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Backlash continues over the Centers for Medicare & Medicaid Services (CMS) proposed changes to evaluation and management (E&M) coding and reimbursement found inside the proposed 2019 Medicare Physician Fee Schedule. But it’s not all bad news. On this edition of Talk Ten Tuesdays, when Sally Streiber, president of Practical Coding Solutions, LLC, returns to the broadcast and launch part one of her two-part series reviewing the proposed changes. Sally will begin the first part of her series with the “ugly,” notably a 50 percent reduction of the less-expensive service when an E&M code and a procedure are billed on the same date of service. Sally will return on Aug. 28 with part two, reporting the good and the bad of other anticipated impacts. Other segments to be featured on the broadcast include: Talk Tuesdays News Desk: The NFL continues to make payouts for former players who have been diagnosed not only with chronic traumatic encephalopathy, but now Parkinson’s and amyotrophic lateral sclerosis (ALS), according to a recent news report by the Los Angeles Times. Senior healthcare consultant Laurie Johnson, an ICD10monitor contributor, reports on the clinical indicators of these two diagnoses in advance of the NFL season, which kicks off Sept. 6. Mental Health Report: Feeling the heat? With unseasonably hot weather plaguing most of the U.S., physicians are feeling another kind of burn; burnout. A recent study reports that 52 percent of physicians feel burned out regularly. Returns to report on this topic will be nationally renowned psychiatrist H. Steven Moffic, MD, the Talk Ten Tuesdays resident psychiatrist. TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on her personal role as a patient advocate for her ailing father. Joining the conversation will be Caitlin Donovan, director of outreach and public affairs for the National Patient Advocate Foundation. Talk Ten Tuesdays. More than just talk.™
Billing and collecting patient visits continue to challenge most healthcare providers and a frequent question often heard is “Can we bill a preventative medicine and new patient visit on the same day?”As a point of reference, there are circumstances when a preventative visit and a problem-oriented visit could be billed on the same date. The problem: the uncertainty of what those circumstances are and differing policies among payers, including Medicare. Do they all agree with these rules for payment? During the next live edition of Talk Ten Tuesdays, Terry Fletcher, a nationally recognized professional coder, auditor and consultant, will describe the issue and report on the otherwise indistinguishable fine line between preventative and problem-oriented evaluation and management (E&M) visits. The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: Colleen Deighan, a senior healthcare consultant with 3M HIS Consulting, will report on lessons learned from the CDI inpatient experience and how that informs CDI implementation in the outpatient setting. News Desk: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, 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.
The Centers for Medicare & Medicaid Services (CMS) has released the hospital Inpatient Prospective Payment System (IPPS) Proposed Rule for short- and long-term acute-care hospitals. The Proposed Rule not only updates the Medicare approach to Medicare-Severity DRGs (MS-DRGs) reimbursement, but also advocates for the President’s executive orders addressing quality, inequities, and outcomes in healthcare.  While there are no new MS-DRGs, minimal changes to the MS-DRG algorithms, and another one-year delay to implementing a comprehensive complications and comorbidities (CCs) and major CCs (MCCs) restructuring, proposed four years ago, CMS proposes 10 new Inpatient Quality Reporting measures, such as Hospital Commitment to Health Equity, Screening for Social Drivers of Health, Screen Positive Rate for Social Drivers of Health, the Cesarean Birth Electronic Clinical Quality Measure (eCQM), a Severe Obstetric Complications eCQM, a Hospital-Harm/Opioid-Related Adverse Events eCQM, the Global Malnutrition Composite Score eCQM, and others that certainly will have clinical documentation integrity (CDI) and ICD-10-CM/PCS coding implications.  During the next live edition of Talk-Ten-Tuesdays, James S. Kennedy, MD, president of CDIMD, will briefly outline which of these warrant the immediate attention of ICD-10-CM/PCS-oriented physicians, providers, coders, and CDI specialists, who are being asked to formulate and submit comments prior to CMS’s June 17 deadline. The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news. Talk Law: Knicole Emanuel, Partner with Practus, will continue with the broadcast’s newest segment.  RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C. News Desk: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will anchor the Talk-Ten-Tuesdays News Desk. Point of View: Susan Gatehouse, a guest cohost who will be substituting for Dr. Erica Remer, will report on payor strategies that should be implemented to mitigate the already long road to payment. 
