Could clinical documentation improvement specialists (CDISs) be at risk as a profession, with the growing acceptance of automated query solutions? And what is driving the demand for them?Today, with the advent of “smart hospitals,” automated query solutions are being used by providers and CDISs in capturing acute and chronic diagnoses, as specified by ICD-10. With this rapidly developing technology, real-time documentation prompts and automated queries are assisting providers as they are writing their notes. But could these advancements impact the careers of CDISs? Joining the next live edition of the long-running Talk Ten Tuesdays will be the chief executive officer of HITEKS Solutions, Gerasimos “Gerry” Petratos, MD, who will discuss the latest advancements as well as offer career advice to current and future CDISs.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 news that’s happening at the intersection of coding and the SDoH.Revenue Cycle Report: Tony DiLuca, principal at PATHS, LLC, will make his debut appearance on Talk Ten Tuesdays, reporting on the revenue cycle.News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.Point of View: James S. Kennedy, Talk Ten Tuesdays guest cohost, will share his unique point of view.

Could clinical documentation improvement specialists (CDISs) be at risk as a profession, with the growing acceptance of automated query solutions? And what is driving the demand for them?Today, with the advent of “smart hospitals,” automated query solutions are being used by providers and CDISs in capturing acute and chronic diagnoses, as specified by ICD-10. With this rapidly developing technology, real-time documentation prompts and automated queries are assisting providers as they are writing their notes. But could these advancements impact the careers of CDISs? Joining the next live edition of the long-running Talk Ten Tuesdays will be the chief executive officer of HITEKS Solutions, Gerasimos “Gerry” Petratos, MD, who will discuss the latest advancements as well as offer career advice to current and future CDISs.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on news that’s happening at the intersection of coding and the SDoH. </li><li>Revenue Cycle Report: Tony DiLuca, principal at PATHS, LLC, will make his debut appearance on Talk Ten Tuesdays, reporting on the revenue cycle. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>Point of View: James S. Kennedy, Talk Ten Tuesdays guest cohost, will share his unique point of view.</li></ul>

The Anatomy of Automated Query Solutions

Revenue leakage presents a huge challenge for healthcare organizations. According to a study by the Healthcare Financial Management Association (HFMA), it can account for up to 5 percent of a healthcare organization’s net revenue – potentially making the difference between an entity being profitable or not profitable.Fear not, however – there are solutions to tackle revenue leakage. One effective strategy is strong denial management. In fact, the Medical Group Management Association (MGMA) found that healthcare organizations with robust denial management strategies experienced an incredible 15 percent increase in their overall net collection rates.During the next live edition of the long-running and popular Talk Ten Tuesdays weekly Internet radio broadcast, Susie Vestevich, chief operating officer for TiaTech USA, will return to the broadcast to report on strategies intended to stop the leak.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 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.CMS Report: Stanley Nachimson, former career professional for the Centers for Medicare &amp; Medicaid Services (CMS), will report on two proposed rules published by CMS Thursday: the 2024 Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS).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.

Revenue leakage presents a huge challenge for healthcare organizations. According to a study by the Healthcare Financial Management Association (HFMA), it can account for up to 5 percent of a healthcare organization’s net revenue – potentially making the difference between an entity being profitable or not profitable.Fear not, however – there are solutions to tackle revenue leakage. One effective strategy is strong denial management. In fact, the Medical Group Management Association (MGMA) found that healthcare organizations with robust denial management strategies experienced an incredible 15 percent increase in their overall net collection rates.During the next live edition of the long-running and popular Talk Ten Tuesdays weekly Internet radio broadcast, Susie Vestevich, chief operating officer for TiaTech USA, will return to the broadcast to report on strategies intended to stop the leak.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on news that’s happening at the intersection of coding and the SDoH. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>CMS Report: Stanley Nachimson, former career professional for the Centers for Medicare &amp; Medicaid Services (CMS), will report on two proposed rules published by CMS Thursday: the 2024 Outpatient Prospective Payment System (OPPS) and the Medicare Physician Fee Schedule (MPFS). </li><li>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.</li></ul>

Smart Strategies for Boosting Hospital Revenue

At the intersection of ICD-10-CM social determinants of health (SDoH) codes and the Centers for Medicare &amp; Medicaid Services (CMS) Star Rating Quality Measures, one will find a wide array of socio-economic factors and competing issues, all of which carry the potential to profoundly affect healthcare outcomes and ratings.During the next live edition of Talk Ten Tuesdays, listeners will enjoy the benefits of learning new strategies to leverage these codes for enhanced quality scores and health equity – that’s when former American Health Information Management Association (AHIMA) leader Angela Comfort will return to the weekly broadcast. During her presentation as our special guest, you’ll come to realize the pivotal role these codes play in the CMS pursuit of ensuring balanced, patient-focused care. This essential episode will enlighten healthcare practitioners, policymakers, and administrators alike on utilizing data-centric methods for improved patient services.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: Juliet Ugarte Hopkins, MD, president of the American College of Physician Advisors, will substitute for Tiffany Ferguson, and 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.

At the intersection of ICD-10-CM social determinants of health (SDoH) codes and the Centers for Medicare &amp; Medicaid Services (CMS) Star Rating Quality Measures, one will find a wide array of socio-economic factors and competing issues, all of which carry the potential to profoundly affect healthcare outcomes and ratings.During the next live edition of Talk Ten Tuesdays, listeners will enjoy the benefits of learning new strategies to leverage these codes for enhanced quality scores and health equity – that’s when former American Health Information Management Association (AHIMA) leader Angela Comfort will return to the weekly broadcast. During her presentation as our special guest, you’ll come to realize the pivotal role these codes play in the CMS pursuit of ensuring balanced, patient-focused care. This essential episode will enlighten healthcare practitioners, policymakers, and administrators alike on utilizing data-centric methods for improved patient services.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>SDoH Report: Juliet Ugarte Hopkins, MD, president of the American College of Physician Advisors, will substitute for Tiffany Ferguson, and will report on the news that’s happening at the intersection of coding and the SDoH. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>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.</li></ul>

Beware: Outcomes Impacted at the Intersection of SDoH and CMS Star Rating Quality Measures

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 &amp; 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.

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 &amp; 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:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>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. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>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.</li></ul>

Major Updates on ICD-11

What possible factors might trigger an audit or result in money being left on the table?  During the live edition of Talk Ten Tuesdays, Gloryanne Bryant, an independent health information management (HIM) consultant, will report on highlights of the 2023 Second Quarter ICD-10-CM/PCS Coding Clinic from the American Hospital Association (AHA) for the second quarter of 2023.Gloryanne — a 40+ year veteran Health Information Management (HIM) professional and past president of the California Health Information Association (CHIA)— is expected to report on important coding guidance including ICD-10-CM screening for COVID19, plus information on procedure coding.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.

