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Talk Ten Tuesdays

Talk Ten Tuesdays

Author: ICD10monitor

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Get the most up-to-minute news and information on ICD-10. Join Chuck Buck and Erica Remer, MD, FACEP, CCDS, every Tuesday as they welcome ICD10monitor contributing editors and special guests to monitor and report on the progress that all healthcare stakeholders are experiencing in their respective implementations of ICD-10. Register to attend live here: https://event.webcasts.com/starthere.jsp?ei=1236510&tp_key=da0e4c0f76
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The U.S. death toll from the coronavirus is approaching the number of Americans killed in World War II, and as America is experiencing another surge of infections, the once-unthinkable subject of rationing care is now being debated.But how is care to be rationed? Is there a uniform guide for triaging care, as the availability of all beds, ICU beds, ventilators, and other hospital equipment is weighed, based on the acuity of each patient?As John Zelem, MD wrote recently for RACmonitor, “we have entered a time in which drastic scenarios demand drastic measures (care rationing). We all look forward to the time when we can look back on these challenging times as a unique response to a fairly unique medical emergency.”Reporting our lead story during the next live edition of Talk Ten Tuesdays will be Dr. Zelem, founder of Streamline Consulting Solutions.The live broadcast will also feature these other segments:CDI Report: Cheryl Ericson, clinical program manager for Iodine Software, will have the CDI Report, in which she is expected to ask if every item in the medical record is truly “documentation.”News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest ICD-10 codes.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
The Centers for Medicare & Medicaid Services (CMS) 2021 Final Rule and 2021 Medicare Physician Fee Schedule (MPFS) are effective Jan. 1, 2021, and both affect reimbursement.But in a rare move, CMS increased the conversion factor (CF) in the MPFS twice in one week as a result of the COVID-19 relief bill, which added a hike of 3.75 percent.For an update on the major CMS changes for 2021 that will affect your reimbursement under the Part B Physician Fee Schedule, tune in to the next live edition of Talk Ten Tuesdays, coming your way Tuesday, Jan. 12 from 10-10:30 a.m. EST. That’s when nationally recognized professional coder and auditor Terry Fletcher will join the broadcast to report on all the relevant details.The live broadcast will also feature these other segments: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.SOAP Note: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists and a partner of DoctorsManagement, will provide a long-awaited update to the legendary SOAP (subjective, objective, assessment, and plan) note.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest ICD-10 codes.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk-Ten-Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
Out in the West Texas “town” of El Paso, a number of COVID-19 patients are being treated with a new monoclonal antibody infusion called bamlanivimab. Now in the second week of the operation being conducted in the El Paso Convention Center’s makeshift hospital, Dr. Edward Michelson, Chair of the Department of Emergency Medicine at Texas Tech University Health Sciences Center, reports that while treatments are underway, there hasn’t been enough time to gather data on the effects and outcomes. Dr. Michelson, who appeared on Talk Ten Tuesdays in October 2017, will return to the live broadcast this coming Tuesday with a live update on the new therapy. Also on tap for the broadcast:Tuesday Focus: New COVID-19 Codes: The Centers for Disease Control and Prevention (CDC) recently announced further additions to ICD-10-CM related to COVID-19. Additionally, the Centers for Medicare & Medicaid Services (CMS) has posted new guidelines for ICD-10 CM/PCS coding and an updated MS-DRGs, Version 38.1. Updates include new ICD-10-CM and PCS codes for COVID-19. Reporting our Tuesday Focus will be Susan Gatehouse, founder and CEO for Axea Solutions.  RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, will report on how healthcare and politics are inextricably entwined.  News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk. The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on ICD-10 coding relative to infusion services.  TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
There’s a recently added CPT® code for personal protective equipment (PPE). But there’s a corresponding catch: who pays and who doesn’t, and what’s the best practice for handling the new normal in physician practices? Could the new code, 99072, although a payable service by Medicare, as well as commercial payers, wind up being a patient’s out-of-pocket expense?Reporting our lead story during the next live edition of Talk Ten Tuesdays will be nationally recognized professional coder and auditor Terry Fletcher.Also on tap for the broadcast:News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.Tuesday Focus: Chronic care management (CCM) has taken on new importance in light of the coronavirus pandemic. Continuing his reporting on this topic will be Andrew Dombro, MD, co-founder of Clarity/CCM, LLC.CDI Report: Senior healthcare consultant Cheryl Ericson will return to the broadcast with the Talk Ten Tuesdays CDI report.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will have the latest ICD-10 coding news. 