A tragic milestone is about to be reached, bringing with it the potential to wreak havoc on America’s crumbling mental health infrastructure: the United States is poised to record one million deaths caused by the deadly coronavirus pandemic. Collateral damage created by these deaths could likely be compounded by hundreds of thousands grieving the loss of loved ones and suffering from the new DSM-official condition: prolonged grief disorder. The number of potential grievers could be approximately 360,000 individuals – a staggering number, whose grieving could overwhelm an already frail mental health system. Providing context and commentary to this imminent mental health crisis during the next edition of Talk Ten Tuesdays will be Dr. H. Steven Moffic, an award-winning psychiatrist, prolific writer, and speaker. The live broadcast will also feature these other segments:Talk Law: ICD10monitor and Talk Ten Tuesday launch a new segment called, “Talk Law,” featuring Brianna J. Santolli, Esq., a healthcare and litigation attorney with Riker Danzig Scherer Hyland & Perretti LLP. Tuesday Focus: Barostim Heart Failure: Susan Gatehouse, founder and CEO for Axea Solutions, will report on the proper procedural and coding training to ensure accurate reimbursement.   News Update: Health Equity:  A recent JAMA study shows that more than 50 percent of Black women over the age of 20 have high blood pressure. Nationally recognized healthcare consultant, Terry Fletcher, will report on what the AMA is doing to give Black women the resources they need to tackle this health issues, but also, understanding why it is important to service not only the majority, but the minority when it comes to healthcare equity. News Desk: Dr. John Zelem, founder and CEO of Streamline Solutions Consulting, will return to 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. 
The Public Health Emergency (PHE) was extended, as expected, April 16. But here’s the caveat when it comes to PHE waivers: not all waivers were created equal. For example, does a PHE declaration waive or preempt state licensing requirements for healthcare providers? Are HIPAA protections for virtual care removed? Reporting this developing story during the next live edition of Talk Ten Tuesdays will be nationally recognized professional auditor, coder, educator and author Terry Fletcher. Listen and learn as Fletcher walks you and your team through the labyrinth of issues associated with the current PHE extension and what those mean for physicians and what assumptions not to make. The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news. The Dunn Report: The Problem with Problem Lists. Rose Dunn, a nationally recognized professional in health information and former CEO, president, and board member of the American Health Information Management Association (AHIMA), will report on the challenges she is experiencing with Medicare Advantage payers. She currently serves as COO of First Class Solutions, Inc. News Desk: Dr. John Zelem, founder and CEO of Streamline Solutions Consulting, will return to 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.  
The World Health Organization (WHO) has released the official version of ICD-11, and the National Committee on Vital Health Statistics (NCVHS), is calling for research to evaluate its use in the U.S. Reporting the lead story during the next live edition of Talk Ten Tuesdays will be the ICD-11 national correspondent for ICD10monitor, Mary Stanfill, vice president of consulting services for United Audit Systems, Inc. Stanfill will report on promising published research comparing ICD-11 with ICD-10, including early studies exploring the feasibility of replacing the old coding set with the new, noting that the early indications are very promising – and suggesting that America’s healthcare system should invest resources to explore the change. Early ICD-11 content analysis suggests it can represent ICD-10-CM codes much better than ICD-10-CM was able to represent ICD-9-CM codes, at the point the U.S. made that change.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: Public Health Emergency: Nationally recognized physician coder, auditor, educator, and author Terry Fletcher will report on the latest news concerning the COVID-19 public health emergency (PHE). News Desk: Gloryanne Bryant, a member of the ICD10monitor editorial board, will anchor the Talk-Ten-Tuesdays News Desk.Point of View: Susan Gatehouse, a guest cohost who will be substituting for Dr. Erica Remer, will report on payer strategies that should be implemented to mitigate the already long road to payment. 
