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    Health

    Talk Ten Tuesdays

    Get the most up-to-minute news and information on ICD-10. Join Chuck Buck and Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, every Tuesday as they welcome ICD10monitor contributing editors and special guests to monitor and report on the progress that all healthcare stakeholders are experiencing in their respective implementations of ICD-10. Register to attend live here: https://event.webcasts.com/starthere.jsp?ei=1236510&tp_key=da0e4c0f76

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    Latest Episodes:
    Mary's Bookclub: Respiratory Therapy All Access Pass Feb 01, 2023
    Show notes

    Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore!
    In this episode, Mary goes over theRespiratory Therapy All Access Pass, and why it is an important product for healthcare professionals.


    Exclusive Series: The Plight of Rural Hospitals Jan 31, 2023
    Show notes

    As rural hospital closures continue to increase (136 have occurred between 2010 and 2021), health information management (HIM) and clinical documentation improvement (CDI) professionals have key roles in ensuring revenue integrity and optimization essential to sound operations and access.

    Even so, small facilities, especially those operating independently, simply do not have the resources that larger chains have to negotiate favorable payer contracts and to implement processes, technologies, and training essential to withstanding payer denials.

    In addressing these crucially important issues, Talk Ten Tuesdays, the live Internet radio program produced by ICD10monitor, will begin a new series that will address rigorous revenue integrity solutions that can be developed in a rural environment, while offering tips in creating win-win scenarios with medical/provider staffs.

    Join expert coder James S. Kennedy, MD – a native of East Tennessee, which has its own share of rural hospitals – as he offers experience, guidance, and hope essential to success.

    The live broadcast will also feature these other segments:

    • Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on 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.
    • Talk Law: Healthcare attorney Karen N. George with the Los Angeles-based law firm of Buchalter will resume her popular segment, reporting on healthcare law.
    • 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.

    Coding Confusion: AMA’s Two-in-One Code Calamity Jan 24, 2023
    Show notes

    Who knew that when the venerable American Medical Association’s (AMA’s) combining two hospital encounter service types into one code set of inpatient/observation services – initial and subsequent – consternation would be the outcome. The confusion: what entity can actually bill an inpatient initial code, 99221-99223, and who must default to subsequent codes or report office and other outpatient codes when seeing patients in the observation setting?

    The good news: during the next live edition of the long-running and popular Talk Ten Tuesdays Internet broadcast, Terry Fletcher will return to the broadcast and offer her interpretation of the rules, and how multi-specialty practices will handle these changes. Moreover, Fletcher, a nationally recognized professional coder, educator, and auditor, will report on the contrast between CPT® and Medicare when reporting these services.

    The live broadcast will also feature these other segments:

    • Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on 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.
    • Journaling John: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.
    • 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 Reporting Dilemma: DRG Mismatches (Part II) Jan 17, 2023
    Show notes

    The term “DRG mismatches” is most often used to describe situations wherein the working diagnosis-related group (DRG) selected by the clinical documentation improvement specialist (CDIS) differs from the final coded DRG, signaling that the CDIS and the coder have arrived at different principal diagnoses. In other situations, a procedure may have been coded incorrectly by the CDI professional, causing the DRG mismatch.

    But here’s good news: there’s a new workflow for resolving inpatient DRG mismatches. With this new workflow, the CDIS and coder no longer have to spend countless hours reconciling DRG mismatches.

    During the next live edition of Talk Ten Tuesdays, Patty Chua, president of Innova Revenue Group, will report on the positive coding implications this new workflow has created.

    The live broadcast will also feature these other segments:

    • Revenue Cycle Report: Susan A. Vestevich, JD, chief operations officer for Tia Tech USA, will report on the need for physician credentialing to ensure proper billing and reimbursement.
    • SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will make her debut appearance on Talk Ten Tuesdays, having been a regular panelist on the long-running Monitor Mondays. Ferguson will report on the news that’s happening at the intersection of coding and the SDoH.
    • Journaling John, MD: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.
    • News Desk: Timothy Powell, CPA, will anchor the Talk Ten Tuesdays News Desk.
    • Point of View: James S. Kennedy, MD, president of CDIMD, will serve as co-host, and will report on a subject that has caught his attention.

