Talk Ten Tuesdays

New Patient versus Established Patient: The Coder’s Dilemma


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Knowing how to distinguish new patients from established patients, apart from ensuring that coding guidelines are being followed, enables you to be reimbursed for the additional work that new patient visits warrant. Moreover, in some cases, not distinguishing new patients from established patients can amount to shortchanging yourself, as you will learn during this edition of Talk Ten Tuesdays, when Terry Fletcher returns to the broadcast to report on evaluation and management (E&M) coding.

Other segments to be featured on the broadcast include:

  • The I 10 Coding Report: Yellow fever has been reported in the Americas, and this can be prevented – a warning for people who are planning trips to the Caribbean or Latin America. Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on this new travel advisory.

  • News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.

  • 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: Sepsis 2 versus Sepsis 3 The Healthcare Association of New York State (HANYS) and Greater New York Hospital Association (GNYHA) were scheduled to meet with New York’s Department of Health (DOH) on Feb. 12 to discuss the health plans' continued use of the Sepsis 3 definition for reviewing claims. New York continues to use the Sepsis 2 definition. Dennis Jones, the administrator of patient financial services for Montefiore Nyack Hospital, reports on the backstory.

  • Guest Talk: Holly Louie, past president of the Healthcare Business and Management Association and the compliance officer for Professional Management, Inc. (PMI), reports on healthcare billing issues that have captured her attention of late.



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Talk Ten TuesdaysBy ICD10monitor

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