Thursday, April 7, 2022, is designated as World Health Day by the World Health Organization (WHO). And in a fitting preamble to this annual event, ICD10monitor and Talk Ten Tuesdays will feature a special guest: International Health Information Association (IFMA) President Lorraine Fernandes, who will release an official statement by her organization in support of the implementation of ICD-11. In her prepared remarks, Fernandes will discuss the importance of ICD-11 relative to an estimated 25,000 petabytes of healthcare data generated worldwide in 2021 – and how, through ICD-11, this data holds tremendous promise for meeting the WHO’s Sustainable Development Goals (SDGs) of better health for all. She will also note that ICD-11 will standardize and structure health data so it can be leveraged by technology to help reduce healthcare costs, improve outcomes, and increase universal access to healthcare. The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: Prior Authorizations: Nationally recognized physician coder, auditor, educator, and author Terry Fletcher, will report on the latest developments occurring with a contentious topic.  RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C. News Desk: John Zelem, founder and president of Streamline Solutions Consulting, 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. 
Artificial intelligence (AI) is omnipresent — in self-driving cars, manufacturing, and healthcare management. Now, AI is even being deployed in the physician query process. Yet engineering AI to be programmed for physician queries requires understanding the physician’s thought process. And that’s always a challenge, on any level — especially for AI computer scientists.For the latest update on automated physician queries, we have invited Gerasimos “Gerry” Petratos, CEO for HiTeks, a company that has several installed automated physician query solutions in major healthcare systems, to serve as the special guest during the next edition of Talk-Ten-Tuesdays. Gerry will report on the challenges inherent in these efforts, as well as explain whether automated queries might mark the end of the clinical documentation integrity specialist (CDISs) profession.Because clinicians require timely and accurate advice to improve patient care and practice management, AI appears to be a key solution to assist in streamlining this process. The advent of the electronic health record (EHR) has made real-time decision support possible, due to the common workflows and digitization of clinical data available for processing. However, the avalanche of clinical data produced every day for innumerable medical conditions is stashed away in difficult-to-consume structure, often going untapped.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: PSIs, Providers and Queries: Christel Kemble, the PSI/HAC consultant for Covenant HIM, will report on the intersection of Patient Safety Indicators and physician queries.News Desk: Dennis Jones, administrator of patient financial services (PFS) for Montefiore/Nyack Hospital, 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.
Welcome to the 500th live broadcast of Talk Ten Tuesdays.Ten nationally recognized thought leaders are scheduled to appear during the landmark production. As part of the full 60-minute broadcast, you will hear updates on topics ranging from the deadly coronavirus to the latest healthcare regulatory news, along with updates on ICD-10 coding, clinical documentation integrity (CDI), mental health, and the revenue cycle.Invited panelists include the following:Matthew AlbrightRose Dunn, MBA, RHIA, CPA, FACHE, FHFMACheryl Ericson, RN, MS, CCDS, CDIPJohn Foggle, MD, MBATerry A. Fletcher,BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CAJames Kennedy, RHIT, CCS, CPC, AHIMA-Approved ICD-10-CM/PCS TrainerH. Steven Moffic, MDStanley Nachimson, MSJohn Zelem, MD, FACS
Two years ago this week, the World Health Organization (WHO) described COVID-19 as a pandemic — about the same time a cruise ship was held at sea off the California coast, with 3,500 people on board ultimately testing positive for the coronavirus. Today, masks are required. Social distancing is practiced. Countries close and open their borders, schools and public facilities shutter and open, and the embers of burnout explode as the Ides of March arrive. ICD10monitor and Talk Ten Tuesdays continue to report on the growing crisis and also the exposure of widening cracks in America’s health system infrastructure caused by the coronavirus, denying healthcare services to many of America’s disadvantaged communities. Reporting of this unchecked burnout during the next live edition of Talk Ten Tuesdays will be one of America’s foremost psychiatrists, H. Steven Moffic, MD.The live broadcast will also feature these other segments:Coding Report: Coordination and Maintenance Committee Meeting: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the outcome of the two-day meeting of the Coordination and Maintenance Committee (C&M) meeting held on Tuesday and Wednesday of this past week. Tuesday Focus: Social Determinants of Health: Terry Fletcher, nationally recognized professional auditor, coder, educator, and author, will report on the need for accurate coding of the social determinants of health (SDoH).  News Desk: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, 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. 
