Talk Ten Tuesdays

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National Healthcare News Roundup Oct 04, 2022

Show notes

Important healthcare news is happening at a furious rate and that is why the editorial team at ICD10monitor and Talk Ten Tuesdays is producing a national healthcare news roundup to deliver the news you need to know. During this special 60-minute broadcast you learn the latest coding news, as well as news about updates to the 2023 E&M coding and guideline changes, plus discover how one major health system has created a multi-disciplined team to master patient safety indicators.

Major E&M Changes for 2023: Consultation Services Will Never be the Same Sep 27, 2022

Show notes

The American Medical Association (AMA) has announced significant revisions to Evaluation and Management (E&M) services for 2023. Consultations, inpatient and outpatient consultations, are two of the E&M categories being revised for Jan. 1, 2023. The revisions made to consultations include code deletions, revision to the criteria for E&M level selection and additions to the guidelines. Reporting our lead story during the next live edition of Talk Ten Tuesdays will be Colleen Deighan, senior consultant with 3M.

Other segments during the live broadcast include the following:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.
Mental Health Report: Internationally renowned psychiatrist Dr. H. Steven Moffic returns to the broadcast with an update on burnout—this in advance of National Depression Month in October, which follows September’s Suicide Awareness Month.
Talk Law: Healthcare attorney Karen George with the law firm of Buchalter, continues her series on the intersection of healthcare and the 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.

Mary's Bookclub: CT/MR Coder Sep 21, 2022

Show notes

Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore!
In today's episode, Mary explains the importance of CT/MR Coder. Listen in to find out why this textbook could be a great addition to add to your essential library.

Claim Denials: Dissecting the Severity of Malnutrition Sep 20, 2022

Show notes

Hospital inpatient denials continue at a furious pace.

And there is strong evidence of a pattern of denied claims with a principal or secondary diagnosis of sepsis, a principal or secondary diagnosis of acute respiratory failure and denied hospital inpatient claims with the secondary diagnosis of malnutrition. When it comes to denials for a diagnosis of malnutrition, there appears to an additional focus on ICD-10-CM code of E43 Unspecified Severe Protein-Calorie Malnutrition.

Finding the root cause of the denial and then identifying solutions is the direction to improve compliance and obtain accurate patient severity data and reimbursement, as you will learn from national coding expert Gloryanne Bryant during the next live edition of Talk Ten Tuesdays.

Other segments during the live broadcast include the following:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.
E&M Update: Senior healthcare consultant Colleen Deighan with 3M Health, continues her series on the updates to E&M codes for 2023.
CDI Report: Cheryl Ericson, a recognized clinical documentation integrity (CDI) subject matter expert will report on clinical validation denials.
News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.
Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.
POV: Healthcare attorney Karen M. George with the law firm of Buchalter, will substitute for Dr. Erica Remer, and will share of her Point of View (POV) with audience members.

2023 Evaluation and Management Services: Observation and Inpatient Services Revisions Part II Sep 13, 2022

Show notes

Extensive changes are coming your way for hospital observation and inpatient services. And the time to prepare is now and this upcoming live edition of the long-running Talk Ten Tuesday broadcast is the place to begin to grasp the breadth and depth of these revisions from the American Medical Association.

Colleen Deighan, senior consultant with 3M, will continue the second in her multi-series of reports as she discusses the two evaluation and management (E&M) categories including guideline changes for reporting these services accurately and sharing steps you will need to take for preparing your physicians and your coding staff for success.

Other segments during the live broadcast include the following:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the ongoing Coordination and Maintenance Committee meeting taking place at that hour in the CMS headquarters in Baltimore.
Mental Health Report: Internationally renowned psychiatrist H. Steven Moffic reports on the nation’s state of mental health.
RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C.
News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.
Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.
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: Peripheral & Cardiology Coder Sep 01, 2022

Show notes

Listen to Mary's Bookclub, where Mary summarizes the books you can find at the MedLearn online bookstore!
In today's episode, Mary explains the importance of Peripheral & Cardiology Coder. Listen in to find out why this textbook could be a great addition to add to your essential library.

2023 Evaluation and Management Services: Preparing for Changes Part I Aug 30, 2022

Show notes

The American Medical Association (AMA) revised the criteria for evaluation and management (E&M) services for the Office Visit categories of New and Established patients. For 2023, similar revisions have been approved for the remainder of the E&M section. Revisions were also made to services for emergency, observation, inpatient, consultations, nursing, home and residence and prolonged care.