Thanksgiving, the flu season, and a dramatic surge of the COVID-19 pandemic are converging at a time when the nation’s coronavirus death toll has reportedly exceeded 250,000, with more than 11 million confirmed cases.With soaring infection rates come more testing, as well as more hospitalizations and deaths.A focus on COVID-19 testing will come into sharp relief as Talk Ten Tuesdays concludes its exclusive three-part series on false-positive tests. During this episode, co-host Erica Remer, MD will reintroduce Andrew Cohen, PhD, who has been doing groundbreaking work on COVID-19 false positives.Dr. Cohen will explore possible solutions to this daunting challenge.  Also on tap for the broadcast: News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.Tuesday Focus: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists (NAMAS), will return to the broadcast with recommendations necessary to implement the new changes that become effective Jan. 1, 2021.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on ICD-10 coding relative to mental health issues and their physical manifestations.Mental Health Report: H. Steven Moffic, MD, internationally renowned psychiatrist and Talk Ten Tuesdays resident psychiatrist, will offer tips to avoid tripping on political landmines during Thanksgiving dinner.
The global coronavirus pandemic is worsening quickly, and at a time when winter is bearing down, forcing more of us to remain inside. In fact, health experts are predicting that confirmed daily cases of COVID-19 will climb above 200,000 nationally. With soaring infection rates come more testing, as well as more hospitalizations and deaths.A focus on COVID-19 testing will come into sharp relief as Talk Ten Tuesdays continues with the second portion of its three-part series on false-positive tests. During the next edition of the popular weekly Internet broadcast, Talk Ten Tuesdays co-host Erica Remer, MD will reintroduce Arnold Cohen, PhD, who has been doing groundbreaking work on COVID-19 false positives.Dr. Cohen will report on the consequences of false positives for patients in long-term care facilities. Putting a human face on the testing dilemma will be Brian Kim, who will report on his real-life experience of false-positive testing results, and how it wreaked havoc on his family.Also on top for the broadcast:News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk-Ten-Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on ICD-10 coding relative to mental health issues and their physical manifestations. 
As the nation is experiencing a dramatic surge in confirmed cases of COVID-19, the terms “false negative” and “false positive” accompany not only medical records, but also news media dispatches.The public health establishment and the medical world have generally treated positive results of PCR-based tests for the virus that causes COVID-19 as if they are infallible. The evidence shows that this may not be true, and there are real-life implications of false positives – yet to date, there has been little media coverage of false-positive tests.That is why Talk Ten Tuesdays Co-Host Erica Remer, MD will explore this unchartered territory in an exclusive three-part series on the weekly Internet radio broadcast. Joining Dr. Remer will be Andrew Cohen, PhD, who has been doing groundbreaking work on COVID-19 false positives.Also on tap for the broadcast:Chronic Care Management: Andrew H. Dombro, MD will join the broadcast and report on a new segment, Chronic Care Management. Dr. Dombro is the chief medical officer and co-founder of ClarityCCM, LLC. News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on ICD-10 coding relative to mental health issues and their physical manifestations.
We are all participants in one of the most tumultuous times in the 21st century. A global pandemic rages throughout the United States and Europe, the consequences of which are tangible, but not yet fully quantified. A divisive political environment, exacerbated by 24/7 news and social media, has intensified our feelings about ourselves, our colleagues, neighbors, and family members. Stress and tension abound, of which the consequences are many, with depression and anxiety also taking a physical toll.In light of all of this, Talk Ten Tuesdays is dedicating its live broadcast to an open-door forum, during which H. Steven Moffic, MD, one of America’s foremost psychiatrists and the broadcast’s resident psychiatrist, will answer your questions while providing strategies for how you can cope during these unsettling (albeit historical) times. Also on tap for the broadcast:RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, reports on how healthcare and politics are inextricably entwined.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, reports on ICD-10 coding relative to mental health issues and their physical manifestations. 