Only here on Talk Ten Tuesdays will you learn the whole story behind the latest request from the Centers for Medicare & Medicaid Services (CMS). The agency is asking for feedback on four cost-efficiency models as part of the Merit-Based Incentive Payment System (MIPS) program. The deadline is fast approaching: March 25, 2022. The proposed cost-efficiency models for the CY 2023 MIPS cover positions including emergency physician, psychiatrist, and cardiologist/hospitalist.  During the next live broadcast, CDI physician expert Dr. James S. Kennedy of CDIMD in Nashville, Tenn. will report on CMS’s proposed implementation of these cost-efficiency models, which will be effective Jan. 1, 2023, as authorized by the Medicare and CHIP Reauthorization Act of 2015 (MACRA) – as well as the role CDI teams have in ensuring success in avoiding physician financial penalties of up to 2.7 percent.The live broadcast will also feature these other segments: Coding Report: Coordination and Maintenance Committee Meeting: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC will file two reports on the Coordination and Maintenance Committee (C&M) meeting that will be underway at the time of this broadcast from CMS headquarters in Baltimore. Johnson will also file a follow-up report on the C&M meeting at the conclusion of the broadcast. Tuesday Focus: Continuous Glucose Monitoring: Susan Gatehouse, founder and CEO for Axea Solutions, will report on continuous glucose monitoring (CGM) systems, designed to improve the ability to treat and manage diabetes using everyday technology. However, is the coding for the treatment and management of diabetes adequately captured? News Desk: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, 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. 
With Medicare audits looming and U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan items now relating to telehealth services performed during the COVID-19 public health emergency (PHE), it is time to make certain that your organization is accurately reporting services and claims within the requirements of the 1135 waivers relevant to the Coronavirus Aid, Relief, and Economic Security (CARES) Act of 2020.  Remember, too, that in the world of healthcare auditing, it’s not “if” you get audited, but “when.”Because of the immediacy of these Medicare telehealth audits, we asked nationally recognized professional auditor, coder, author, and consultant Terry Fletcher to share with you the top 10 regulatory rules for Medicare telehealth.The live broadcast will also feature these other segments:Tuesday Focus: Outpatient CDI Update: The Hospital Outpatient Quality Reporting Program evaluates the regularity of treatment known to provide the best results for certain conditions. Colleen Deighan, a consultant with 3M, will return to provide details on quality measure 40, which reports the percentage of emergency department patients with a diagnosis of ST-segment elevation myocardial infarction (STEMI) who received appropriate treatment within specific time frames upon arrival to the emergency department.Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C.News Desk: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will anchor the Talk Ten Tuesdays News Desk.Sitting in for Dr. Erica Remer will be Susan Gatehouse, founder and CEO for Axea Solutions.
