In this episode of The Pulse, Lori Cox sits down with AAPC’s Chief Product Officer, Raemarie Jimenez, to discuss one of the most significant advancements in the healthcare field: Artificial Intelligence (AI). They examine how AI will impact the industry, what those changes mean for both professionals and organizations, and more. Listen now to learn:

The potential revolution of medical billing and coding

Fact vs. fiction regarding concerns surrounding AI

Evolving roles and opportunities for coders and billers

AAPC's commitment to keeping you informed and compliant

On this episode of The Pulse, host Lori Cox teams up with guest Dawn Carter to discuss the crucial role of social determinants of health (SDOH) in shaping health outcomes. Did you know that SDOH account for a staggering 80 to 90% of health outcomes? Lori and Dawn examine the five major domains of SDOH. They also highlight the importance of appropriate screening tools, such as P.R.E.P.A.R.E., for improving documentation and effective data collection. With nearly 60% of individuals reporting that they have never discussed SDOH with their healthcare providers, Lori and Dawn emphasize the need to raise awareness and facilitate conversations around SDOH to ultimately drive better healthcare outcomes.

What does risk adjustment look like from a provider's perspective? In this episode of The Pulse, Lori Cox and Rhonda Buckholtz dive into the risk adjustment program and why it appears to be broken. They explore the challenges providers face when it comes to risk adjustment and explore potential solutions to these issues, including renegotiating contracts, additional education, and population-based care.

In this episode of The Pulse: Examining the Business of Healthcare, Lori Cox sits down with Karen Bowman, FACMPE, CPC, CPMA, to discuss staffing solutions, specifically how she attracts and retains top-tier talent. With more than 40 years of experience, Karen shares insights on:

Networking with AAPC local chapters

Being a leader vs. being a boss

The value of an open-door policy

Offering unique benefits to employees

Managing work/life balance

Overstaffing vs. understaffing

Training new employees

From Patient to Payment: A Deep Dive Into Revenue Cycle Management by The Pulse by AAPC

In this episode of The Pulse: Examining the Business of Healthcare, Charla Prillaman comes out of retirement to join Lori Cox for a conversation on how auditors can — and should — approach providers about errors in their documentation.

In this episode of The Pulse by AAPC, Lori Cox is joined by Angie Clements, Physician Auditor, Educator and Consultant, to discuss the medical audit process.

In this episode of The Pulse, Lori Cox and Pam Brooks sit down to discuss split/shared services. With the patient experience, compliance, and reimbursement in mind, these industry experts answer questions.

In this episode of The Pulse, Lori Cox and Lee Williams sit down to discuss the 2023 E/M Guideline changes. With compliance, revenue, and the patient experience in mind, these experts answer frequently asked questions related to the upcoming changes, such as:

Does this mean we will no longer use the 95 and 97 guidelines?

Will consultations still require history, exam, and MDM?

Will we still have Place of Service 21 and 22?

What would the ideal time statement be?

What is the best way to educate providers on these changes?

Risk Adjustment (RA) is a complicated and fast-growing area in the business of healthcare. In this episode, Lori Cox sits down with Dr. Khush Singh, a well-known risk care management consultant, to talk about lawsuits related to RA, increased activity from OIG and the Department of Justice, and to answer questions like:

Due to these risk adjustment lawsuits, what changes do you see coming in the next few years?

What role do coders play in the quality of care?

Do you think we will be able to pull diagnosis from other types of documentation?

What advice do you have for providers participating in managed Medicare plans?