Despite their advanced capabilities, artificial intelligence (AI) tools can occasionally misinterpret ambiguous documentation or lack the nuance necessary for complex decision-making. And that is why coders must continue to exercise their expertise and judgment when reviewing AI-assisted code assignment.

This level of vigilance is crucial for ensuring that AI-assisted coding assignment meets stringent standards of quality and compliance – as you’ll learn during the next live edition of Talk Ten Tuesdays. That’s when former American Health Information Management Association (AHIMA) leader Angela Comfort will return to the weekly broadcast as our special guest to report the lead story on how coders need to be prepared to leverage AI technologies while safeguarding the quality and compliance of coding assignments.

All this and more will be covered during the next edition of the weekly broadcast, which will also feature these outstanding segments and thought leaders:

• Coding Report: Senior healthcare consultant Gloryanne Bryant will substitute for Laurie Johnson to deliver 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.

The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) affect Leapfrog’s ubiquitous reputation scores and contribute approximately 15 percent to the Centers for Medicare & Medicaid Services (CMS) Hospital-Acquired Condition (HAC) penalty determinations of 1 percent of a hospital’s total inpatient reimbursement. 

AHRQ finally released its PSI methodology for the 2023 fiscal year (FY) on Aug. 14, and it involves a significant expansion of the risk-adjusted universe to now include COVID and flag any fracture, not just hip fractures, not present at the time of the inpatient order as a patient safety event. Dr. James Kennedy will join the long-running Talk Ten Tuesdays Internet radio broadcast this coming Tuesday to report on what you need to do to protect your facility’s reputation and reimbursement.

All this and more will be covered during the next edition of the weekly broadcast, which will also feature these outstanding segments and thought leaders:

• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will be on board 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.
• TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

The Centers for Medicare & Medicaid Services (CMS) has released the finalized 2024 Part C risk adjustment model, which goes into effect Jan. 1, 2024. This revised model, V28, comes with substantial changes to the current V24 model, starting with using the ICD-10-CM classification system – which aligns with the rest of the healthcare system that has been using ICD-10 codes since 2015.

Comparing CMS V24 to V28, there is an increase in the number of Hierarchical Condition Categories (HCCs) and a decrease in the total number of ICD-10-CM codes that map to an HCC payment category.

During the next live edition of Talk Ten Tuesdays, Colleen Deighan Ejak, senior consultant with 3M, will share details of the revisions and how to outline a plan to get your organization ready to implement these changes.

All this and more will be covered during the next edition of the weekly Internet radio broadcast, which will also feature these outstanding segments and thought leaders:

• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will be on board 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.
  
  
• 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.

Start unpacking.

The 2024 Inpatient Prospective Payment System (IPPS) Final Rule by the Centers for Medicare & Medicaid Services (CMS), plus half a dozen other final payment rules have arrived. To help you and your team prepare for the onslaught of new codes, Leigh Poland, vice president of coding service line for AGS Health, will offer practical tips and best practices so you can effectively adapt to the final rule’s coding changes, thus helping to ensure compliance, and optimizing reimbursement.

All this and more will be covered during the next live edition of the weekly Internet radio broadcast, which will feature these outstanding segments and thought leaders:

• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will be on board with the latest coding news.
  
  
• Coffee Chat: The aforementioned Laurie Johnson and Dr. Erica Remer will discuss aspects of the 2024 IPPS final rule, which they will analyze on Aug. 15, 16, and 17 during the ICD10monitor IPPS Summit.
  
  
• 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.
  
  
• CDI Report: Fran Jurcak, chief clinical strategist for Iodine Software, will report on how medical record reviews without any query identification can be tedious and often result in job dissatisfaction.
• 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.

The 2024 Inpatient Prospective Payment System (IPPS) Final Rule by the Centers for Medicare & Medicaid Services (CMS), plus half a dozen other payment rules, will all require new codes and fresh new thinking. And that is why ICD10monitor is producing an exclusive national coding update broadcast on Talk Ten Tuesdays.

All this and more will be covered during the next live edition of the weekly Internet radio broadcast, which will feature these outstanding segments and thought leaders:

• Coding Report: Laurie Johnson., senior healthcare consultant with Revenue Cycle Solutions, LLC, will be on board with the latest coding news.
  
  
• Coffee Chat: The aforementioned Laurie Johnson and Dr. Erica Remer will discuss aspects of the 2024 IPPS rule, which they will analyze on Aug. 15, 16, and 17 during the IPPS Summit.
  
  
• 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.
  
  
• This and That: The legendary Rose Dunn, past president of AHIMA, and current chief operating officer for First Class Solutions, will join the broadcast with a report on how best to measure coding accuracy.
  
  
• 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.

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.

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 & 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.

At the intersection of ICD-10-CM social determinants of health (SDoH) codes and the Centers for Medicare & 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.

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 & 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.

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.