday, Sept. 2, you and your team have precious little time to prepare for these changes since the IPPS becomes effective Oct. 1, 2020. Joining us today for this special Talk Ten Tuesdays is Stanley Nachimson is a former CMS career professional and is the founder of Nachimson Advisors, LLC; and Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC.
Host Jeff Lin is joined by Stanley Nachimson of Nachimson Advisors for a part two in the series on the role of government in healthcare. Jeff and Stanley kick off part two of the series discussing the new interoperability rules and how consumers stand to benefit. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW 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/
Host Jeff Lin is joined by Stanley Nachimson of Nachimson Advisors for the first in a two-part series on the role of government in healthcare. In part one, Jeff and Stanley discuss the history of HIPAA, the evolution of electronic healthcare transactions and the strides we’ve made as an industry so far. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play HealthcareNOW 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/
2020 ushers in a formidable decade of healthcare regulations and a perilous audit landscape, populated with aggressive auditors who will be aided by artificial intelligence to review and deny claims.Decisions being made in Washington, D.C. will impact every practice, facility, and health system. With so many major changes taking place, you need to stay informed and alert – and RACmonitor and Monitor Mondays will help you stay out in front of the issues that will alter the delivery of healthcare, both now and through this new and unchartered decade.Monitor Mondays host and RACmonitor Publisher Chuck Buck will have the following all-star lineup of experts on hand to tell you what to watch out for in 2020, during the first broadcast of the year for the weekly Internet broadcast, which is celebrating 10 years of live programs. Our line up of panelists includes:Dr. Ronald Hirsch, MD, FACP, CHCQMNancy Beckley, MS, MBA, CHCKnicole Emanuel, Esq.Maureen Testoni, Esq.Stanley Nachimson, MSEdward M. Roche, PhD, JDAndrew Wachler, Esq.Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRPAngela M. Phillips, PTWilliam A. Dombi, Esq.Leslie Marsh, RN, BS, MSN, MBA
Clinical documentation integrity (CDI) is seen through an international lens as the contributions of the American Health Information Management Association’s (AHIMA’s) World Congress are recognized during this edition of Talk Ten Tuesdays. The broadcast will usher in the global celebration, coming just in advance of World Health Day on April 7.Joining the broadcast will be Alexandre Bouché, who created a new international arm of AHIMA –- the AHIMA World Congress (AWC) –- to help its members achieve their full potential and professional recognition in the Middle East, Southeast Asia, and European markets.This broadcast will also feature these other segments:CDI Report: Dr. Wilbur Lo provides an overview of the methodology of International-Refined (IR-DRGs). Dr. Lo also reports on how providers in the United Arab Emirates (UAE) are experiencing additional annual revenue, improved patient care and quality of data outcomes based on a gap analysis performed by AWC.News Desk: Timothy Powell, a compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, through which he reports on the latest regulatory changes coming out of Washington, D.C.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on opioids – a topic that continues to generate national attention.