During the next live edition of Talk Ten Tuesday, Colleen Deighan, senior consultant with 3M, will begin her first in a multi-series of reports, sharing key revisions and identifying important steps for preparing physicians and coding staff for success.

Other segments during the live broadcast include the following:

Coding Report: Meg DeVoe, senior product manager for TruCode, and who will be substituting for Laurie Johnson, will report on the latest coding news.
Mental Health Report: Internationally renowned psychiatrist H. Steven Moffic reports on the nation’s state of mental health, noting a slightly optimist job satisfaction among America’s psychiatrists.
News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.
Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.
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.

Noncompliant Homework: When HIPAA and OSHA Come Knocking at Your Home Aug 23, 2022

Show notes

Are you a healthcare telecommuter? Is your workspace HIPAA compliant?

While there are advantages of working remotely, there’s a monstrous risk for those who are obligated to comply with HIPAA: keeping patients’ protected health information (PHI) protected.

Not convinced it’s a big deal? The U.S. Department of Health and Human Services (HHS) has the authority to levy hefty financial penalties when entities fail to properly manage their telecommuters’ access and protection of PHI.

During the next live edition of Talk Ten Tuesdays, nationally recognized professional coder, auditor and consultant Terry Fletcher, will give you some “check-lists” to make sure your remote workers, or telecommuters are compliant, along with some examples of violations as well as compliance policies from OSHA.

Other segments during the live broadcast include the following:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC will report on the latest coding news.
Talk Law: Karen George, an attorney at Buchalter in Los Angeles, and a member of the firm’s health care practice group, will report on the recent Special Fraud Alert issued by the HHS Office of Inspector General concerning provider arrangements with telehealth companies.
News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.
Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.
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.

While PSI-90 is Suppressed, PSI-04, the Death Rate Payment, Lives On Aug 16, 2022

Show notes

The Centers for Medicare & Medicaid Services will continue using PSI-04, Death Rate among Surgical Inpatients with Serious Treatable Complications, in its Hospital Inpatient Quality Reporting program. Be advised. This affects your facility’s reputation and reimbursement through fiscal year (FY)2028.

Unlike other PSIs, PSI-04 does not exclude cases based on the Present on Admission indicator of the applicable secondary diagnoses that include shock/cardiac arrest, sepsis, pneumonia, gastrointestinal hemorrhage/acute ulcer, or deep vein thrombosis/pulmonary embolism. Unlike the other PSIs that focus on the prevention of the identified patient event, PSI-04 looks at the success of rescue steps that a facility takes, when presented with severe complications that may already be present on admission, to prevent the patient’s death.

During the next live edition of Talk Ten Tuesday, James S. Kennedy MD, president of CDIMD near Nashville, Tennessee, will outline documentation and coding strategies impacting PSI-04’s inclusions, exclusions, and risk-adjustment that can be implemented by any facility wishing to address any perceived shortcomings.

Invite your director of quality to join as to learn how they can partner with coding and CDI in this important initiative. They will thank you for it.

Other segments during the live broadcast include the following:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC will report on the latest coding news.
News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.
Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.
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.

OCR Warning: Patient Right of Access to Medical Records Can’t be Denied Aug 09, 2022

Show notes

The U.S. Department of Health and Human Services (HHS) of the Office of Civil Rights (OCR) is warning healthcare providers about the mandatory compliance with the HIPAA Right of Access promulgated in the 21st Century CURES Act. So far, enforcement actions bring to 38 the number of financial penalties against HIPAA-covered entities for failing to provide patients with timely access to their medical records.

During the next live edition of the long-running Talk Ten Tuesdays, nationally recognized professional coder, auditor and consultant Terry Fletcher, reports on the do’s and don’ts of withholding patient requests for their protected health information. Fletcher will also delve into the penalties and legal exposure that awaits those who are non-compliant.

Other segments during the live broadcast include the following:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC will report on the latest coding news.
News Desk: Timothy Powell, CPA will anchor the Talk Ten Tuesdays News Desk.
RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C.
Journaling John: John Zelem, MD, FACS, founder and CEO for Streamline Solutions Consulting, will continue with his journal entry.
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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