Talk Ten Tuesdays

Latest Episodes:

Artificial Intelligence and E&M Coding: A Powerful New ForceArtificial Intelligence and E&M Coding: A Powerful New Force Sep 19, 2023

Show notes

Artificial intelligence (AI) is what many in healthcare will come to remember about the closing years of this decade in healthcare – a decade of unprecedented technological changes, ranging from telehealth to algorithms.

And now AI is becoming an accepted technology for evaluation and management (E&M) coding. The results appear to be dramatic in terms of remarkable speed and extraordinary accuracy.

Join us during the next live edition of Talk Ten Tuesdays, when Angela Jordan, executive vice president of Chart Pal, the documentation service of Calm Waters, AI, Inc., reports on the latest validation research on E&M leveling and explains how AI can bring a renewed sense of confidence to coders who work tirelessly on E&M coding.

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.
Point of View: Lidiya Ter-Markarova, president-elect of the California Health Information Association (CHIA), will serve as guest cohost of Talk Ten Tuesdays, reporting on a subject that has caught her attention.

National Suicide Prevention Week Sep 12, 2023

Show notes

A reported 700,000 suicides worldwide annually are the impetus for the World Health Organization (WHO) to recognize what it has called a major public health problem ahead of World Suicide Prevention Day on Sept. 10.

In recognition of this global issue, during its next edition, Talk Ten Tuesdays will feature world-renowned psychiatrist and award-winning author H. Steven Moffic as the program’s special guest. Dr. Moffic will report on how to detect early-warning signs of potential self-harm. Dr. Moffic first appeared on the long-running broadcast following the suicide of famed actor and comedian Robin Williams, whose death in July 2014 shook the world’s collective conscience.

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:

RegWatch: Stanley Nachimson, longtime editorial contributor to ICD10monitor and former career professional at the Centers for Medicare & Medicaid Services (CMS), now an IT consultant, will return to the broadcast to report on the latest regulatory news coming out of Washington.
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.

AI and Coding: Beware of the Intersection Aug 30, 2023

Show notes

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.

How Safe is Safe? AHRQ Patient Safety Indicator Methodology Finally Revealed Aug 22, 2023

Show notes

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.

Learn Important Revisions: 2024 CMS Part C Risk Model Aug 15, 2023

Show notes

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.

Now Available: 2024 IPPS Final Rule Aug 08, 2023

Show notes

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.

2024 IPPS Final Rule Expected Soon Aug 01, 2023

Show notes

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.

The Anatomy of Automated Query Solutions Jul 25, 2023

Show notes

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.

Smart Strategies for Boosting Hospital Revenue Jul 18, 2023

Show notes

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.

Beware: Outcomes Impacted at the Intersection of SDoH and CMS Star Rating Quality Measures Jul 11, 2023

Show notes

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.

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