What possible factors might trigger an audit or result in money being left on the table?  During the live edition of Talk Ten Tuesdays, Gloryanne Bryant, an independent health information management (HIM) consultant, will report on highlights of the 2023 Second Quarter ICD-10-CM/PCS Coding Clinic from the American Hospital Association (AHA) for the second quarter of 2023.Gloryanne — a 40+ year veteran Health Information Management (HIM) professional and past president of the California Health Information Association (CHIA)— is expected to report on important coding guidance including ICD-10-CM screening for COVID19, plus information on procedure coding.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>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. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>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.</li></ul>

The Anatomy of the Latest Coding Clinic

Delays in billing can cost healthcare providers billions of dollars annually. Join us during the next live edition of Talk Ten Tuesdays, when the broadcast’s special guest, Susie Vestevich, COO of TiaTech USA, will discuss potential solutions that may be implemented to combat this dire issue.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.Point of View: James S. Kennedy, president of CDIMD Physician Champions, will guest cohost Talk Ten Tuesdays and report on a subject that has caught his attention during this popular segment.

Delays in billing can cost healthcare providers billions of dollars annually. Join us during the next live edition of Talk Ten Tuesdays, when the broadcast’s special guest, Susie Vestevich, COO of TiaTech USA, will discuss potential solutions that may be implemented to combat this dire issue.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>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. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>Point of View: James S. Kennedy, president of CDIMD Physician Champions, will guest cohost Talk Ten Tuesdays and report on a subject that has caught his attention during this popular segment.</li></ul>

Time is Money: Billing Delays Cost Hospitals Billions

A recurring conflict continues to plague America’s patchwork system of healthcare delivery.How often, muses Mary Beth Pace, vice president of care management at Trinity Health, is the acute-care environment at odds with payers on the issue of inpatient versus outpatient care?“Is there a better way?” she asks rhetorically. “What if we partnered together?”During the next live edition of the popular and long-running Talk Ten Tuesdays Internet broadcast, Pace will serve as special guest, reporting on how she envisions new relationships moving forward.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.

A recurring conflict continues to plague America’s patchwork system of healthcare delivery.How often, muses Mary Beth Pace, vice president of care management at Trinity Health, is the acute-care environment at odds with payers on the issue of inpatient versus outpatient care?“Is there a better way?” she asks rhetorically. “What if we partnered together?”During the next live edition of the popular and long-running Talk Ten Tuesdays Internet broadcast, Pace will serve as special guest, reporting on how she envisions new relationships moving forward.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news. </li><li>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. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>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.</li></ul>

Can’t We All Get Along?

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

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

HCCs and Value-based Care: Important Changes from CMS

May is Mental Health Awareness Month, and ICD10monitor and Talk Ten Tuesdays are recognizing the major national milestone with a special appearance of world-renowned psychiatrist and author H. Steven Moffic, MD.Every year since 1949, Mental Health Awareness Month has been observed in the U.S.According to Moffic, this year could feature the worst state of America’s mental health since that year. Add to that another level of anxiety among healthcare providers, who are currently grappling with the unforeseen consequences of coming to grips with the end of the nation’s COVID-19 public health emergency (PHE) May 11, and it’s a troubling scenario.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.

May is Mental Health Awareness Month, and ICD10monitor and Talk Ten Tuesdays are recognizing the major national milestone with a special appearance of world-renowned psychiatrist and author H. Steven Moffic, MD.Every year since 1949, Mental Health Awareness Month has been observed in the U.S.According to Moffic, this year could feature the worst state of America’s mental health since that year. Add to that another level of anxiety among healthcare providers, who are currently grappling with the unforeseen consequences of coming to grips with the end of the nation’s COVID-19 public health emergency (PHE) May 11, and it’s a troubling scenario.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest coding news.</li><li>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.</li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.</li><li>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.</li></ul>

A Mental Health Alert

Nearly 80 percent of medical practice administrators struggle to keep track of and reconcile patient encounters, as you will learn during the next live edition of Talk Ten Tuesdays, when Susie Vestevich will serve as the special guest.Without adequate tracking, insurance claims aren’t submitted, copays aren’t collected, and patient financial responsibility balances aren’t received.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:Coding Report: Gloryanne Bryant, an independent health information management (HIM) consultant, will substitute for Laurie Johnson., senior healthcare consultant with Revenue Cycle Solutions, LLC, with 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.Point of View: James S. Kennedy, president of CDIMD -Physician Champions, will guest cohost Talk Ten Tuesdays and report on a subject that has caught his attention during this popular segment.

Nearly 80 percent of medical practice administrators struggle to keep track of and reconcile patient encounters, as you will learn during the next live edition of Talk Ten Tuesdays, when Susie Vestevich will serve as the special guest.Without adequate tracking, insurance claims aren’t submitted, copays aren’t collected, and patient financial responsibility balances aren’t received.Talk Ten Tuesdays will also feature these outstanding segments and thought leaders:<ul><li>Coding Report: Gloryanne Bryant, an independent health information management (HIM) consultant, will substitute for Laurie Johnson., senior healthcare consultant with Revenue Cycle Solutions, LLC, with the latest coding news. </li><li>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. </li><li>News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk. </li><li>Point of View: James S. Kennedy, president of CDIMD -Physician Champions, will guest cohost Talk Ten Tuesdays and report on a subject that has caught his attention during this popular segment.</li></ul>

Revenue That’s Lost in the Shuffle

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&amp;tp_key=da0e4c0f76

I find the oldtimey radio intro and delivery style really annoying. It’s great industry info, just the way it’s delivered is not my style. Keep it straight

Good Info, Annoying intro

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: <a href="https://event.webcasts.com/starthere.jsp?ei=1236510&amp;tp_key=da0e4c0f76" rel="nofollow" target="_blank">https://event.webcasts.com/starthere.jsp?ei=1236510&amp;tp_key=da0e4c0f76</a>

Talk Ten Tuesdays

"The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis." — ICD-10-CM guideline I.A. 19This guideline is frequently cited as the reason coders list diagnoses because the doctor said so. But is the doctor’s say-so enough? Reporting on this recurring issue during the next edition of Talk-Ten-Tuesdays will be broadcast co-host Erica Remer, MD, founder and president of Erica Remer, MD, Incorporated.Other segments to be featured on the broadcast include:Coding Report: It’s the flu season in the United States, with most activity expected to peak between now and February. Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will be reporting on this developing story.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk-Ten-Tuesdays News Desk.HIM Report: Julie Dooling, American Health Information Management Association (AHIMA) director of Health Information Management (HIM) Practice Excellence, will report on the Government Accountability Office (GAO) investigation of the different approaches being used and challenges being faced by hospitals seeking to achieve accurate patient matching.Tuesday Focus: CMS Advanced Practitioner Professional (NPP) Billing: Many providers are still struggling with the NPP billing rules from the Centers for Medicare &amp; Medicaid Services (CMS). Author and educator Deborah Grider, senior healthcare consultant for Karen Zupko and Associates, will report on the need for greater understanding of this complex issue.

