Talk Ten Tuesdays

Latest Episodes:

Chronic Care Management: Are You Leaving Money on the Table? Nov 30, 2021

Show notes

Are you facing a problem with your physcians? They find themselves with patients who have not just one but two or more chronic conditions that need managing? Not just for in-person encounters, but from an ongoing, non-face-to-face perspective?
Many practices have this patient population, but are not capturing care management services correctly, or at all, for work that is already being done.
It’s a huge problem with potentially serious financial impacts. But the answer is close at hand. Listen to the next live edition of Talk Ten Tuesdays for the 411 on care management services, along with the 2022 update, and discover how this is a revenue stream you don't want to miss out on. That’s when nationally recognized physician auditor, coder, and educator Terry Fletcher will return to the broadcast with advice on this ever-daunting challenge.
The live broadcast will also feature these other segments:

RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the most recent regulatory news coming out of Washington, D.C.
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.

Exclusive ICD-11 Update: Recommendations for Immediate Action Nov 23, 2021

Show notes

Like the inevitable approach of a slow-moving freight train, ICD-11 is on the horizon, heading this way. It’s coming.
That’s why we asked Margaret Skurka to join us for the next upcoming edition of Talk-Ten-Tuesdays: to give you an exclusive update on the new code set for America’s health system. Skurka, a member of the National Committee of Vital Health Statistics (NCVHS), participated in describing for the Honorable Xavier Becerra, Secretary of the U.S. Department of Health and Human Services (HHS), recommendations regarding adoption of ICD-11 in the United States. Skurka, having served in healthcare for more than 40 years, will be make her farewell appearance during the next live edition of the weekly Internet radio broadcast.
The live broadcast will also feature these other segments:

Special Report: Outpatient CDI and E&M: Outpatient clinical documention integrity (CDI) expert Colleen Deighan will return to continue her popular series on a subject that continues to generate listener interest and questions. Deighan will also conduct a listener’s survey and report on revised documentation requirements related to office-visit evaluation and management (E&M) services.
Tuesday Focus: Former HHS Office of Inspector General (OIG) Special Agent Eric Rubenstein will report on the constellation of new claims audits. Rubenstein is now director of litigation for Advize Health, LLC.
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.

An Exclusive Look at Vaccine Mandates: Who Gets the Shot, and Who Doesn’t? Nov 16, 2021

Show notes

The Omnibus COVID-19 Health Care Staff Vaccination Mandates are out! What entities are included under the regulations, and which are excluded?
Facilities and physician practices have been doing everything they can to get staff and providers vaccinated, in fear of losing their provider status with Medicare and their funds being interrupted. But what organizations really must abide by these requirements under the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs)? Hospitals? Physician Offices? Skilled nursing facilites (SNFs)? Home health agencies? Assisted living facilities?
To highlight the correct information on where your organization stands and the impact it will have, please join us for the next edition of Talk Ten Tuesdays on Nov. 16, during which nationally recognized physician coder, auditor, and educator Terry Fletcher will update us on all this and more.
The live broadcast will also feature these other segments:

Mental Health Report: Internationally renowned psychiatrist and author Dr. H. Steven Moffic will return to the broadcast to report on workplace burnout – especially in the healthcare workplace, and in particular among caregivers, in the light of new final rules from the Centers for Medicare & Medicaid Services (CMS).
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.

Exclusive: Outpatient CDI in the Emergency Department Nov 09, 2021

Show notes

Is the emergency department (ED) an outpatient CDI priority for your organization? The emergency department is the main source of admissions to a hospital – and the first location patients typically receive care. What should you consider when determining how an outpatient CDI program could support quality patient care, proper payment, and complete and accurate data?
During the next live edition of Talk Ten Tuesdays, outpatient CDI expert Colleen Deighan will return with another installment in 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:

Special Series: Maternal Morbidity and Mortality: Senior healthcare consultant Kristi Pollard, Director of Coding Quality and Education for the Haugen Consulting Group, wraps up her four-part series on the impact of coding on severe maternal morbidity with a discussion about the intersection of coding and clinical indicators. Conditions specifically in the crossfire are sepsis, acute kidney injury, and coagulation disorders. Pollard will address which data the maternal collaboratives want to track and how you can incorporate these initiatives into existing CDI programs.

