Talk Ten Tuesdays

Latest Episodes:

Is AI a Game-Changer for Coding and CDI? Aug 06, 2024

Show notes

News reports, essays, and technical papers continue to laud the efficacy of generative article intelligence (AI) in healthcare. But what about AI and its application to the revenue cycle?

Cassi Birnbaum, formerly the administrative director at Stanford Medicine Health Care, is set to return to Talk Ten Tuesday with an exclusive report on how AI can be used in managing and processing unstructured data across clinical notes, insurance claims, diagnostic images, medical charts, and more.

And, given the release of the Inpatient Prospective Payment System (IPPS) Final Rule for the 2025 fiscal year (FY), Dr. James S. Kennedy will report on some of the new codes, relating their relevance to health information management (HIM) professionals.
Also during the broadcast, these instantly recognizable panelists will report more news:
• The Coding Report: The legendary Rose T. Dunn, chief operations officer for First Class Solutions, as well as a past president and former interim CEO of the American Health Information Management Association (AHIMA), will file the Talk Ten Tuesdays coding report on behalf of Laurie Johnson.

• 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.

National Coding Roundup: Preparing for the New FY2025 IPPS Final Rule Jul 30, 2024

Show notes

The summer is here, and it’s raining codes.

There are ICD-10 codes, CPT® codes, and the Z codes.

Plus, coming up is the 2025 Inpatient Prospective Payment System (IPPS) Final Rule, which is expected to contain some new codes and deletions of others, for an expected net total increase of ICD-10 codes.

In preparation, the producers at ICD10monitor have dedicated this next upcoming live edition of Talk Ten Tuesday as the “National Coding Roundup.”
Also during the broadcast, these instantly recognizable segments will air:
• This and That: The legendary Rose T. Dunn, chief operations officer for First Class Solutions, as well as a past president and former interim CEO of the American Health Information Management Association (AHIMA), will report on a topic or two that has caught her attention.

• 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.

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

• Point of View: Dr. James S. Kennedy, president of CDIMD, will share his point of view as he co-hosts the long-running broadcast with Chuck Buck.

Scorching Reality: The Health Impacts of Excess Heat and Climate Change Jul 23, 2024

Show notes

As global temperatures soar and heatwaves become more frequent, the connection between climate change and rising heat is undeniable. The results are not limited to uncontrolled wildfires but extend to widespread health consequences of excess heat from immediate threats like heat exhaustion and heat stroke to the exacerbation of chronic conditions such as cardiovascular and respiratory diseases.

Vulnerable populations, including the elderly, children, and outdoor workers, face heightened risks, with heat stress also impacting mental health, leading to increased anxiety and depression.
The broader implications for public health are staggering, straining healthcare systems and economic resources and further impacting populations through air quality declines, vector-borne diseases, and food insecurity.
To address this burgeoning problem America need comprehensive strategies, including public health interventions, urban planning innovations, and robust updates to policies and behavior. During the next live edition of Talk Ten Tuesday, Dr. Nick will explore how we mitigate and adapt to our new warmer future.
Also during the next Talk Ten Tuesday broadcast, these instantly recognizable segments will include the following:

• 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.

• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.

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

• Point of View: Dr. James S. Kennedy, president of CDIMD, will report on the latest hospital rankings from U.S. News and World Reports.

2025 OPPS Proposed Rule: Significant Changes Impacting Medicare Payments Revealed Jul 16, 2024

Show notes

The Centers for Medicare & Medicaid Services (CMS) has released the Outpatient Prospective Payment System (OPPS) Proposed Rule for the 2025 calendar year (CY).

This published information outlines significant changes impacting Medicare payment policies for hospital outpatient services. Key proposals include adjustments to payment rates, updates to the Inpatient-Only (IPO) List, and revisions to the Ambulatory Payment Classification (APC) groups. The rule also introduces measures related to tackling health inequalities, broadening access to mental health services, and fostering safe, effective, and patient-focused care. These updates aim to ensure more efficient, equitable, and high-quality outpatient care across the healthcare system, according to Angela Comfort, who will be the special guest covering the pending changes during the next live edition of Talk Ten Tuesdays.
The popular live broadcast will also feature these other instantly recognizable 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.

• Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, 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 Deference to HIM: Chevron Explained Jul 09, 2024

Show notes

What is “Chevron deference?”
And why is it important – especially to health information management (HIM) professionals?
And who among the most learned and wise HIM professionals is arguably best qualified to report on this otherwise arcane judicial principle?
That would be the legendary Rose T. Dunn.