Amid the global COVID-19 pandemic, the 2020 presidential campaign, coding updates, and a tangle of regulatory waivers, it’s important to not to lose sight of the fact that ICD-11 for the United States is on the horizon.That’s why we asked Margaret Skurka, a voting member of the National Committee on Vital and Health Statistics (NCVHS) in Washington, D.C., who also sits at the table of the World Health Organization’s (WHO’s) Education and Implementation Committee, to report on the latest ICD-11 developments in the U.S. – and also to provide a global perspective on what other countries are doing, and where they are in the implementation process.The podcast also features these other segments:Tuesday Focus: 2021 E&M Guideline Changes: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists (NAMAS), will provide an update on the significant changes in the 2021 evaluation and management (E&M) guidelines.Special Report: Telehealth: Nationally recognized professional coder and auditor Terry Fletcher will have an update on telehealth.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest coding news.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
In the deadly throes of a global pandemic, Americans are struggling as they adjust to a confusing new normal. Halloween this year will portend an actual frightening threat. And America’s traditional Thanksgiving dinner will have an unwanted guest: COVID-19, the elephant in the room.The coronavirus continues to dominate headlines, family dinner conversations, political debates, congressional hearings, and the news media. During this edition of Talk Ten Tuesdays, providing a physician’s perspective on the novel coronavirus, the disease that causes COVID-19, will be Dr. John Foggle, who returns to the broadcast to share his perspective. It’s a perspective earned from his consulting with the World Health Organization (WHO) in the South Pacific in January and February, then returning to the U.S. to treat COVID patients in the Northeast.The live broadcast will also feature these other segments:Mental Health Report: H. Steven Moffic, MD, an award-winning psychiatrist who has specialized in the cultural and ethical aspects of psychiatry, returns to the broadcast in the first of a two-part series, reporting on medicine, politics, and healthcare. A prolific writer and speaker, Moffic received the one-time designation of being a Hero of Public Psychiatry from the Assembly of the American Psychiatric Association in 2002.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, reports on the latest coding news.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, report on another thought-provoking topic that has captured her attention.
Once a frequent flyer with all the attendant privileges, senior healthcare consultant Deborah Grider was abruptly grounded when COVID-19 curtailed her coast-to-coast consulting.She first reported on her sequela from the coronavirus infection, the disease that causes COVID-19, for Talk Ten Tuesdays listeners in July. Now, she will return to the long-running broadcast to report on several other conditions that have arisen. About one in six people who have survived COVID-19 are expected to have long-lasting complications, including some that are life-threatening.The live broadcast will also feature these other segments:Tuesday Focus: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists (NAMAS), will provide an update on the significant changes in the 2021 evaluation and management (E&M) guidelines.Tuesday Special Report: Julia K. Brodt, PhD, an educator and former epidemiologist, will provide a layperson’s background on antibodies, which are fundamental in the quest for a much-anticipated COVID-19 vaccine.  News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest coding news.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
Given the importance of medical review activities relative to the program integrity efforts of the Centers for Medicare & Medicaid Services (CMS), and regardless of the status of the current federal public health emergency (PHE), providers can expect imminent pre- and post-payment reviews, plus audits by Supplemental Medical Review Contractors (SMRCs) and the Recovery Audit Contractors (RACs).Reporting our lead story during this edition of Talk Ten Tuesdays will be nationally recognized professional coder and auditor Terry Fletcher.The live broadcast will also feature these other segments:Tuesday Focus: COVID-19 Update: Dr. John Foggle, Adjunct Associate Professor of Emergency Medicine at the Alpert Medical School of Brown University, provides an update on the pandemic that has claimed the lives of more than 205,000 in the U.S.RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, reports on the latest coding news
The Centers for Medicare & Medicaid Services (CMS) has ordered Medicare Advantage Organization (MAO), -hired subcontractors, to stop issuing “pseudo-denials” that require pseudo-appeals before the MAO considers the denial formalized.  Reporting our lead story during this edition of Talk Ten Tuesdays will be Dr. Edward Hu, system executive director of physician advisor services for UNC Health in North Carolina. Dr. Hu was one of several healthcare executives who convinced CMS to issue a recent memo outlining this change. Dr. Hu will explain the coding significance of this new directive, particularly as it relates to coding and clinical validation denials, which by definition occur retrospectively, and often after a claim was initially paid. The live broadcast will also feature these other segments:The Dunn Report: National health information management (HIM) expert and past president of the American Health Information Management Association (AHIMA), Rose Dunn, returns to the broadcast to report the best approach to dealing with line-item claim denials.Mental Health Report: H. Steven Moffic, MD, one of America’s foremost psychiatrists, returns to the broadcast to report on how cataclysmic events, here at home and abroad, are impacting our mental health.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, returns to the broadcast to report on the need for facilities to develop their own coding guidelines.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.