"The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists. The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis." — ICD-10-CM guideline I.A. 19 This guideline is frequently cited as the reason coders list diagnoses because the doctor said so. But is the doctor’s say-so enough? Reporting on this recurring issue during the next edition of Talk-Ten-Tuesdays will be broadcast co-host Erica Remer, MD, founder and president of Erica Remer, MD, Incorporated. Other segments to be featured on the broadcast include:<ul><li>Coding Report: It’s the flu season in the United States, with most activity expected to peak between now and February. Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will be reporting on this developing story.</li><li>News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk-Ten-Tuesdays News Desk.</li><li>HIM Report: Julie Dooling, American Health Information Management Association (AHIMA) director of Health Information Management (HIM) Practice Excellence, will report on the Government Accountability Office (GAO) investigation of the different approaches being used and challenges being faced by hospitals seeking to achieve accurate patient matching.</li><li>Tuesday Focus: CMS Advanced Practitioner Professional (NPP) Billing: Many providers are still struggling with the NPP billing rules from the Centers for Medicare &amp; Medicaid Services (CMS). Author and educator Deborah Grider, senior healthcare consultant for Karen Zupko and Associates, will report on the need for greater understanding of this complex issue.</li></ul>

Code or Not to Code: Revisiting ICD-10-CM Guidelines

The FY 2019 Official Guidelines for Coding and Reporting versus the American Hospital Association (AHA) third-quarter Coding Clinic: when it comes to coding body mass index (BMI), there’s a contradiction.The Guidelines say BMI codes should only be assigned when the associated diagnosis meets the definition of a reportable diagnosis. AHA guidance states that obesity is always coded, even without supporting clinical significance. What’s a coder to do?During this edition of Talk Ten Tuesdays, James Kennedy, MD offers timely and practical advice on how to handle and resolve this issue.Other segments to be featured on the broadcast include:Coding Report: ICD-11 is being touted for its complexity and granularity, as you’ll learn when national health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast.CDC Report: It’s flu season, and the Centers for Disease Control and Prevention (CDC) is recommending an annual influenza vaccination for patients six years and older. But is there more to be done? Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC and an ICD10monitor contributor,  reports the latest news from the CDC.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesday News Desk.Tuesday Focus: Telemedicine is at a tipping point, expanding far beyond interactions between physicians and patients into entirely new ways to deliver healthcare and practice medicine. Where do ICD-10 and CPT® fit into this virtual delivery of medicine? That’s the question, and nationally recognized professional physician coding authority Terry Fletcher has the answers. 

The FY 2019 Official Guidelines for Coding and Reporting versus the American Hospital Association (AHA) third-quarter Coding Clinic: when it comes to coding body mass index (BMI), there’s a contradiction.The Guidelines say BMI codes should only be assigned when the associated diagnosis meets the definition of a reportable diagnosis. AHA guidance states that obesity is always coded, even without supporting clinical significance. What’s a coder to do?During this edition of Talk Ten Tuesdays, James Kennedy, MD offers timely and practical advice on how to handle and resolve this issue.Other segments to be featured on the broadcast include:<ul><li>Coding Report: ICD-11 is being touted for its complexity and granularity, as you’ll learn when national health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast. </li><li>CDC Report: It’s flu season, and the Centers for Disease Control and Prevention (CDC) is recommending an annual influenza vaccination for patients six years and older. But is there more to be done? Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC and an ICD10monitor contributor,  reports the latest news from the CDC. </li><li>News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesday News Desk. </li><li>Tuesday Focus: Telemedicine is at a tipping point, expanding far beyond interactions between physicians and patients into entirely new ways to deliver healthcare and practice medicine. Where do ICD-10 and CPT® fit into this virtual delivery of medicine? That’s the question, and nationally recognized professional physician coding authority Terry Fletcher has the answers.  </li></ul>

ICD-10 Official Guidelines versus Coding Clinic for ICD-10-CM-PCS

Smoldering below the surface is burnout, and it’s taking  a toll on physicians. With increasingly high rates of reported physician suicides  and an alarming decline in the volume of medical school applications, this  situation could be the nation’s next healthcare crisis. The good news: A study  published in April’s World Journal of Urology reported that using scribes in a  urology practice significantly increased physician efficiency, work  satisfaction, and revenue. Enter Talk Ten Tuesdays special guest Dr. Suzette  Sutherland, associate professor in the department of urology at the University  of Washington School of Medicine. Dr. Sutherland  reported on her facility’s  training program and how using scribes is improving efficiency but also improving  physician-patient relationships, patient satisfaction, and provider  satisfaction, leading to less physician burnout.   Other segments to be featured on the  broadcast include:  Tuesday  Focus - Risk Adjustment: We had two reports on  this trending topic: Sheri Poe Bernard, author of the American Medical  Association 2018 publication “Risk Adjustment Documentation and Coding,”  joined  the broadcast to discuss her new book. And also reporting on the Tuesday Focus on risk  adjustment was Marie A. Morin, director at Alvarez and Marsal Healthcare  Industry Group LLC. Marie reported on risk adjustment payment methodologies.    Talk Ten  Tuesdays News Desk: Larry  Field, DO,  anchored the Talk Ten Tuesdays News Desk and presented the very  latest healthcare news. Dr. Field is the treasurer of the American College of  Physician Advisors.     Coding  Report: Nationally recognized coding and documentation  authority Terry Fletcher will continued her report on errors she is uncovering in  a review of more than thousands of records. Terry  shared her findings in  the third of a four-part series on auditing issues in physician documentation  she is reporting exclusively for ICD10monitor.     CDI  Report: The  ICD10monitor contributor Glenn Krauss, the CDI manager at University Health  Systems Las Vegas,  reported on how CDI supports the ancient oath: “First, do  no harm.   Talk Ten Tuesdays. More than just talk.™ 

Smoldering below the surface is burnout, and it’s taking a toll on physicians. With increasingly high rates of reported physician suicides and an alarming decline in the volume of medical school applications, this situation could be the nation’s next healthcare crisis. The good news: A study published in April’s World Journal of Urology reported that using scribes in a urology practice significantly increased physician efficiency, work satisfaction, and revenue. Enter Talk Ten Tuesdays special guest Dr. Suzette Sutherland, associate professor in the department of urology at the University of Washington School of Medicine. Dr. Sutherland reported on her facility’s training program and how using scribes is improving efficiency but also improving physician-patient relationships, patient satisfaction, and provider satisfaction, leading to less physician burnout.  Other segments to be featured on the broadcast include: <ul> <li>Tuesday Focus - Risk Adjustment: We had two reports on this trending topic: Sheri Poe Bernard, author of the American Medical Association 2018 publication “Risk Adjustment Documentation and Coding,” joined the broadcast to discuss her new book. And also reporting on the Tuesday Focus on risk adjustment was Marie A. Morin, director at Alvarez and Marsal Healthcare Industry Group LLC. Marie reported on risk adjustment payment methodologies. </li> <li> Talk Ten Tuesdays News Desk: Larry Field, DO, anchored the Talk Ten Tuesdays News Desk and presented the very latest healthcare news. Dr. Field is the treasurer of the American College of Physician Advisors. </li> <li> Coding Report: Nationally recognized coding and documentation authority Terry Fletcher will continued her report on errors she is uncovering in a review of more than thousands of records. Terry shared her findings in the third of a four-part series on auditing issues in physician documentation she is reporting exclusively for ICD10monitor. </li> <li> CDI Report: The ICD10monitor contributor Glenn Krauss, the CDI manager at University Health Systems Las Vegas, reported on how CDI supports the ancient oath: “First, do no harm. </li> Talk Ten Tuesdays. More than just talk.™ </ul>