The Coding Report: Laurie Johnson will report on the outcome of the recent ICD-10 Coordination and Maintenance Committee meeting.
RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the most recent final payment rules released by CMS on Tuesday.
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.

What in the World is a Medical Assistant? Nov 02, 2021

Show notes

What can a medical assistant do – and not do?
Medical assistants have a narrow list of tasks they can perform for patients or for a doctor in a doctor's office. It's often difficult to know what's allowed, because there are not strong laws or regulations in place regarding medical assistants.
Since no one really “regulates” them, and they are frighteningly under-monitored by any sort of government agency, what rules should they follow?
In the next live edition of Talk Ten Tuesdays, Terry Fletcher, a nationally recognized professional coder, auditor, and educator, will return to the broadcast with an exclusive report on best practices for medical assistants, but also the imperative admonition: they should not be mistakenly used as nurses.
The live broadcast will also feature these other segments:

Special Series: Maternal Morbidity and Mortality: Senior healthcare consultant Kristi Pollard, Director of Coding Quality and Education for the Haugen Consulting Group, will continue her four-part series, reporting how coded data is being used by the Alliance for Innovation on Maternal Health (AIM) to improve maternal outcomes.
The Coding Report: Laurie Johnson will report on the on the outcome of the recent ICD-10 Coordination and Maintenance Committee meeting.
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, 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.

Continuing Series on Outpatient CDI: How to Begin an HCC Program Oct 26, 2021

Show notes

Outpatient CDI expert Colleen Deighan will return to the next edition of Talk Ten Tuesdays to continue 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. When healthcare organizations are considering, planning, or beginning efforts directed toward documentation integrity in the outpatient setting, Hierarchical Condition Categories (HCCs) are a key focus. Deighan will also discuss what to consider when determining the timing of your HCC review, top HCC category specifics, and best practices for compliant HCC reporting.
The live broadcast will also feature these other segments:

Special Series: Maternal Morbidity and Mortality: Senior healthcare consultant Kristi Pollard, Director of Coding Quality and Education for the Haugen Consulting Group, will continue her four-part series, reporting how coded data is being used by the Alliance for Innovation on Maternal Health (AIM) to improve maternal outcomes.
The Coding Report: Laurie Johnson will report on the latest coding news.
The Dunn Report: Rose T. Dunn, a past president and former CEO of the American Health Information Management Association (AHIMA), will report that ED-level denials are mounting everywhere, and payers are using AI and applying their own criteria.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk-Ten-Tuesdays News Desk.
Point of View: Susan Gatehouse, founder and CEO of Axea Solutions, will be substituting for Erica Remer, MD. Gatehouse will provide context and commentary on a subject that has caught her attention during a recent edition of the segment.

Taking AIM at Maternal Morbidity and Mortality Oct 19, 2021

Show notes

We’re taking AIM at reducing maternal morbidity and mortality during an exclusive four-part series on ICD10monitor and Talk Ten Tuesdays. The series will be led by senior healthcare consultant Kristi Pollard, Director of Coding Quality and Education for the Haugen Consulting Group. During her series, Kristi will discuss how coded data is being used by the Alliance for Innovation on Maternal Health (AIM) to improve maternal outcomes.

The live broadcast will also feature these other segments:

Special Report: American Health Information Management Association (AHIMA) 2021 President and Chair Katherine Lusk will discuss accomplishments from her term and how the Association continues to advance and advocate for the creation and use of trusted information.
The Coding Report: Laurie Johnson will report on the latest coding news.
Tuesday Focus: Telemedicine or Telemarketing: Former special agent for the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Eric Rubenstein will report on how fraud, currently being perpetuated against the Medicare population, is best defined as “telemarketing” fraud. Rubenstein is now director of litigation for Advize Health, LLC.
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.

