Talk Ten Tuesdays

Latest Episodes:

Front and Center: Brain Disorders and Coding and MS-DRG Compliance Feb 21, 2022

Show notes

Brain disorders and the accurate selection of the principal diagnosis are two crucially important ICD10monitor webcast topics analyzed by Dr. John Zelem during his conversation with Chuck Buck. Great topics. Great analysis. More great educational opportunities now await you. So now get everyone on your team Front and Center.

Front and Center: Sepsis & Malnutrition Feb 16, 2022

Show notes

These complimentary special edition podcast from ICD10monitor features Chuck Buck and John Zelem, MD as they review on-demand webcasts as well as preview upcoming webcasts. Dr. Zelem offers a unique physician perspective as he explains to listeners key learning objectives from these educational webcasts.

Shared/Split Billing: New Rule Confounding, Confusing, Controversial Feb 15, 2022

Show notes

The billing rules for shared/split evaluation and management (E&M) visits are changing, as they will again in 2023. But although the Centers for Medicare & Medicaid Services (CMS) considers 2022 a transition year, controversy surrounding the 2022 Medicare Physician Fee Schedule (MPFS) is creating contagious confusion.

If you and your team are suffering from such chronic consternation, relief will be within reach when you log on next Tuesday for another live edition of the Talk Ten Tuesdays Internet broadcast. Because that’s when National Alliance of Medical Auditing Specialists (NAMA) Founder Shannon DeConda will report on how best to implement the new rule.

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.
Tuesday Focus: What Was Medicare Thinking? Nationally recognized professional coder and auditor Terry Fletcher will join the broadcast to report how best to implement CMS rules when dealing with patients, noting that in 2022, there are some new rules to the Medicare Manual that make little sense to the healthcare professional trying to adhere to best practices when applying the rules.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

New Measures Added to the Hospital Outpatient Quality Reporting Program Feb 08, 2022

Show notes

To improve care and create transparency, Medicare mandated a pay-for-quality reporting program for hospital outpatient services in 2009. The measures can impact hospital payment if not met, thus creating financial incentives for hospitals to achieve them. The measures are intended to evaluate the regularity of outpatient treatments known to provide the best results for the most patients with a particular condition.
During the next live edition of Talk-Ten-Tuesdays, Colleen Deighan, senior consultant with 3M, will outline the Hospital Outpatient Quality Reporting program and the three new measures adopted as part of the Centers for Medicare & Medicaid Services (CMS) 2022 Outpatient Prospective Payment System/Ambulatory Surgical Center (OPPS/ASC) Final Rule.
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.
Tuesday Focus: Susan Gatehouse, founder and CEO for Axea Solutions, will report on the practice of single-use endoscopies as an alternative for non-emergent care procedures.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

New E&M Codes for Principal Care Management Feb 01, 2022

Show notes

Principal care management is a service that focuses on the medical and/or psychological needs manifested by a single, complex chronic condition that is expected to last at least three months in duration.

During the next live edition of Talk Ten Tuesdays, Colleen Deighan, senior healthcare consultant for 3M HIS Consulting Services, will return to the weekly Internet radio broadcast to report on principal care management and the new CPT® codes for 2022.

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, 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.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

SPECIAL EDITION COVID-19: “With” versus “For” Jan 25, 2022

Show notes

In today’s supercharged general lexicon, words have enhanced meaning. So as more and more hospitals admit patients, the words “for” and “with” are garnering great significance.

With hospitals filling up with patients who have a COVID-19 diagnosis linked to their stay, what is the actual admission for?

During next week's Talk Ten Tuesdays broadcast, we have asked nationally recognized professional coding expert, educator, and author Terry A. Fletcher to report on the ever-evolving COVID-19 diagnosis capture. Fletcher, in her reporting, is expected to discuss new information from New York and New Jersey, where there is now a distinction that not all COVID-19 hospitalizations are the same. Listen in to find out now how COVID-19 is being reported in many states for added accuracy.

The live broadcast will also feature these other segments:

Coronavirus Report: Former frontline physician Dr. John Foggle will return to the broadcast with an update on the deadly COVID-19 virus and its newest variant, Omicron. Currently, coronavirus cases and deaths in the United States are soaring.
The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

SPECIAL EDITION: Overcoming Distrust in Healthcare Jan 18, 2022

Show notes

ICD10monitor and Talk Ten Tuesdays continue reporting on the social determinants of health (SDoH), as they relate to health equity. On Tuesday, Jan. 18, the day after the national observance of the life of slain civil rights leader Rev. Martin Luther King, Jr., Sharon Easterling, an African-American senior healthcare consultant, will return to the broadcast to report on this timely and crucially important subject.