We are honored to welcome the President and Chair of the 2019 American Health Information Management Association (AHIMA) Board of Directors, Valerie Watzlaf, Ph.D. to this edition of Talk Ten Tuesdays. Dr. Watzlaf is vice chair of education and associate professor within the Department of Health Information Management (HIM) in the School of Health and Rehabilitation Sciences (SHRS) at the University of Pittsburgh. She also holds a secondary appointment in the Graduate School of Public Health. In those capacities, she teaches and performs research in the areas of HIM, epidemiology, quality improvement, statistics, and long-term care. Welcome, Dr. Watzlaf.This broadcast will also feature these other segments:The ICD-10 Coding Report: Chronic conditions have been in the news lately and Laurie Johnson reports on the ten most expensive conditions with regards to ICD-10 codes as well as clinical documentation and HCC impacts. Johnson is a nationally recognized coding authority and senior healthcare consultant at Revenue Cycle Solutions, LLC.News Desk: Timothy Powell, a compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, through which he reports on the latest regulatory changes coming out of Washington, D.C.GuestTalk: Holly Louie, past president of the Healthcare Business and Management Association and the compliance officer for Professional Management, Inc. (PMI), will report on healthcare billing issues that have captured her attention of late.Click here to view the link mentioned by Stanley Nachimson in his segment RegWatch
Although still lingering on the horizon, much like a coming storm, ICD-11 is fast approaching – which is why the new code set is on the radar screen at the American Health Information Management Association (AHIMA). In fact, AHIMA reports that it has begun conducting research aimed at addressing coding in order to determine how productivity, accuracy, and quality can be improved across all settings.Reporting on ICD-11 and how AHIMA is preparing its members for the next coding milestone during the next edition of Talk Ten Tuesdays will be Julie Dooling, AHIMA’s director of health information management (HIM) practice excellence.Other segments to be featured on the broadcast include:The I-10 Coding Report: Are there codes for the extreme cold weather that’s impacting much of the nation? Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will be reporting on ICD-10 coding for this freezing cold, specifically, associated conditions and external cause codes.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk-Ten-Tuesdays News Desk.RegWatch: Leading healthcare technology consultant Stanley Nachimson will return with his popular segment, through which he reports on the latest regulatory changes coming out of Washington, D.C.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on coding cardiac arrest and will highlight her reporting with a listener poll.
Social determinants of health (SdoH) are swamping hospitals like rising rivers following a storm. A reported $1.7 trillion in healthcare costs are now attributed to 5 percent of the nation’s population, with a majority of that sum related to the SdoH. And while the focus has been largely on the most vulnerable and disenfranchised members of populations, the new face of SDoH is evolving as a consequence of an increase of natural and manmade disasters, as well as new attention being given to longstanding issues such as rural health, human trafficking, business closures, and loss of pensions for an increasing number of older adults.Returning to Talk Ten Tuesdays to report on this developing story is nationally recognized SDoH authority, author, and educator Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, the founder of EFS Supervision Strategies, LLC.Other segments to be featured on the broadcast include:Coding Report: Coders will be dealing with new payment models in 2019, including one for skilled nursing facilities (SNFs) expected to be released on Oct. 1. Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports this developing story.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.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.DocTalk: Talk Ten Tuesdays guest co-host Juliet Ugarte Hopkins, MD, CHCQM, physician advisor of case management, utilization, and clinical documentation at ProHealth Care, reports on the collaboration between coding, clinical documentation integrity, and physician advisors when facing clinical validation denials.
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 tragic events that shocked the nation’s collective conscience on an otherwise peaceful recent Saturday morning call to mind the intersection of physician burnout and post-traumatic stress syndrome.With physician burnout reported to be widespread and suicides among physicians escalating at an alarming rate, do disasters – both natural and manmade – disproportionately impact the profession? Or are there other conflicts endemic to healthcare that tear at the emotional and mental health of physicians, thus creating a sense of helplessness?Reporting on our lead story during this edition of Talk Ten Tuesdays will be Dr. Tracy Sanson, a practicing emergency physician, consultant, and educator on leadership development and medical education. A national and international speaker, Dr. Sanson also serves as a core faculty member for the American College of Emergency Physicians.Other segments to be featured on the broadcast include:CDI Report: What does the future of clinical documentation integrity (CDI) look like? Mel Tully, vice president of clinical services and education for the healthcare division of Nuance Communication, reports on the evolution of CDI as an integrated, interdisciplinary function impacting patient care.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesday News Desk.Tuesday Focus: Julie Dooling, a director at the American Health Information Management Association (AHIMA), reports on health information management challenges and tips for hospitals and other healthcare organizations in the aftermath of a hurricane, specifically in light of the devastation recently brought by Hurricane Michael.RegWatch: Leading healthcare technology consultant Stanley Nachimson returns to the broadcast to report on the final rules for the Medicare Physician Fee Schedule and the Quality Payment Program (QPP) that were released by the Centers for Medicare & Medicaid Services (CMS) on Thursday. 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.