Outpatient CDI Risk Adjustment and HCC Capture Oct 12, 2021

Show notes

Outpatient CDI programs can have real impact with risk adjustment and Hierarchical Condition Categories (HCCs). An important component of the HCC risk adjustment model is accurate and appropriate HCC capture, representing a patient’s disease burden year over year.
HCCs reflect hierarchies within related disease categories. A patient can have multiple HCC categories assigned, and each category, along with patient demographics, is factored into the patient’s overall risk adjustment factor (RAF) score.
The higher the RAF score, the sicker the patient. On the upcoming edition of Talk Ten Tuesdays, we’ll will cover the basics of HCCs and what steps to take in order to begin your outpatient CDI program with a focus on these factors. Broadcast Special Guest Colleen Deighan will also conduct a Talk Ten Tuesdays Listener Survey on this topic.
The live broadcast will also feature these other segments:

The Coding Report: In keeping with the broadcast’s theme, Laurie Johnson will report on the new psychiatric codes for fiscal year 2022.
Tuesday Focus: CMS Resumes Targeted Probe-and-Educate Program: Nationally recognized professional, coder, auditor, and educator Terry A. Fletcher will return to the broadcast to report on the resumption of the Centers for Medicare & Medicaid Services (CMS) Targeted Probe-and-Educate (TPE) program, which was delayed in response to the COVID-19 public health emergency (PHE) in March 2020. CMS has given the Medicare Administrative Contractors (MACs) the go-ahead to resume paused TPE reviews and initiate new reviews.
Special Report: CMS One-Year Extension: Susan Gatehouse, founder and president of Axea Solutions, will report on the CMS one-year extension of New Technology Add-on Payments (NTAPs) for 13 technologies for which the payments otherwise would have discontinued beginning in 2022.
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.

The Dilemma of Coding Mental Health Oct 05, 2021

Show notes

The COVID-19 pandemic rages on, exposing huge gaps in America’s vulnerable healthcare system, posing life-or-death questions that tear at our collective subconsciousness.

There’s also the constant drumbeat of headline news: vaccination mandates versus personal freedom, for example. Are two shots sufficient, or are three better? Should young children be vaccinated or not? With staff shortages and the rationing of care, who gets an inpatient bed and who doesn’t?
Today, as never before, mental stress is the new norm. And with the pandemic pandemonium comes the annual National Mental Health Awareness Week, sponsored by the National Alliance on Mental Health (NAMI). At this intersection is the tragic reality that millions of Americans are living with some form of mental health condition.

Reporting on mental health during the next edition of Talk Ten Tuesdays will be Dr. H. Steven Moffic, an award-winning author who is considered by many to be among America’s most prominent psychiatrists.

The live broadcast will also feature these other segments:

The Coding Report: In keeping with the broadcast’s theme, Laurie Johnson will report on the new psychiatric codes for fiscal year 2022.
Tuesday Focus: Author and consultant Ellen Fink-Samnick will return to the broadcast to report on workplace trauma, noting how trauma has gripped the national workforce, with an intense collective induced stress felt by professionals, patients, and then experienced by frontline practitioners.
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, 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.

Outpatient CDI and Getting Back to the Basics Sep 28, 2021

Show notes

Physician engagement, query productivity, and revenue integrity are some but not all of the activities that encompass today’s outpatient clinical documentation integrity (OP CDI) arena, which continues to gain traction among America’s hospitals and health systems.
During an exclusive broadcast report, CDI expert Colleen Deighan will unveil a Talk Ten Tuesdays listener’s survey on this topic, in which listeners are encouraged to participate. Delving into the survey responses, Colleen will join us on a biweekly basis through the end of the year, and share her knowledge and experience on how hospitals and health systems can determine where and how to focus their efforts to have the biggest impact.
The live broadcast will also feature these other segments:

The Coding Report: Laurie Johnson will report on the latest coding news.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
Tuesday Focus: Root operation control guidelines have changed during the last five years, and a new update will take place on Oct. 1, 2021. Senior healthcare consultant Kristi Pollard, director of coding quality and education with Haugen Consulting Group, will report on this topic while providing examples for reporting the control of bleeding.
Special Report: The No Surprises Act, or the "balance billing rule" for emergent out-of-network services, saw a provider reprieve as it pertains to the Jan. 1, 2022 effective date, as the Centers for Medicare & Medicaid Services (CMS) will delay certain provisions of the Act to allow for better infrastructure, interoperability, and communication between payors, facilities, and providers. Nationally recognized professional coder, auditor, and consultant Terry Fletcher will report the good news.
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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