Send in the Scribes: Medical Scribes to the Rescue

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 &amp; 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.™

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 &amp; Medicaid Services (CMS). Other segments to be featured on the broadcast include: <ul> <li> 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. </li> <li> 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. </li> <li> 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. </li> <li> 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. 	</li> </ul>Talk Ten Tuesdays. More than just talk.™

New ICD-10 Codes, New Challenges: Reporting on the IPPS Proposed Rule

Nearly 30  days ago, we posed the question “Are HIM Coding Professionals Qualified to  Query for Clinical Validity?” leading up to the July 17 edition of Talk Ten Tuesdays,  and the responses continue to roll in, nearly unabated.  Specifically,  we asked at that time, “are seasoned coding professionals competent or trained  well enough to interpret clinical terms and concepts from the medical record?”  And many of you responded with an unequivocal “yes.” As a consequence, we will  proceed with Part II of this series, when we continue to explore reaction to  this question – which, after decades, still remains contentious. Reporting  our lead story during this edition of Talk Ten Tuesdays will be Anny Pang  Yuen, author, consultant, and founder of AP Consulting Associates, LLC. Other  segments to be featured on the broadcast include:  News Desk: Larry Field, DO,  anchors the Talk Ten Tuesdays News Desk with  the very latest healthcare news. Field is the treasurer of the American College  of Physician Advisors.   Dateline Washington: Talk Ten  Tuesdays legislative analyst Rhonda Taller  has the latest news coming out  of Washington, D.C. Rhonda is a member of the HIMSS professional development  committee.   Tuesday Focus: The Medicare Access and CHIP Reauthorization Act (MACRA) and the  Merit-Based Incentive Payment System (MIPS) can be complicated and confusing  for medical practices. Nationally recognized coding authority Terry  Fletcher  reports on the need for providers to balance regulatory compliance  with efficiency.   TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and  president of Erica Remer, MD, Inc.,  reports on the results of last Tuesday’s  Talk Ten Tuesdays Listener Survey, asking if your facility has clinical documentation  improvement (CDI) on the weekends.   Talk Ten Tuesdays. More than just talk.™

Nearly 30 days ago, we posed the question “Are HIM Coding Professionals Qualified to Query for Clinical Validity?” leading up to the July 17 edition of Talk Ten Tuesdays, and the responses continue to roll in, nearly unabated. Specifically, we asked at that time, “are seasoned coding professionals competent or trained well enough to interpret clinical terms and concepts from the medical record?” And many of you responded with an unequivocal “yes.” As a consequence, we will proceed with Part II of this series, when we continue to explore reaction to this question – which, after decades, still remains contentious. Reporting our lead story during this edition of Talk Ten Tuesdays will be Anny Pang Yuen, author, consultant, and founder of AP Consulting Associates, LLC. Other segments to be featured on the broadcast include: <ul> <li>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.</li> </ul> <ul> <li>Dateline Washington: Talk Ten Tuesdays legislative analyst Rhonda Taller has the latest news coming out of Washington, D.C. Rhonda is a member of the HIMSS professional development committee.</li> </ul> <ul> <li>Tuesday Focus: The Medicare Access and CHIP Reauthorization Act (MACRA) and the Merit-Based Incentive Payment System (MIPS) can be complicated and confusing for medical practices. Nationally recognized coding authority Terry Fletcher reports on the need for providers to balance regulatory compliance with efficiency.</li> </ul> <ul> <li>TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., reports on the results of last Tuesday’s Talk Ten Tuesdays Listener Survey, asking if your facility has clinical documentation improvement (CDI) on the weekends.</li> </ul> Talk Ten Tuesdays. More than just talk.™

Are HIM Coding Professionals Qualified to Query for Clinical Validity? Part II

While facilities and practices are concentrating on making critical changes in 2020 and 2021, it is important not to lose focus on the basics of correct coding. CPT® and ICD-10-CM coding errors can cost healthcare providers millions of dollars in lost revenue, but also, those errors can trigger compliance issues that could lead to audits.Reporting our lead story during this edition of Talk Ten Tuesdays is a nationally recognized professional physician coder and auditor Terry Fletcher.The podcast also features these other segments:Special Report: The EHR Source of Truth: Is your organization’s electronic health record (EHR) the source of clinical truth? Exploring that question is Susan Gatehouse, founder and CEO of Axea Solutions, who reports on how documentation and coding audits can uncover deficits within an EHR.Tuesday Focus: How does one avoid compromising on quality when faced with reimbursement cuts? It’s an issue that we hear about frequently, and that is why we asked Rhonda Buckholtz, chief executive officer for Century Vision Global, for her thoughts on this pervasive issue.The Coding Report: Laurie Johnson reports on the deadly coronavirus that has resulted in a scurry of international activity – evacuees arriving from countries hit hard by the virus, and others being shunned, quarantined, and tracked. Meanwhile, Johnson will be reporting on the latest U.S. efforts to designate a code for this global health emergency.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk. TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on another thought-provoking topic that has captured her attention.