In this edition of Talk Ten Tuesdays Chuck Buck and Holly Louie, RN welcome special guest Dr. Emmel Golden, a physician associate and medicine lead for Enjoin. Dr. Golden, board-certified in internal medicine and pulmonary disease, will report on, among other topics, those associated with major disease category 18, including the confusing aspects of coding systemic inflammatory response syndrome, or SIRS. Other segments to be featured on the broadcast include: News Desk: Knicole Emanuel, Esq, anchors the Talk Ten Tuesdays News Desk and reports on Medicare waivers in times of natural disasters. Knicole is a partner at Potomac Law Group, PLLC. Coding Changes: The American Medical Association (AMA) released its 2019 code changes last week. Continuing her reporting on this developing story is senior healthcare consultant Deborah Grider with Karen Zupko and Associates. Tuesday Focus: Sharon Easterling will report on the impact of Hurricane Florence in the Carolinas, especially among area hospitals. Sharon Easterling is the CEO of Recovery Analytics, LLC in Charlotte, N.C. Easterling will discuss best practices for hospitals confronting natural disasters. 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. Coding Report: Continuing her reporting on last week’s ICD-10 Coordination and Maintenance Committee meeting will be Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC and an ICD10monitor contributor. Talk Ten Tuesdays: More than just talk™
There is a lot of buzz out in the industry about ICD-11, especially since the World Health Organization (WHO) released the new code set in June as first reported by ICD10monitor and Talk Ten Tuesday. Nevertheless, ICD-11 is a trending topic—a topic we will explore during this edition of Talk Ten Tuesdays. That’s when nationally recognized coding authority Rhonda Buckholtz will report on the need to make sure all of the coding options have been refined in ICD-10-CM in order to make coding more productive in ICD-11. Other segments to be featured on the broadcast include: Tuesday Focus: 2019 ICD-10-CM Official Guidelines: The FY2019 Official Guidelines have been released as reported by ICD10monitor. Gloryanne Bryant, past president of the California Health Information Association, reports on the new changes. E and M Coding Update: Given the potential impact of major E and M changes in the 2019 Medicare Physician Fee Schedule proposed rule, Deborah Grider, senior healthcare consultant for Karen Zupko and Associates, reports on reaction to the E and M overhaul being proposed by the Centers for Medicare and Medicaid Services (CMS). News Desk: Larry Field, DO, anchors the Talk TenTuesday News Desk with the very latest healthcare news. Field is the treasurer of the American College of Physician Advisors. 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.™
Are seasoned coding professionals competent or trained well enough to interpret clinical terms and concepts from the medical record? Although they have been doing so for decades, the question continues to remain contentious. Reporting our lead story during this edition of Talk Ten Tuesdays will be Debra Beisel Denton, who works at Maricopa Integrated Health System as the health information management (HIM) system coding educator. Other segments to be featured on the broadcast include: News Desk: Dennis Jones, the patient financial services administrator at Nyack Hospital in Nyack, N.Y., will anchor the Talk Ten Tuesdays News Desk. Tuesday Focus: Shannon DeConda, a nationally recognized evaluation and management (E&M) coding authority, reports on the 2019 proposed Medicare Physician Fee Schedule released Thursday by the Centers for Medicare & Medicaid Services (CMS). DeConda is founder of the National Alliance of Medical Auditing Specialists (NAMAS). 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. TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on a current issue that caught her attention during her popular TalkBack segment. Talk Ten Tuesdays. More than just talk.™
University of Pittsburgh Medical Center (UPMC) is a world-renowned healthcare provider and insurer based in Pittsburgh, Penn. With more than 30 academic, community, and specialty hospitals, 600 doctors’ offices in outpatient sites, and more than 4,600 physicians, operating an array of rehabilitation, retirement, and long-term care facilities, UPMC relies on technology to help enhance its coding and clinical documentation improvement (CDI) program. And the latest reiteration of its CDI program, called Hybrid CDI, constitutes a system that combines off-site as well as on-site clinical documentation integrity specialists. To learn more about this promising approach, we asked Megan Cortazzo, MD, an assistant professor of physical medicine and rehabilitation at UPMC, to be our special guest on this edition