    Mary's Bookclub: Nuclear Medicine All Access Pass Jan 12, 2023
    Show notes

    Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore!
    In this episode, Mary goes over theNuclear Medicine All Access Pass, and why it is an important product for healthcare professionals.


    Exclusive: The Reporting Dilemma: DRG Mismatches (Part I) Jan 10, 2023
    Show notes

    Within the hospital setting, the term “mismatch” is most often used to describe a situation wherein the final working diagnosis-related group (DRG) selected by the clinical documentation improvement (CDISs) specialists from the final coded DRG.

    This can be due to many reasons. One of the most frequent reasons is that the CDI professional and coder have arrived at a different principal diagnosis. In other situations, a CC (complication or comorbidity) or MCC (Major CC) may not have been coded by either the CDI professional or the coder. In still other situations, a procedure may have been coded incorrectly by the CDI professional, causing the DRG mismatch.

    There are also other reasons for mismatches, as you’ll discover during upcoming editions of the long-running and popular live Internet broadcast Talk Ten Tuesdays. ICD10monitor and Talk Ten Tuesdays are joining forces with Innova Revenue Group to produce a two-part series, debuting next week: “DRG Mismatches.” Reporting our lead story will be Lidiya Ter-Markarova, a principal at Innova Revenue Group.

    The live broadcast will also feature these other segments:

    • Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.
    • RegWatch: Stanley Nachimson, founder of Nachimson Advisors, LLC, will report on the latest regulatory news coming out of Washington, D.C.
    • Journaling John: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.
    • 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.

    Mary's Bookclub: Infusion & Injection All Access Pass Dec 14, 2022
    Show notes

    Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore!
    In this episode, Mary goes over theInfusion & Injection All Access Pass, and why it is an important product for healthcare professionals.


    Crossing State Lines: Telehealth Dec 13, 2022
    Show notes

    Telehealth is considered to be rendered at the physical location of the patient, and therefore a provider typically needs to be licensed in the patient’s state. When the public health emergency (PHE) was declared in March of 2020, most states, followed the federal exceptions under the 1135 CARES Act waivers, allowing, an out-of-state provider to render services via telemedicine in a state where they are not located, or allow a clinician to provide services via telehealth in a state if certain conditions are met. However, as of summer 2021, 80 percent of the states implemented telehealth pandemic workarounds. Because these laws were issued under state emergency declarations, they were never meant to be permanent. During the next live edition of Ten Tuesday, healthcare consultant, Terry Fletcher will report on some updates to state rules and what physicians need to do to make sure they are compliant.

    The live broadcast will also feature these other segments:

    • Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.
    • RegWatch: Stanley Nachimson, founder of Nachimson Advisors, LLC, will report on the latest news regarding ICD-11.
    • Journaling John: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.
    • 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.

    National Coding Roundup Dec 06, 2022
    Show notes

    New codes. Old codes. Deleted codes. ICD-10 codes, evaluation and management (E&M) codes, and Z codes.

    It’s raining codes, and during the next live edition of Talk Ten Tuesdays, you’ll hear the very latest coding news – along with all you need to know to keep you performing at the top of your game.

    The live broadcast will also feature these other segments:

    • CDI Report: Cheryl Ericson, a recognized clinical documentation integrity (CDI) subject matter expert, will report on the latest CDI news.
    • The Dunn Report: The legendary Rose Dunn, a nationally recognized professional in health information and former CEO, president, and board member of the American Health Information Management Association (AHIMA), will file her popular Dunn Report. She currently serves as COO of First Class Solutions, Inc.
    • Journaling John: John Zelem, MD, FACS, founder and CEO of Streamline Solutions Consulting, will continue with his journal entries.
    • 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.

    Mary's Bookclub: Comprehensive Cardiology All Access Pass Nov 30, 2022
    Show notes

    Listen to Mary's Bookclub, where Mary summarizes the products you can find at the MedLearn online bookstore!
    In this episode, Mary goes over the Comprehensive Cardiology All Access Pass, and why it is an important product for healthcare professionals.


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