While facilities and practices are concentrating on making critical changes in 2020 and 2021, it is important not to lose focus on the basics of correct coding. CPT® and ICD-10-CM coding errors can cost healthcare providers millions of dollars in lost revenue, but also, those errors can trigger compliance issues that could lead to audits. Reporting our lead story during this edition of Talk Ten Tuesdays is a nationally recognized professional physician coder and auditor Terry Fletcher. The podcast also features these other segments:<ul><li>Special Report: The EHR Source of Truth: Is your organization’s electronic health record (EHR) the source of clinical truth? Exploring that question is Susan Gatehouse, founder and CEO of Axea Solutions, who reports on how documentation and coding audits can uncover deficits within an EHR. </li><li>Tuesday Focus: How does one avoid compromising on quality when faced with reimbursement cuts? It’s an issue that we hear about frequently, and that is why we asked Rhonda Buckholtz, chief executive officer for Century Vision Global, for her thoughts on this pervasive issue. </li><li>The Coding Report: Laurie Johnson reports on the deadly coronavirus that has resulted in a scurry of international activity – evacuees arriving from countries hit hard by the virus, and others being shunned, quarantined, and tracked. Meanwhile, Johnson will be reporting on the latest U.S. efforts to designate a code for this global health emergency. </li><li>News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk. </li><li>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.</li></ul>

Million-Dollar Coding Mistakes – and How to Avoid Costly Errors

In the true holiday spirit of giving, during this edition of Talk Ten Tuesdays weekly broadcast will provide you and your team with some free advice on how to avoid claim denials – especially if you don’t have a robust claim denials management process.Unfortunately, the majority of healthcare organizations encounter claim denials on a regular basis, often habitually. Though some claim denials may be unavoidable, ineffective claim denials management can result in even more lost revenue, as you’ll learn when Susan Gatehouse, founder and CEO of Axea Solutions, returns to the broadcast.The live broadcast will also feature these other segments:The Coding Report: Laurie Johnson reports on the latest coding news that has been making headlines. Johnson is a nationally recognized coding authority and senior healthcare consultant at Revenue Cycle Solutions, LLC.Tuesday Focus: Mental Health: During this holiday season, you and others are likely looking forward to festivities with coworkers, friends, family, and extended family. But for others, this time of the year can trigger, or in some cases, acerbate, stress, anxiety, and depression. That is why we asked nationally prominent psychiatrist and author H. Steven Moffic to provide a prescription to relieve the holiday malaise some of you might be experiencing.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchor the Talk Ten Tuesdays News Desk.RegWatch: Stanley Nachimson, former Centers for Medicare &amp; Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C.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.

In the true holiday spirit of giving, during this edition of Talk Ten Tuesdays weekly broadcast will provide you and your team with some free advice on how to avoid claim denials – especially if you don’t have a robust claim denials management process. Unfortunately, the majority of healthcare organizations encounter claim denials on a regular basis, often habitually. Though some claim denials may be unavoidable, ineffective claim denials management can result in even more lost revenue, as you’ll learn when Susan Gatehouse, founder and CEO of Axea Solutions, returns to the broadcast. The live broadcast will also feature these other segments:<ul><li>The Coding Report: Laurie Johnson reports on the latest coding news that has been making headlines. Johnson is a nationally recognized coding authority and senior healthcare consultant at Revenue Cycle Solutions, LLC. </li><li>Tuesday Focus: Mental Health: During this holiday season, you and others are likely looking forward to festivities with coworkers, friends, family, and extended family. But for others, this time of the year can trigger, or in some cases, acerbate, stress, anxiety, and depression. That is why we asked nationally prominent psychiatrist and author H. Steven Moffic to provide a prescription to relieve the holiday malaise some of you might be experiencing. </li><li>News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchor the Talk Ten Tuesdays News Desk. </li><li>RegWatch: Stanley Nachimson, former Centers for Medicare &amp; Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C. </li><li>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.</li></ul>

In the Holiday Spirit of Giving: Free Advice to Avoid Claim Denials

Five Looking at Ten, the month-long series on ICD10monitor and Talk Ten Tuesdays that examines lessons learned since the nation’s healthcare system adopted ICD-10, will continue with a special guest appearance of Robert Tennant of the Medical Group Management Association (MGMA).The broadcast also feature these other segments:Five Looking at Ten: Clinical Audits: Nationally recognized health information management (HIM) authority Gloryanne Bryant reports on lessons learned from clinical coding audits and selecting a coding vendor. Five Looking at Ten: The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on lessons learned as the nation prepares for the transition from ICD-10 to ICD-11, as well as the prerequisite training. Revenue Cycle Report: Tim Bavosi, vice president of consulting for RevSpring, reports on the root causes linked to claim denials.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, continues her reporting on the recent CMS informational session on CCs and MCCs.

Five Looking at Ten, the month-long series on ICD10monitor and Talk Ten Tuesdays that examines lessons learned since the nation’s healthcare system adopted ICD-10, will continue with a special guest appearance of Robert Tennant of the Medical Group Management Association (MGMA). The broadcast also feature these other segments:<ul><li>Five Looking at Ten: Clinical Audits: Nationally recognized health information management (HIM) authority Gloryanne Bryant reports on lessons learned from clinical coding audits and selecting a coding vendor. </li><li>Five Looking at Ten: The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on lessons learned as the nation prepares for the transition from ICD-10 to ICD-11, as well as the prerequisite training.  </li><li>Revenue Cycle Report: Tim Bavosi, vice president of consulting for RevSpring, reports on the root causes linked to claim denials. </li><li>News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk. </li><li>TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, continues her reporting on the recent CMS informational session on CCs and MCCs.</li></ul>

Five Looking at Ten: Lessons Learned

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&amp;M) coding authority, reports on the 2019 proposed  Medicare Physician Fee Schedule released Thursday by the Centers for Medicare  &amp; 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.™

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: <ul> <li>News Desk: Dennis Jones, the patient financial services administrator at Nyack Hospital in Nyack, N.Y., will anchor the Talk Ten Tuesdays News Desk. </li> </ul> <ul> <li>Tuesday Focus: Shannon DeConda, a nationally recognized evaluation and management (E&amp;M) coding authority, reports on the 2019 proposed Medicare Physician Fee Schedule released Thursday by the Centers for Medicare &amp; Medicaid Services (CMS). DeConda is founder of the National Alliance of Medical Auditing Specialists (NAMAS). </li> <li>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. </li> <li>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.</li> </ul> Talk Ten Tuesdays. More than just talk.™

Are HIM Coding Professionals Qualified to Query for Clinical Validity?

Back  in February, as reported by ICD10monitor, the American Hospital Association  (AHA) changed coding rules, allowing case managers and social workers to assign  Z codes—one of 88 assignable ICD-10 codes to report on claims for homelessness,  low income, stressful work environment, low literacy, divorce, personal history  of abuse, and many more. But not all healthcare professionals—including a  number of physicians—are getting the message. To  help clear up the confusion, Ellen Fink-Samnick, a nationally recognized expert  on social determinants of health (SDoH), will report our lead story. Other  segments to be featured on the broadcast include:  Talk Ten Tuesday News Desk: Timothy  Powell, a nationally recognized expert on regulatory matters  including the False Claims Act, ZPIC audits, and the OIG, will return to report  on the latest healthcare news.   E&amp;M Coding Update: Given the scale  and potential impact of major E&amp;M changes in the 2019 Medicare Physician  Fee Schedule proposed rule, Grant Huang, director of content for  DoctorsManagement, will report on the major overhaul being proposed by the  Centers for Medicare &amp; Medicaid Services (CMS).    Tuesday Focus: Malnutrition: Severe protein calorie  malnutrition is under high scrutiny from CMS, U.S. Department of Health and  Human Services (HHS), Office of Inspector General (OIG), and commercial  insurers. Megan Cortazzo, MD, medical director of clinical documentation  improvement and health information management at University of Pittsburg Medical  Center, will report on why it is happening and how to ensure hospitals and  providers get compensated for the services they are providing.   Talk Ten Tuesdays. More than just talk.™