of Talk Ten Tuesdays. Dr. Cortazzo also serves as the medical director of CDI and health information management (HIM) for the UPMC System. Other segments to be featured on the broadcast include: News Desk: Gloryanne Bryant, past president of the California Health Information Association and an ICD10monitor contributor shares the latest news on the release of FY2019 ICD-10-CM Code Changes. Case Management Report: Nationally recognized case management expert and author Stefani Daniels returns to Talk Ten Tuesdays to report on the hot topic of length of stay (LOS). Daniels is the founder and partner of Phoenix Medical Management, Inc. Coding Report: Nationally recognized coding and documentation authority Terry Fletcher highlights her findings from her four-part series on auditing issues in physician documentation she uncovered in her exclusive reporting for ICD10monitor. 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. Mental Health report: Nationally renowned psychiatrist and Talk Ten Tuesday contributor H. Steven Moffic, MD, reports on recent celebrity deaths, physician burnout and physician suicide. Talk Ten Tuesdays. More than just talk.™
Not wishing to disappoint, the 2019 Medicare Inpatient Prospective Payment System (IPPS) proposed rule, released on Tuesday, has something for everyone. For coders and clinical documentation integrity specialists (CDISs), there are proposed new codes and tweaks to the MS-DRG methodology as well as changes in New Technology add-on payments. Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions LLC and ICD10monitor contributor, will report on the latest proposal from the Centers for Medicare & Medicaid Services (CMS). Other segments to be featured on the broadcast include: Tuesday Focus: Charles Stellar, president and CEO of the Workgroup for Electronic Data Interchange, took time from his busy schedule to discuss solving the Interoperability issues in healthcare to assure that different information technology systems and software applications can communicate and exchange data. News Desk: Charles Locke, MD, a senior physician advisor of care coordination and clinical resource management at Johns Hopkins and an assistant professor at the Johns Hopkins School of Medicine, reported on the news coming from the National Physician Advisor Conference in Greenville, North Carolina. 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. Most notably, he reports on the IPPS proposed rule on EHR Meaningful use for hospitals. Coding Report: Nationally recognized coding and documentation authority Terry Fletcher continues reporting on errors she is uncovered in a review of more than 1,000 records. Terry will share her findings in the second of a four-part series on auditing issues in physician documentation. Talk Ten Tuesdays. More than just talk.™
Maligned and misunderstood, the Merit-Based Incentive Payment System (MIPS) is under assault, as industry experts are urging officials at the U.S. Department of Health and Human Services (HHS) to consider repealing the program. Yet March 31 was when eligible clinicians were to submit their quality data by for the value-based reimbursement program. Delivering an update on MIPS during this episode is nationally recognized revenue cycle authority Lyman Sornberger, chief strategy officer for Capio Partners. 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. Coding Report: Senior healthcare coding educator and consultant Laurie Johnson reports on the ICD-10 code proposals put forth during the recent Coordination and Maintenance Committee meeting. 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. Type 2 Myocardial Infarctions: Dr. Erica Remer foregoes her usual TalkBack segment to help try resolve the latest confusion behind elevated troponins and Type 2 MI. 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.™
Are medical decision-making and medical necessity one in the same? Often, bad advice tends to circulate regarding how to select the correct evaluation and management (E&M) codes.Healthcare attorney David Glaser was the first to break a news story involving Highmark’s recent policy – evidently recently rescinded – that required physicians to use medical decision-making as a key component of coding. Reporting our lead story during this edition of Talk Ten Tuesdays is David Glaser, who is joined by Betsy Nicoletti, a national consultant on physician coding and founder of Coding Intel.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. CDI Report: Nationally recognized clinical documentation improvement (CDI) expert Stefani Daniels returns to Talk Ten Tuesdays with yet another CDI report. Daniels is the founder and partner of Phoenix Medical Management, Inc. 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.™
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.™