We’re living in a hybrid world. And now the hybrid concept has become part of the coding and clinical documentation integrity (CDI) world.

The process of physician querying is already a stressful activity for many CDI and coding professionals. It has recently become even more stressful, because many hospitals are receiving a new type of denial: a hybrid between coding and clinical validation. It arises when a payer denies a diagnosis added by query, because their auditor determined that the query was non-compliant.

During the next live edition of Talk Ten Tuesdays, senior healthcare consultant Cheryl Ericson will return to the broadcast to help coders and CDI specialists (CDISs) better code and report amid this new added twist of a threat.

Also part of the broadcast will be these instantly recognizable panelists, who will report more news during their segments:

• Field Report: Substituting for Tiffany Ferguson will be Laurie Johnson, who is expected to report on trauma coding occasioned by Wednesday’s fatal shooting of the UnitedHealthcare CEO, Brian Thompson.

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.

• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention.

The Centers for Medicare and Medicaid Services (CMS) measures and, in some cases, penalizes facilities whose inpatient mortality or readmission (up to 3 per cent of their traditional Medicare revenue) rates for pneumonia, heart failure, acute myocardial infarction, and other conditions exceed their established benchmarks. 

Since these measures are based solely on ICD-10-CM/PCS-based administrative data applied to algorithms developed by Yale University, inaccurate documentation and coding can unwittingly misrepresent a facility’s excellent performance resulting in underserved underpayments.  

During the next live edition of the long-running Internet broadcast, Talk Ten Tuesday, Dr. James S. Kennedy, president of CDIMD in Nashville, Tenn., will present five relatively simple CDI strategies involving the CMS mortality and readmission measures that, if implemented, will more accurately reflect your facility’s excellent performance and lower or eliminate undeserved penalties.  Be sure to take notes and invite your colleagues from quality to listen as well.

Also part of the broadcast will be these instantly recognizable panelists, who will report more news during their segments:

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.
• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.
  
  
• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.
  
  
• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention.

Even savvy dentists tend to find a challenge in boosting their reimbursements by correctly coding procedures as medical claims instead of dental ones.

During the next live edition of Talk Ten Tuesdays, Jeff Holt will report on the benefits of this strategy, including common pitfalls that make dentists want to pull their hair out. You’ll discover that the benefits of having top-notch coders and cutting-edge tech is like finding the Holy Grail.

Also part of the broadcast will be these instantly recognizable panelists, who will report more news during their segments:

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention.

Tune in to Talk Ten Tuesdays live on LinkedIn, or sign up below to join our email list for exclusive access to our live streaming platform.

He was enthralling as he explained his revolutionary technology that empowers healthcare professionals to make crucial decisions in real time that improve patient care. Dr. Gerasimos Petratos, founder and CEO for HITEKS, had successfully automated the tenuous physician query process.

In our continuing series of technical reporting, “Healthcare Technology,” the producers of ICD10monitor and Talk Ten Tuesdays have invited Dr. Petratos to be the special guest during the next live edition of the weekly Internet radio broadcast.

Beyond outlining the automated query process, Dr. Petratos is expected to provide an update on other proprietary products in his company’s arsenal.

Also part of the broadcast will be these instantly recognizable panelists, who will report more news during their segments:

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

In the wake of last Tuesday’s Presidential Election, the producers of ICD10monitor and Talk Ten Tuesdays have invited world-renowned psychiatrist H. Steven Moffic, MD to analyze America’s collective psyche.

As in all election outcomes, there were losers and winners. Yet how we, as Americans, manifest these feelings will be the essence of the next live edition of the popular and long-running Internet radio program.

Also part of the broadcast will be these instantly recognizable panelists, who will report more news during their segments:

• Field Report: Senior healthcare consultant Gloryanne Bryant will report on a subject that has been generating industry buzz.

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Listen on: Apple Podcasts   Spotify

Feeling parched?

Well, you’re not alone. Hospitals across the country are dealing with a saline shortage.

Thanks to Hurricane Helene’s unwelcome visit to the Baxter International facility in North Carolina, your IV bags may be running low. Imagine a busy highway suddenly reduced to a single lane: that’s what this IV shortage feels like for impacted healthcare providers.