Back in February, as reported by ICD10monitor, the American Hospital Association (AHA) changed coding rules, allowing case managers and social workers to assign Z codes—one of 88 assignable ICD-10 codes to report on claims for homelessness, low income, stressful work environment, low literacy, divorce, personal history of abuse, and many more. But not all healthcare professionals—including a number of physicians—are getting the message. To help clear up the confusion, Ellen Fink-Samnick, a nationally recognized expert on social determinants of health (SDoH), will report our lead story. Other segments to be featured on the broadcast include: <ul> <li>Talk Ten Tuesday News Desk: Timothy Powell, a nationally recognized expert on regulatory matters including the False Claims Act, ZPIC audits, and the OIG, will return to report on the latest healthcare news.</li> </ul> <ul> <li>E&amp;M Coding Update: Given the scale and potential impact of major E&amp;M changes in the 2019 Medicare Physician Fee Schedule proposed rule, Grant Huang, director of content for DoctorsManagement, will report on the major overhaul being proposed by the Centers for Medicare &amp; Medicaid Services (CMS). </li> </ul> <ul> <li>Tuesday Focus: Malnutrition: Severe protein calorie malnutrition is under high scrutiny from CMS, U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG), and commercial insurers. Megan Cortazzo, MD, medical director of clinical documentation improvement and health information management at University of Pittsburg Medical Center, will report on why it is happening and how to ensure hospitals and providers get compensated for the services they are providing.</li> </ul> Talk Ten Tuesdays. More than just talk.™

Stressing Out About the Z Codes: Healthcare’s New Imperative

So how do you as a coding professional ensure your physician queries are effective and compliant? First, it’s important to understand when to query a physician, how to submit a query and the best way to get a reply from your provider. During the next edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher will provide insight into this important and powerful communication tool.The live broadcast will also feature these other segments:The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays coding report.  Tuesday Focus: Rhonda Buckholtz, chief compliance officer for Century Vision Global, will report on the use of evidence-based medicine to influence CDI improvements.News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will discuss the contentious subject of SEP-1.

So how do you as a coding professional ensure your physician queries are effective and compliant? First, it’s important to understand when to query a physician, how to submit a query and the best way to get a reply from your provider.  During the next edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher will provide insight into this important and powerful communication tool. The live broadcast will also feature these other segments: <ul><li>The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays coding report.   </li><li>Tuesday Focus: Rhonda Buckholtz, chief compliance officer for Century Vision Global, will report on the use of evidence-based medicine to influence CDI improvements. </li><li>News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent will anchor the Talk Ten Tuesdays News Desk. </li><li>TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will discuss the contentious subject of SEP-1.</li></ul>

The Art of the Physician Query

In the era  of #metoo, a new national study – “Sexual Harassment of Physicians Report 2018”  – was published this week by Medscape, reporting that more than 10 percent of  female physicians have experienced workplace sexual harassment.   Continuing  its reporting on women’s health issues, and in particular gender wage  disparity, Talk Ten Tuesdays will delve into this topical social issue that has  until recently been an underreported in healthcare. Also  weighing in on this matter is special guest Kimberly Templeton, MD,  immediate past president of the American Medical Women’s Association and  professor of orthopedic surgery at the University Kansas Medical Center.   Other segments to be featured on the broadcast include:  News Desk: Larry Field, DO,  anchors the  Talk Ten Tuesdays News Desk with the his experiences with harassment in the workplace. Field is the  treasurer of the American College of Physician Advisors.   CDI Report: Adele Towers, MD,  associate professor of medicine and psychiatry and senior clinical advisor at  the University of Pittsburgh Medical Center,  returns after a long absence  with the Talk Ten Tuesday CDI report.   Coding Report: Laurie  Johnson, senior healthcare consultant for Revenue Cycle Solutions LLC and an ICD10monitor  contributor,  reports on coding and documenting sexual harassment.    TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD,  FACEP, CCDS, founder and president of Erica Remer, MD, Inc., will return to the  broadcast with her popular TalkBack segment.   Talk Ten Tuesdays. More than just talk.™

In the era of #metoo, a new national study – “Sexual Harassment of Physicians Report 2018” – was published this week by Medscape, reporting that more than 10 percent of female physicians have experienced workplace sexual harassment.  Continuing its reporting on women’s health issues, and in particular gender wage disparity, Talk Ten Tuesdays will delve into this topical social issue that has until recently been an underreported in healthcare. Also weighing in on this matter is special guest Kimberly Templeton, MD, immediate past president of the American Medical Women’s Association and professor of orthopedic surgery at the University Kansas Medical Center.  Other segments to be featured on the broadcast include: <ul> <li>News Desk: Larry Field, DO, anchors the Talk Ten Tuesdays News Desk with the his experiences with harassment in the workplace. Field is the treasurer of the American College of Physician Advisors.</li> </ul> <ul> <li>CDI Report: Adele Towers, MD, associate professor of medicine and psychiatry and senior clinical advisor at the University of Pittsburgh Medical Center, returns after a long absence with the Talk Ten Tuesday CDI report. </li> <li>Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions LLC and an ICD10monitor contributor, reports on coding and documenting sexual harassment. </li> </ul> <ul> <li>TalkBack: Talk Ten Tuesdays co-host Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., will return to the broadcast with her popular TalkBack segment.</li> </ul> Talk Ten Tuesdays. More than just talk.™

Coding and Documenting Sexual Harassment

Central Learning is a web-based coding assessment and education application. Since 2016, the company has conducted an annual national coding review to measure ICD-10 coding accuracy and production.  The initial intent was to evaluate how coding accuracy and production fared using ICD-10, as compared to ICD-9. The common industry accuracy benchmark under ICD-9 was 95 percent.  The findings in 2018 indicated that the industry at large still lags far behind past expectations. In addition, as production under ICD-10 increases, accuracy decreases. Reporting our lead story during the next edition of Talk Ten Tuesdays will be Holly Louie, past president of the Healthcare Business and Management Association (HBMA) and guest co-host. The live broadcast will also feature these other segments:Tuesday Focus: Justin Hammerling, president of Kapios Health and vice president of ProMedica, reports on the disconnect between doctors and coders when scheduling inpatient surgeries.The CDI Report: Dr. James Kennedy, physician, certified coder, and clinical documentation improvement (CDI) specialist, reports on strategies you can use to appropriately upgrade your action plan for coding additional inpatient diagnoses.Coding Life in Transition: Nationally recognized professional physician coder and auditor Terry Fletcher reports on coding for transitional care management (TCM) for patients with medical and/or psychosocial problems requiring moderate or high-complexity medical decision-making.Revenue Cycle Report: Bonnie S. Cassidy, nationally renowned health information management (HIM) authority, reports on why the mid-revenue cycle has traditionally been under-resourced.News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.