 The recent announcement from the Pan American Health Organization (PAHO) that the World Health Organization’s (WHO’s) ICD-11 coding system went online as of Feb. 11 might have been met with measured enthusiasm globally, but not here in the United States. The much-vaunted coding set isn’t expected to reach America’s shores for perhaps as much as a decade.Nonetheless, ICD-11 continues to be a topic generating interest among America’s coding community. And that is why we have asked Mary Stanfill, our ICD-11 correspondent, to be the special guest during the next live edition of Talk Ten Tuesdays. Stanfill is expected to provide listeners with an update on the new coding set looming on the horizon.The live broadcast will also feature these other segments: Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news. Tuesday Focus: Coding Alzheimer’s: Susan Gatehouse, founder and CEO for Axea Solutions, will report on coding Alzheimer’s – specifically, the new HCPCS Code J0172, for a new drug treatment. Its effective period will run from Jan. 1, 2022, to March 31, 2022, but many of the finer details could be subject to change during a 90-day comment period. News Desk: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, 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. 
The billing rules for shared/split evaluation and management (E&M) visits are changing, as they will again in 2023. But although the Centers for Medicare & Medicaid Services (CMS) considers 2022 a transition year, controversy surrounding the 2022 Medicare Physician Fee Schedule (MPFS) is creating contagious confusion. If you and your team are suffering from such chronic consternation, relief will be within reach when you log on next Tuesday for another live edition of the Talk Ten Tuesdays Internet broadcast. Because that’s when National Alliance of Medical Auditing Specialists (NAMA) Founder Shannon DeConda will report on how best to implement the new rule.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: What Was Medicare Thinking? Nationally recognized professional coder and auditor Terry Fletcher will join the broadcast to report how best to implement CMS rules when dealing with patients, noting that in 2022, there are some new rules to the Medicare Manual that make little sense to the healthcare professional trying to adhere to best practices when applying the rules.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. 
To improve care and create transparency, Medicare mandated a pay-for-quality reporting program for hospital outpatient services in 2009. The measures can impact hospital payment if not met, thus creating financial incentives for hospitals to achieve them. The measures are intended to evaluate the regularity of outpatient treatments known to provide the best results for the most patients with a particular condition. During the next live edition of Talk-Ten-Tuesdays, Colleen Deighan, senior consultant with 3M, will outline the Hospital Outpatient Quality Reporting program and the three new measures adopted as part of the Centers for Medicare & Medicaid Services (CMS) 2022 Outpatient Prospective Payment System/Ambulatory Surgical Center (OPPS/ASC) Final Rule.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: Susan Gatehouse, founder and CEO for Axea Solutions, will report on the practice of single-use endoscopies as an alternative for non-emergent care procedures.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.
Principal care management is a service that focuses on the medical and/or psychological needs manifested by a single, complex chronic condition that is expected to last at least three months in duration. During the next live edition of Talk Ten Tuesdays, Colleen Deighan, senior healthcare consultant for 3M HIS Consulting Services, will return to the weekly Internet radio broadcast to report on principal care management and the new CPT® codes for 2022.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington.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.
ICD10monitor and Talk Ten Tuesdays continue reporting on the social determinants of health (SDoH), as they relate to health equity. On Tuesday, Jan. 18, the day after the national observance of the life of slain civil rights leader Rev. Martin Luther King, Jr., Sharon Easterling, an African-American senior healthcare consultant, will return to the broadcast to report on this timely and crucially important subject.Many Americans no doubt recall seeing the grainy black-and-white TV news footage of the Rev. King delivering his iconic “I Have a Dream” speech. Fast forward to the present, and Easterling will note that the speech was profoundly rooted in healthcare, with King opining that healthcare is for all, and good healthcare begins with the patient experience in the eyes of many, especially minorities. Easterling is also expected to report on the need for improving the patient care experience, noting that distrust in healthcare is deep-seated, especially in the Black community, but it all begins with the initial patient interaction. Providers can directly impact outcomes with an aim to prevent widening health inequities by tailoring  strategies targeted at overcoming mistrust and refocusing on improving the patient experience within minority populations.The live broadcast will also feature these other segments:CDI Report: Senior healthcare consultant Cheryl Ericson will report on the latest documentation issues facing clinical documentation integrity specialists (CDISs).The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.  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.SPECIAL ADDED FEATURE:Immediately following the broadcast, Sharon Easterling will report on her newest software application (app), CDIWis.