Battle lines in a budding court battle could be drawn soon.A federal appeals court has reversed the decision of a lower court and upheld the action by the U.S. Department of Health and Human Services (HHS) to pay formerly grandfathered off-campus outpatient departments run by hospitals at the same, lower rate of physician clinics.Experts believe that could mean a potential loss of $800 million to these already struggling hospitals, the finances of which have been especially hit hard during the COVD-19 pandemic. There is clearly a legal battle ahead. Reporting our lead story during the next edition of Talk Ten Tuesdays will be nationally recognized professional coder and auditor Terry Fletcher.The live broadcast will also feature these other segments:Tuesday Focus: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists and a partner of DoctorsManagement, will continue her series for ICD10monitor and Talk Ten Tuesdays in which she delves into the massive changes in the new American Medical Association (AMA) evaluation and management (E&M) documentation guidelines for 2021: changes that become effective Jan. 1, 2021.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk-Ten-Tuesdays News Desk.The Coding Report: Winners and losers. Which proposed ICD-10 codes will become adopted, and which ones will fail? Linda Holtzman, founder of Clarity Coding and an avid follower of the CMS Coordination and Maintenance Committee, will handicap last week’s meeting.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
COVID-19 is disrupting the stability of food, shelter, and sleep. Stress levels are unthinkable. The continuing pandemic, along with unemployment, racial injustice, and social isolation, is raising anxiety and depression to high levels as well. Moreover, it’s been reported that ongoing stress can decrease the body’s lymphocyte levels, making infection more likely. This cycle is evident among COVID patients.Reporting on this untenable situation during the next edition of Talk Ten Tuesdays will be Sheryl Markowitz, senior vice president of clinical operations at Healthfirst of New York City, one of the largest Medicare and Medicaid providers in the greater metro area of the Big Apple. Ms. Markowitz will be reporting on how Healthfirst is responding to a significant increase in calls from members experiencing anxiety and depression by increasing outreach and availability of help. The live broadcast will also feature these other segments:Tuesday Focus: Vaccinating Kids: September is National Immunization Awareness Month, and recent action by the U.S. Department of Health and Human Services (HHS) has green-lighted children being vaccinated by state-licensed pharmacists – a move that has generated pushback, first from the American Academy of Pediatrics (AAP), and now, the American Medical Association (AMA) as well. Nationally recognized professional coder and auditor Terry Fletcher will have an update on this budding controversy.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson will report on last week’s two-day meeting of the Centers for Medicare & Medicaid Services (CMS) Coordination and Maintenance Committee.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
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. 
The Centers for Medicare & Medicaid Services (CMS) started rolling out post-payment audits again, as of Aug. 3, but now – after finding inconsistencies in the accuracy of some COVID-19 tests, and considering the fact that CMS has been paying an additional 20 percent to providers and facilities “treating patients with COVID or testing for COVID” – the agency has enacted a new mandate to qualify for the increased reimbursement. During the next live edition of Talk Ten Tuesdays, Terry Fletcher, a nationally recognized professional coder and auditor, reports on the controversy surrounding our lead story.The podcast also features these other segments:RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C.Tuesday Focus: 2021 E&M Guideline Changes: Grant Huang,  a consultant and auditor for DoctorsManagement, will filling in for Shannon DeConda in her ongoing series about the significant changes in the 2021 E&M guidelines.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.The Coding Report: Cari Greenwood, an independent coding consultant, reports on a current healthcare coding issue that has national importance. 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.