Central Learning is a web-based coding assessment and education application. Since 2016, the company has conducted an annual national coding review to measure ICD-10 coding accuracy and production.   The initial intent was to evaluate how coding accuracy and production fared using ICD-10, as compared to ICD-9. The common industry accuracy benchmark under ICD-9 was 95 percent.   The findings in 2018 indicated that the industry at large still lags far behind past expectations. In addition, as production under ICD-10 increases, accuracy decreases. Reporting our lead story during the next edition of Talk Ten Tuesdays will be Holly Louie, past president of the Healthcare Business and Management Association (HBMA) and guest co-host.  The live broadcast will also feature these other segments:<ul><li>Tuesday Focus: Justin Hammerling, president of Kapios Health and vice president of ProMedica, reports on the disconnect between doctors and coders when scheduling inpatient surgeries. </li><li>The CDI Report: Dr. James Kennedy, physician, certified coder, and clinical documentation improvement (CDI) specialist, reports on strategies you can use to appropriately upgrade your action plan for coding additional inpatient diagnoses. </li><li>Coding Life in Transition: Nationally recognized professional physician coder and auditor Terry Fletcher reports on coding for transitional care management (TCM) for patients with medical and/or psychosocial problems requiring moderate or high-complexity medical decision-making. </li><li>Revenue Cycle Report: Bonnie S. Cassidy, nationally renowned health information management (HIM) authority, reports on why the mid-revenue cycle has traditionally been under-resourced. </li><li>News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.</li></ul>

Coding Accuracy Assessment:  The News not Good

Chronic obstructive pulmonary disease (COPD) continues to be a challenge to code and document – its coding in particular, and its sequencing, can be difficult. As a medical diagnosis, COPD is one of the most frequently searched terms on the Internet.Shedding light on this subject during this episode of Talk Ten Tuesdays is Nelly Leon-Chisen, the director of coding and classification for the American Hospital Association (AHA).Last Tuesday and Wednesday, the federal ICD-10 Coordination and Maintenance Committee (C&amp;M) met to hear from proposals for new code topics. During this episode we will also have two reports on this major healthcare event, which was held at the Centers for Medicare &amp; Medicaid Services (CMS) headquarters in Baltimore. Reporting on the proposals are Linda Holtzman, the founder of Clarity Coding, and coding educator and consultant Laurie Johnson.Other segments featured in this episode include:News Desk: The aforementioned Laurie Johnson anchors the Talk Ten Tuesdays news desk.Mental Health Report: Talk Ten Tuesdays resident psychiatrist H. Steven Moffic, MD, reports on major sports story involving the self-disclosure of NBA basketball star Kevin Love that he suffers from panic attacks. Yes, there is a code for panic disorder. TalkBack:Talk Ten Tuesdays co-host Erica Remer, MD, discusses a coding-clinical disconnect in the Official Guidelines regarding poisoning versus adverse effects. Talk Ten Tuesdays. More than just talk.™

Chronic obstructive pulmonary disease (COPD) continues to be a challenge to code and document – its coding in particular, and its sequencing, can be difficult. As a medical diagnosis, COPD is one of the most frequently searched terms on the Internet.Shedding light on this subject during this episode of Talk Ten Tuesdays is Nelly Leon-Chisen, the director of coding and classification for the American Hospital Association (AHA).Last Tuesday and Wednesday, the federal ICD-10 Coordination and Maintenance Committee (C&amp;M) met to hear from proposals for new code topics. During this episode we will also have two reports on this major healthcare event, which was held at the Centers for Medicare &amp; Medicaid Services (CMS) headquarters in Baltimore. Reporting on the proposals are Linda Holtzman, the founder of Clarity Coding, and coding educator and consultant Laurie Johnson.Other segments featured in this episode include:<ul><li>News Desk: The aforementioned Laurie Johnson anchors the Talk Ten Tuesdays news desk. </li><li>Mental Health Report: Talk Ten Tuesdays resident psychiatrist H. Steven Moffic, MD, reports on major sports story involving the self-disclosure of NBA basketball star Kevin Love that he suffers from panic attacks. Yes, there is a code for panic disorder.  </li><li>TalkBack:Talk Ten Tuesdays co-host Erica Remer, MD, discusses a coding-clinical disconnect in the Official Guidelines regarding poisoning versus adverse effects. </li></ul>Talk Ten Tuesdays. More than just talk.™

The Continuous Challenge to Code and Document COPD Compliantly

Data mining is the next frontier in healthcare – and it’s here.The creation of revenue management and data management educational tracks in health information technology (HIT) associate degree programs, plus the use of artificial intelligence (AI) to assign ICD-11 codes, means that data mining skills are a must-have for coding specialists, requiring extensive education.To help assist this major educational initiative, ICD10monitor and Talk Ten Tuesdays are producing a series of articles and broadcast segments on medical coding data mining. Published by ICD10monitor, in association with the author, educator, and consultant Lolita Jones, this exclusive series will tackle the topic of data mining in an easy-to-understand format that will also include real-life medical coding data mining examples.The goal is simple. We want coding specialists to embrace data mining, so they can excel in their new roles as coding validators when ICD-11 is implemented. Launching this new series during this edition of Talk Ten Tuesdays will be the aforementioned Ms. Jones, who is also a member of the ICD10monitor editorial board.The live broadcast will also feature these other segments:Tuesday Focus: Debridement: Medicare’s definition of debridement is “the removal of foreign material and/or devitalized or contaminated tissue from or adjacent to a traumatic or infected wound until surrounding healthy tissue is exposed.” Nationally recognized professional physician coder and auditor Terry Fletcher, a member of the ICD10monitor editorial board, reports documentation essentials and coding errors for which to be alert.RegWatch: Stanley Nachimson, former Centers for Medicare &amp; Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C.Ten Going on Eleven: The Coding Report: Laurie Johnson reports on the need to be conversant with ICD-11, especially if there is no physical coding book. Johnson is a nationally recognized coding authority and senior healthcare consultant at Revenue Cycle Solutions, LLC.News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk. TalkBack: Erica Remer, MD, FACEP, CCDS, 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.