The health of all Americans is on the line – particularly among the nation’s communities of color, where maternal health issues, behavioral health issues, diabetes, and cardiovascular conditions have a disproportionate impact.Recognizing this national concern, the Blue Cross Blue Shield Association has devised a national health equity strategy to confront such health disparities. All this follows the release by the National Center for Health Statistics of 2022 ICD-10-CM codes, both new and updated, for education, food insecurity, and housing, with implementation effective beginning Oct. 1, 2021.During the next live edition of Talk Ten Tuesdays, Lenel James, MBA, an Health Level 7 (HL7) “fellow” and the business lead for Health Information Exchange and Innovation at the Blue Cross Blue Shield Association (BCBSA), will report on the massive effort underway. Lenel has been with BCBSA and has served as its voting representative to HL7 for almost 20 years, and has extensive experience in healthcare and technology strategy. He also serves as payor advisor for for the HL7 Da Vinci Project, and was elected to the HL7 Board in 2020.The live broadcast will also feature these other segments:Tuesday Focus: Patient Safety Indicators (PSI): Christel Kemble with Covenant Health will report on the vexing issue of patient safety indicators.Mental Health Report: Internationally renowned psychiatrist and award-winning author Dr. H. Steven Moffic will report on the “good, bad, and ugly” of America’s collective mental health. The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.  News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
There’s never enough time to keep up with the myriad of changes confronting clinical documentation integrity specialists (CDISs). And that is why Talk Ten Tuesdays will reveal important content about a new white paper developed by the American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Integrity Specialist (ACDIS), as part of a featured segment during the next edition of the weekly Internet radio broadcast.“Compliant Clinical Documentation Integrity Technology Standards,” includes information about the clinical documentation integrity (CDI) technology landscape, recognizing documentation integrity practices, evaluating compliant CDI technology vendors, developing compliant policies and procedures, and the application of technology. It’s just in time for CDI preparation, and just what the doctor ordered. Reporting on the white paper will be Tammy Combs, AHIMA’s Practice Director of CDI and Clinical Foundations.The live broadcast will also feature these other segments:News Update: Malnutrition: Ronald Hirsch, MD, a familiar voice on Monitor Mondays, will report on the latest wrinkle in the clinical data world: “severe malnutrition” has been added to the Program for Payment Patterns Electronic Report (PEPPER).  Hirsch will report on why this is crucially important for CDISs.Tuesday Focus: 2022 Medicare Physician Fee Schedule: Nationally recognized professional auditor, coder, and educator Terry Fletcher will report on financial impacts for physician practices.The Dunn Report: Denial Prevention: Legendary health information management (HIM) icon Rose Dunn will return to the broadcast with her exclusive report on how to prevent coding denials.The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.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.
Clinical documentation integrity (CDI) programs can have a broad impact in outpatient settings. One key area for outpatient CDI to consider is denials reduction, which begins with understanding what’s contributing to denial risk.Denial reduction is really about denial prevention. It’s about analyzing denials by category, by payer, and by reason to uncover trends for high-volume or high-dollar denials, then using that discovery to provide education about clinical documentation issues or gaps.In the next live edition of Talk Ten Tuesdays, outpatient CDI expert Colleen Deighan will return with the final segment of her popular series on a subject that continues to generate listener interest and questions. Deighan will also conduct a listener’s survey during the weekly Internet radio broadcast.The live broadcast will also feature these other segments:Tuesday Focus: Susan Gatehouse will report on the potential impacts of the new Edit 20 (Unspecified Code Edit) for inpatient claims opens up an opportunity for enhanced CDI with targeted education. The list of unspecified diagnosis codes, subject to the new edit, will require targeted training for your billing staff to avoid reimbursement issues, and provides a platform for improving CDI.News Update: Mary H. Stanfill, a new ICD10monitor correspondent focusing on ICD-11, will provide the latest update on the new code set looming on the horizon.The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.  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.
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