Dunn has offered to speak on this topic during the next edition of Talk Ten Tuesdays and is expected to highlight examples that are sure to resonate with HIM professionals. Rose is the former interim CEO for the American Health Information Management Association (AHIMA) and the recipient of the AHIMA Distinguished Member and Legacy Awards.
By the conclusion of the live edition of the long-running Internet radio broadcast, you will have gained a practical understanding of the real essence of this otherwise obscure legal concept.
The live broadcast will also feature these other instantly recognizable 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.

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

Hello, CMS: Are You Listening? Add-on Code G2211 Jul 02, 2024

Show notes

Where in the world is G2211?
Both payers and providers still report lack of information from the Centers for Medicare & Medicaid Services (CMS) about use of this code. If you remember, CMS promised stakeholders an FAQ document back in January. To date it has not been released.
And yet, knowing how to document the service is probably the most-asked question when it comes to this code. Currently there are no specific documentation guidelines from CMS, but there are best-practice tips based on the code description and other documentation guidelines.
During the next live edition of Talk Ten Tuesdays, Lenota Williams will review some of the questions she and her team have been hearing from providers – such as the status of reimbursement, and what coders probably should expect going forward.
The live broadcast will also feature these other instantly recognizable 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.

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

Why MedPac Chapter 12 is Fast Gaining Attention Jun 25, 2024

Show notes

Each year the Medicare Payment Advisory Commission, MedPAC, provides Congress a report on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage (MA) program, and the Medicare prescription drug program (Medicare Part D). Within the MedPAC report is also the often (until now) under-reported Chapter 12.
During the next live edition of Talk Ten Tuesdays, Colleen Ejak, Solution Advisor for 3M/Solventum, will report on the particulars from Chapter 12 of this report, including the status of the MA program.
Colleen will be sharing specifics from the report regarding MA enrollment trends and updates on risk adjustment reporting and risk-conscious coding practices.
The live broadcast will also feature these other instantly recognizable segments:

• Dateline Healthcare: Former Centers for Medicare & Medicaid Services (CMS) career professional Stanley Nachimson will report on the latest healthcare news.

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

• Point of View: Angela Comfort, guest cohost of the live broadcast, will report on a subject that has caught her attention.

Mental Health Coping Strategies for Brutal Summer Heat Jun 18, 2024

Show notes

With summertime fast approaching, also on the horizon are the inevitable stressors leading to increased psychiatric diagnoses and possible surges in psychopathologies.

As temperatures increase, so do incidents of mental health unrest – tempers flaring, mood disorders, and possible cognitive impairment.

That is why, with summer officially entering our lives on June 20, we have invited world-renowned psychiatrist Dr. H. Steven Moffic to appear on the next edition of Talk Ten Tuesdays – to provide us with strategies to help ward off such mental health issues.
The live broadcast will also feature these other instantly recognizable 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.

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

Food for Thought: Food as Medicine Jun 11, 2024

Show notes

He once explained to us the value of sleep, and gave tips on how to get more of the once-devalued therapy.

That was then. This is now.

And during the next live edition of Talk Ten Tuesdays, Dr. Nick van Terheyden will turn his attention to another vital healthcare issue: nutrition. This buzzworthy topic is becoming increasingly relevant as the White House and federal agencies continue their interest in the pivotal role of food as medicine, particularly in the context of the social determinants of health (SDoH).

The live broadcast will also feature these other recognizable 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.

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

• Point of View: Angela Comfort, guest cohost of the live broadcast, will report on a subject that has caught her attention.

National Coding News Roundup Jun 04, 2024

Show notes

Welcome to the 600th live edition of the long-running Talk Ten Tuesdays broadcast, produced by ICD10monitor.

In commemorating this special edition, the producers are pleased to welcome the legendary Rose T. Dunn, chief operating officer at First Class Solutions, Inc. in St. Louis, a healthcare information management leader since 1988. Rose is the author of “The Revenue Integrity Manager’s Guidebook,” available from the National Association of Healthcare Revenue Integrity. She will headline a distinguished panel of coding subject-matter experts as the broadcast continues to cement its legacy as the single most important source of ICD-10 coding news and analysis.

The live broadcast will also feature these other recognizable segments:

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

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

• 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.

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