Data mining is the next frontier in healthcare – and it’s here. The creation of revenue management and data management educational tracks in health information technology (HIT) associate degree programs, plus the use of artificial intelligence (AI) to assign ICD-11 codes, means that data mining skills are a must-have for coding specialists, requiring extensive education. To help assist this major educational initiative, ICD10monitor and Talk Ten Tuesdays are producing a series of articles and broadcast segments on medical coding data mining. Published by ICD10monitor, in association with the author, educator, and consultant Lolita Jones, this exclusive series will tackle the topic of data mining in an easy-to-understand format that will also include real-life medical coding data mining examples. The goal is simple. We want coding specialists to embrace data mining, so they can excel in their new roles as coding validators when ICD-11 is implemented. Launching this new series during this edition of Talk Ten Tuesdays will be the aforementioned Ms. Jones, who is also a member of the ICD10monitor editorial board. The live broadcast will also feature these other segments:<ul><li>Tuesday Focus: Debridement: Medicare’s definition of debridement is “the removal of foreign material and/or devitalized or contaminated tissue from or adjacent to a traumatic or infected wound until surrounding healthy tissue is exposed.” Nationally recognized professional physician coder and auditor Terry Fletcher, a member of the ICD10monitor editorial board, reports documentation essentials and coding errors for which to be alert. </li><li>RegWatch: Stanley Nachimson, former Centers for Medicare &amp; Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C. </li><li>Ten Going on Eleven: The Coding Report: Laurie Johnson reports on the need to be conversant with ICD-11, especially if there is no physical coding book. Johnson is a nationally recognized coding authority and senior healthcare consultant at Revenue Cycle Solutions, LLC. </li><li>News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk. </li><li>TalkBack: Erica Remer, MD, FACEP, CCDS, 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.</li></ul>

Ten Going on Eleven:  Data Mining: A Must-Have Skill for Coders

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

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

Beyond CCs and MCCs: Say Hello to HCCs and APR-DRGs

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

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

How Risk Adjustment and HCCs Are Impacting Coding and CDI

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™

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: <ul> <li>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.</li> </ul> <ul> <li>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. </li> </ul> <ul> <li>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. </li> </ul> <ul> <li>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. </li> </ul> <ul> <li>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.</li> </ul> Talk Ten Tuesdays: More than just talk™

2019 IPPS Updates: Reviewing Major Disease Category 18

Proposed changes to the Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System were posted late Tuesday by the Centers for Medicare &amp; Medicaid Services (CMS). And while the dust has yet to settle, the proposals are sending shockwaves through the coding and clinical documentation integrity (CDI) communities. Context, perspective, and analysis of the proposed IPPS rule will be provided during the next edition of Talk Ten Tuesdays.The live broadcast will also feature these other segments:The Coding Report: Laurie Johnson reports on the proposed coding changes outlined in the IPPS rule. Johnson is a senior healthcare consultant at Revenue Cycle Solutions, LLC.RegWatch: Stanley Nachimson, former CMS career professional turned well-known healthcare IT authority, provides much-needed context on the proposed rule.News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.The Dunn Report: National health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast with another edition of her series on how HIM can play a role in other areas of the revenue cycle.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, offers her unique blend of analysis and commentary on the proposed IPPS rule.

Proposed changes to the Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) Prospective Payment System were posted late Tuesday by the Centers for Medicare &amp; Medicaid Services (CMS).  And while the dust has yet to settle, the proposals are sending shockwaves through the coding and clinical documentation integrity (CDI) communities. Context, perspective, and analysis of the proposed IPPS rule will be provided during the next edition of Talk Ten Tuesdays. The live broadcast will also feature these other segments:<ul><li>The Coding Report: Laurie Johnson reports on the proposed coding changes outlined in the IPPS rule. Johnson is a senior healthcare consultant at Revenue Cycle Solutions, LLC.</li><li>RegWatch: Stanley Nachimson, former CMS career professional turned well-known healthcare IT authority, provides much-needed context on the proposed rule.</li><li>News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.</li><li>The Dunn Report: National health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast with another edition of her series on how HIM can play a role in other areas of the revenue cycle.</li><li>TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, offers her unique blend of analysis and commentary on the proposed IPPS rule.</li></ul>

2020 IPPS Proposed Rule: Context, Perspective, and Analysis

“In the hospital setting, we see multiple insurance denials on a weekly basis,” Lamon Willis recently wrote in an article for ICD10monitor.“Teams of people route them to various departments for analysis and review. I have staff members who review the APC and/or DRG, along with coding criteria, to determine if we have properly fulfilled our duties as coders and to support the appeals process for the organization,” he continued. “My staff and I agree on one thing at the very beginning, and that is: don’t believe the denial.”During this edition of Talk Ten Tuesdays, Willis, director of coding for Velocity Healthcare Collaborative, explains valid reasons for not necessarily believing in DRG denials by auditors.  The live broadcast will also feature these other segments:The Coding Report: Laurie Johnson, a senior healthcare consultant at Revenue Cycle Solutions, LLC, continues her exclusive reporting on the coding of e-cigarette lung injuries (vaping). Tuesday Focus: Nationally recognized professional physician coder and auditor Terry Fletcher, a member of the ICD10monitor editorial board, reports how physicians and providers could have their Medicare enrollment revoked if they are affiliated with an organization directly or indirectly that has any history of "bad acts" with the program.Five Looking at Ten: Deborah Grider, author, educator, and senior healthcare consultant for Karen Zupko and Associates, returns to the broadcast to report on coding lessons learned in ICD-10.Five Looking at Ten: The WEDI Role: Stanley Nachimson reports on the role played by the Workgroup for Electronic Data Interchange (WEDI) in the run-up to ICD-10. Nachimson led the WEDI ICD-10 Implementation Timeline Initiative and co-chaired the ICD-10 Testing workgroup.News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.

“In the hospital setting, we see multiple insurance denials on a weekly basis,” Lamon Willis recently wrote in an article for ICD10monitor. “Teams of people route them to various departments for analysis and review. I have staff members who review the APC and/or DRG, along with coding criteria, to determine if we have properly fulfilled our duties as coders and to support the appeals process for the organization,” he continued. “My staff and I agree on one thing at the very beginning, and that is: don’t believe the denial.” During this edition of Talk Ten Tuesdays, Willis, director of coding for Velocity Healthcare Collaborative, explains valid reasons for not necessarily believing in DRG denials by auditors.   The live broadcast will also feature these other segments:<ul><li>The Coding Report: Laurie Johnson, a senior healthcare consultant at Revenue Cycle Solutions, LLC, continues her exclusive reporting on the coding of e-cigarette lung injuries (vaping). </li><li>Tuesday Focus: Nationally recognized professional physician coder and auditor Terry Fletcher, a member of the ICD10monitor editorial board, reports how physicians and providers could have their Medicare enrollment revoked if they are affiliated with an organization directly or indirectly that has any history of "bad acts" with the program. </li><li>Five Looking at Ten: Deborah Grider, author, educator, and senior healthcare consultant for Karen Zupko and Associates, returns to the broadcast to report on coding lessons learned in ICD-10. </li><li>Five Looking at Ten: The WEDI Role: Stanley Nachimson reports on the role played by the Workgroup for Electronic Data Interchange (WEDI) in the run-up to ICD-10. Nachimson led the WEDI ICD-10 Implementation Timeline Initiative and co-chaired the ICD-10 Testing workgroup. </li><li>News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.</li></ul>

Reasons Not to Believe DRG Denials

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