Plenty of time at home. Self-isolation. Binge-watching television shows. No commuting. Working remotely.You would think that with all the time spent at home these days, folks would be getting more and better sleep, right? Wrong!The truth is, according to Dr. Nick van Terheyden, that there are daunting obstacles to getting a good night’s sleep, with all the additional worries and fear induced by the COVID-19 pandemic and associated challenges in our economy and society. Reporting our lead story during this edition of the long-running Talk Ten Tuesdays weekly Internet radio broadcast will be “Dr. Nick the Incrementalist,” founder of Incremental Health, who has previously reported here that sleep is “this amazing new treatment that allows you to live longer, improves your memory, makes you more creative and slimmer, (and) decreases (risk of) cancer, dementia, infections, heart disease, strokes, and diabetes.” Now, if only there were a vaccine for sleep disorder.  The live broadcast will also feature these other segments:Special Report: Transgender Rights: On June 14, 2019, the U.S. Department of Health and Human Services (HHS) proposed what it described as “substantial revisions” to its regulations implementing Section 1557 of the Patient Protection and Affordable Care Act, prohibiting discrimination based on race, color, national origin, sex, age, and disability in health programs and activities receiving federal financial assistance. The new rules governing this, recently implemented, will narrow the scope of the existing HHS regulations. Nationally recognized professional coder and auditor Terry Fletcher provides the details on this important story.Tuesday Focus: HHS Provider Relief Fund at Risk: The HHS Provider Relief Fund could be valued at $25 billion less than expected. Organizations without efficient processes in place may find themselves at a disadvantage. Reporting on this developing story is Susan Gatehouse, founder and CEO of Axea Solutions. News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson reports on a current healthcare coding issue that has national importance.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.
It’s out and it’s already creating controversy: the Centers for Medicare & Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS) proposed rule, which becomes effective January 2021. The rule, issued Aug. 4, would eliminate the Medicare inpatient-only list of services while increasing the number of Ambulatory Surgical Center (ASC)-eligible procedures. The rule would also increase 340B payment cuts, and it looks to overhaul the hospital star-rating system.It’s an interesting time for such changes, amid the impact of COVID-19. Dissecting the OPPS proposed rule during the next edition of Talk Ten Tuesdays will be Susan Gatehouse, founder and CEO of Axea Solutions.The live broadcast will also feature these other segments:CDI Report: Senior healthcare consultant Glenn Krauss, founder and creator of Core-CDI.com, files the CDI report, in which he’s expected to discuss what he calls the stagnation of clinical documentation integrity (CDI) as a result of visionary leadership being replaced by task leaders.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson reports on a the upcoming coordination and maintenance meeting in September.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
The Centers for Medicare & Medicaid Services (CMS) has announced two new payment initiatives, with one being the use of "counseling" to help stop the spread of COVID-19. CMS will make payment available to physicians and providers to counsel patients at the time of COVID-19 testing about the importance of self-isolation after they are tested, and prior to the onset of symptoms. However, to get reimbursed for these services, there are protocols to follow, eligible providers to consider, and place-of-service rules. During the next live edition of Talk Ten Tuesdays, Terry Fletcher, nationally recognized professional coder and auditor, will report our lead story.The live broadcast will also feature these other segments:Tuesday Focus: COVID and Caregiver Parents: With schools opening, healthcare workers face a daunting dilemma as they plan for their children to return to class. The impact to healthcare workers, specifically those who are unable to work remotely while they home-school their children, is challenging, and it’s our Tuesday Focus that will be reported by Tiffany Ferguson. News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report:  Laurie Johnson will report on the recent announcement from the Centers for Disease Control and Prevention (CDC) that between August and November is when to expect more cases of a rare illness that causes permanent paralysis and respiratory failure in children – it’s known as acute flaccid myelitis (AFM).TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.
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