Many Americans no doubt recall seeing the grainy black-and-white TV news footage of the Rev. King delivering his iconic “I Have a Dream” speech. Fast forward to the present, and Easterling will note that the speech was profoundly rooted in healthcare, with King opining that healthcare is for all, and good healthcare begins with the patient experience in the eyes of many, especially minorities. Easterling is also expected to report on the need for improving the patient care experience, noting that distrust in healthcare is deep-seated, especially in the Black community, but it all begins with the initial patient interaction. Providers can directly impact outcomes with an aim to prevent widening health inequities by tailoring strategies targeted at overcoming mistrust and refocusing on improving the patient experience within minority populations.

The live broadcast will also feature these other segments:

CDI Report: Senior healthcare consultant Cheryl Ericson will report on the latest documentation issues facing clinical documentation integrity specialists (CDISs).
The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

SPECIAL ADDED FEATURE:
Immediately following the broadcast, Sharon Easterling will report on her newest software application (app), CDIWis.

The Social Determinants of Health: An Update by Blue Cross Blue Shield Jan 11, 2022

Show notes

The health of all Americans is on the line – particularly among the nation’s communities of color, where maternal health issues, behavioral health issues, diabetes, and cardiovascular conditions have a disproportionate impact.

Recognizing this national concern, the Blue Cross Blue Shield Association has devised a national health equity strategy to confront such health disparities. All this follows the release by the National Center for Health Statistics of 2022 ICD-10-CM codes, both new and updated, for education, food insecurity, and housing, with implementation effective beginning Oct. 1, 2021.

During the next live edition of Talk Ten Tuesdays, Lenel James, MBA, an Health Level 7 (HL7) “fellow” and the business lead for Health Information Exchange and Innovation at the Blue Cross Blue Shield Association (BCBSA), will report on the massive effort underway. Lenel has been with BCBSA and has served as its voting representative to HL7 for almost 20 years, and has extensive experience in healthcare and technology strategy. He also serves as payor advisor for for the HL7 Da Vinci Project, and was elected to the HL7 Board in 2020.

The live broadcast will also feature these other segments:

Tuesday Focus: Patient Safety Indicators (PSI): Christel Kemble with Covenant Health will report on the vexing issue of patient safety indicators.
Mental Health Report: Internationally renowned psychiatrist and award-winning author Dr. H. Steven Moffic will report on the “good, bad, and ugly” of America’s collective mental health.
The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Compliant CDI Technology Dec 14, 2021

Show notes

There’s never enough time to keep up with the myriad of changes confronting clinical documentation integrity specialists (CDISs). And that is why Talk Ten Tuesdays will reveal important content about a new white paper developed by the American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Integrity Specialist (ACDIS), as part of a featured segment during the next edition of the weekly Internet radio broadcast.
“Compliant Clinical Documentation Integrity Technology Standards,” includes information about the clinical documentation integrity (CDI) technology landscape, recognizing documentation integrity practices, evaluating compliant CDI technology vendors, developing compliant policies and procedures, and the application of technology. It’s just in time for CDI preparation, and just what the doctor ordered. Reporting on the white paper will be Tammy Combs, AHIMA’s Practice Director of CDI and Clinical Foundations.
The live broadcast will also feature these other segments:

News Update: Malnutrition: Ronald Hirsch, MD, a familiar voice on Monitor Mondays, will report on the latest wrinkle in the clinical data world: “severe malnutrition” has been added to the Program for Payment Patterns Electronic Report (PEPPER). Hirsch will report on why this is crucially important for CDISs.
Tuesday Focus: 2022 Medicare Physician Fee Schedule: Nationally recognized professional auditor, coder, and educator Terry Fletcher will report on financial impacts for physician practices.
The Dunn Report: Denial Prevention: Legendary health information management (HIM) icon Rose Dunn will return to the broadcast with her exclusive report on how to prevent coding denials.
The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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.

Reduce Revenue Leakage: An Important Role for Outpatient CDI Dec 07, 2021

Show notes

Clinical documentation integrity (CDI) programs can have a broad impact in outpatient settings. One key area for outpatient CDI to consider is denials reduction, which begins with understanding what’s contributing to denial risk.
Denial reduction is really about denial prevention. It’s about analyzing denials by category, by payer, and by reason to uncover trends for high-volume or high-dollar denials, then using that discovery to provide education about clinical documentation issues or gaps.
In the next live edition of Talk Ten Tuesdays, outpatient CDI expert Colleen Deighan will return with the final segment of her popular series on a subject that continues to generate listener interest and questions. Deighan will also conduct a listener’s survey during the weekly Internet radio broadcast.
The live broadcast will also feature these other segments:

Tuesday Focus: Susan Gatehouse will report on the potential impacts of the new Edit 20 (Unspecified Code Edit) for inpatient claims opens up an opportunity for enhanced CDI with targeted education. The list of unspecified diagnosis codes, subject to the new edit, will require targeted training for your billing staff to avoid reimbursement issues, and provides a platform for improving CDI.
News Update: Mary H. Stanfill, a new ICD10monitor correspondent focusing on ICD-11, will provide the latest update on the new code set looming on the horizon.
The Coding Report: Laurie Johnson will report on the latest coding news that has appeared on her radar screen.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, 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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