During the next live edition of the long-running and popular live Internet radio program Talk Ten Tuesday, Dr. Nick van Terheyden will report on just about everything related to this topic, from switching to oral meds (because who needs a needle when you can swallow?) to challenging those pesky “keep the veins open” (KVO) orders (seriously, do you really need to keep those veins open all the time?)

Join Talk Ten Tuesdays and leave feeling hydrated and empowered!

Also part of the broadcast, these instantly recognizable panelists will report more news during their segments:

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will continue with the final installment in her three-part series on the significant changes in the newly released ICD-10 codes.

• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Listen on: Apple Podcasts   Spotify

The panic was widespread. Rumors were flying. Cellphone alarms were sounding.

From large hospital conference rooms to upholstered cubicles, everyone seemed to have the same sense of disbelief and mounting frustration: Acentra Health (previously Kepro) had announced a new appeal process for Medicare patients – specifically, those whose status changed from inpatient to observation.

Among those who maintained a sense of composure was healthcare regulatory guru Ronald Hirsch, MD.

Dr. Hirsch, a popular presenter on Monitor Mondays, produced by RACmonitor, carefully read the documents and concluded that while no one in healthcare wanted to be burdened with another Medicare form, the news was much less dire than it had first seemed.

That is why the ICD10monitor producers of the popular Talk Ten Tuesdays Internet radio program invited Dr. Hirsch to report on his analysis of the new Medicare appeal process.

Also as part of the broadcast, these instantly recognizable panelists will report more news during their segments:

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will continue with the final installment in her three-part series on the significant changes in the newly released ICD-10 codes.

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Tune in to Talk Ten Tuesdays live on LinkedIn, or sign up below to join our email list for exclusive access to our live streaming platform.

Listen on: Apple Podcasts   Spotify

The Rules of Engagement for medical coding and clinical documentation integrity (CDI) are based on four authoritative sources: the ICD-10-CM/PCS Official Coding Guidelines, the American Hospital Association (AHA) Coding Clinic Advice, the American Health Information Management Association (AHIMA) Standards of Ethical Coding, and practice briefs. These are, in the words of senior healthcare consultant Gloryanne Bryant, “the Big Essentials.”

Bryant, past president of the California Health Information Association (CHIA), will report on each of these essential publications during the next live edition of the ever-popular Talk Ten Tuesdays live Internet broadcast.

Also during the broadcast, these instantly recognizable panelists will report more news during their segments:

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will continue with the final installment in her three-part series on the significant changes in the newly released ICD-10 codes.

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Listen on: Apple Podcasts   Spotify

The American Hospital Association’s (AHA’s) Coding Clinic edition for the fourth quarter of 2024 has been published, and it includes several key changes of which providers nationwide should take heed.

And that is why the producers of ICD10monitor have invited renowned subject matter expert Dr. James S. Kennedy to delve into the details and provide you with cautionary insights.

Also during the broadcast, these instantly recognizable panelists will report more news during their segments:

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will continue with Part Two of her three-part series on the significant changes in the newly released ICD-10 codes.

• Social Determinants of Health: Tiffany Ferguson, CEO for Phoenix Medical Management, Inc., will report on the news that is happening at the intersection of medical record auditing and the SDoH.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Listen on: Apple Podcasts   Spotify

Health and longevity are within reach for everyone, no matter from where you’re starting. And it’s never too late to begin.

During the next live edition of Talk Ten Tuesdays, Dr. Nick van Terheyden will cover some key areas upon which to focus so you can start bringing about improvements in your life by making small, consistent changes that are expected to lead to lasting improvements in your well-being.

Over the course of the next few coming Tuesdays, Dr. Nick will dive deeper into these areas and beyond to explore additional healthy fundamentals. You are invited you to send in your suggestions for future topics – for example, what exactly are macronutrients and micronutrients, and why should we know?

Also during the broadcast, these instantly recognizable panelists will report more news during their segments:

• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will begin a three-part series on the significant changes in the newly released ICD-10 codes.

• RegWatch: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest regulatory news coming out of Washington, D.C.

• News Desk: Timothy Powell, ICD10monitor national correspondent and regulatory expert, will anchor the Talk Ten Tuesdays News Desk.

• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Listen on: Apple Podcasts   Spotify