Talk Ten Tuesdays

Latest Episodes:

Lessons Learned – A COVID-19 Long Hauler Speaks Out Sep 21, 2021

Show notes

The National Institutes of Health (NIH) is awarding $470 million to New York University to perform a national study on “tens of thousands of people, to research the long-term effects of COVID-19.”
One such individual who might be included in the study will be the special guest during the next live edition of Talk-Ten-Tuesdays: Deborah Grider, longtime ICD10monitor national correspondent and senior healthcare consultant for Karen Zupko & Associates. Grider will return to the broadcast with an update on her status as a “long hauler,” having contracted the deadly coronavirus more than a year ago.
The live broadcast will also feature these other segments:

The Coding Report: Laurie Johnson will report on the outcome of last week’s Coordination and Maintenance Committee.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
2021 E&M Update: It’s about time: Nearly everyone thought that time reporting for evaluation and management (E&M) services would be eased through the American Medical Association (AMA) 2021 guidelines. Yet there are controversial areas and discrepancies in interpretation of the published guidance, according to Shannon DeConda, who will report on those issues. DeConda is the founder of the National Alliance of Medical Auditing Specialists (NAMAS) and a partner of DoctorsManagement.
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.
Town Hall: Your questions will be answered live during this special interactive broadcast.

COVID-19 Update: Second Surge Underway Sep 14, 2021

Show notes

The COVID-19 pandemic continues to rage throughout the U.S., fueled by the Delta variant that is driving a new surge of infections of the deadly coronavirus – all this amid growing antagonism about mask mandates and vaccine hesitancy. The U.S. death toll now stands at more than 650,000, with projections indicating more than 750,000 deaths being likely by Dec. 1.
In fact, Idaho, reported to have the nation’s lowest vaccination rate – only 45 percent of its population has received at least one dose of the COVID-19 vaccine – is on the verge on rationing care due to a scarcity of beds and equipment.
For the latest update on COVID-19, the next Talk TenTuesdays broadcast will feature Dr. John Foggle, a former consultant with the World Health Organization (WHO) who designed a course for Project Hope, bringing COVID-19 education to healthcare workers in 23 countries.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.
Mental Health Report: The death on Monday of actor Michael K. Williams of “The Wire” fame, currently being investigated as a possible drug overdose, suggests several mental health issues – which is why Dr. H. Steven Moffic, award-winning author, and internationally renowned psychiatrist, will be on the broadcast. Dr. Moffic, whom we call the Talk Ten Tuesdays resident psychiatrist, will provide context and perspective on this tragedy.
Tuesday Special Report: Ivermectin: Julia K. Brodt, PhD, an educator, and former epidemiologist, will report on the use of ivermectin, a medication used to treat parasite infections in livestock, now being clandestinely used to treat and prevent COVID-19 in humans, although there is no credible scientific evidence to support its efficacy. Moreover, the Federal Drug Administration (FDA) reports that ivermectin is not approved for the treatment of any viral infection.
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.
Town Hall: Your questions will be answered live during this special interactive broadcast.

A Trending Issue: PSI Rates Expected to Increase Aug 31, 2021

Show notes

Questions and concerns about the recent and significant updates to Patient Safety Indicators (PSI) by the Agency for Healthcare Research and Quality (AHRQ) has prompted the return of Dr. James Kennedy, a subject matter expert on PSIs, to the next live edition of Talk Ten Tuesdays.
The live broadcast will also feature these other segments:

Coding Report: Senior healthcare consultant and well-known national coding and health information management (HIM) leader Gloryanne Bryant will substitute for Laurie Johnson to report the latest coding news.
CDI Report: Nationally recognized clinical documentation improvement (CDI) expert Cheryl Ericson, clinical program manager for Iodine Software, will have the Talk Ten Tuesdays CDI Report.
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.
Town Hall: Your questions will be answered live during this special interactive broadcast.

An Explosive Topic: Rates Expected to Increase for PSIs 8, 11 and 14 Aug 25, 2021

Show notes

The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) – which factor greatly into provider success with the Medicare Inpatient Quality Reporting, Leapfrog, and Maryland quality initiatives – were recently significantly updated for the 2021 fiscal year (FY).
During the next live edition of Talk Ten Tuesdays, you’ll learn why PSI 8, Hospital-acquired hip fracture; PSI 11, Postoperative respiratory failure; and PSI 14, Wound dehiscence rates are likely to increase at all facilities. What can you and your quality committees can do to mitigate these increases? What role will ICD-10-CM code Z66, Do not resuscitate, have with PSI 4, Death among surgical inpatients with serious treatable complications?
To be featured during the weekly Internet radio broadcast will be how preoperative documentation workflows that address the newly revised FY 2021 Elixhauser model can go beyond accurately risk-adjusting the PSIs, but also compliantly add net revenue to your facility. Invite your quality teams to listen as Dr. James Kennedy analyzes this explosive topic.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.
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.
Town Hall: Your questions will be answered live during this special interactive broadcast.

Important News for Coders: Quantifying the Sequelae Following Acute COVID-19 Aug 17, 2021

Show notes

The rapidly expanding surge of COVID-19 infections is triggering a renewed look at the impact the virus is having on long-haulers. The pressing challenge is to understand the findings on the sequelae after recovery from COVID-19 – and what variations are expected to evolve.
Meanwhile, research reveals that about 14 percent of adults who had been infected with the virus developed at least one new clinical sequela requiring medical attention after recovery from COVID-19, although many specifics have yet to be quantified. Reporting our lead story during the next live edition of Talk-Ten-Tuesdays will be Axea Solutions founder and CEO Susan Gatehouse.
The live broadcast will also feature these other segments:

Tuesday Focus: Fixing Healthcare, Part II: Rose Dunn, former American Health Information Management Association (AHIMA) CEO, and current COO for First Class Solutions, will return to the broadcast with the final installment in her exclusive two-part series in which she offers ideas aimed at fixing healthcare.
Coding Report: Senior healthcare consultant and well-known national coding and health information management (HIM) leader Gloryanne Bryant will substitute for Laurie Johnson to report the latest coding news.
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.
Town Hall: Your questions will be answered live during this special interactive broadcast.

Pandemic Surge Expected to Add Chaos to HIPAA Claims Aug 10, 2021

Show notes

Let’s start with a basic question: are you affiliated with a Health Insurance Portability and Accountability Act (HIPAA) covered entity? If so, remember, such entities must comply with standards for electronic transactions, not just privacy.
When you’re asked about your vaccine status, do you claim a HIPAA violation? Is your vaccine status only your business, and no one else’s? If not, whose business is it, really? Is it your employers’ business, or that of the airline or cruise ship company through which you’re booking a trip?
With the recent surge in the coronavirus pandemic, brought about by the new Delta variant, as odd as it may seem to some, more and more people are claiming a HIPAA violation when asked about their vaccine status.
Reporting on this latest coronavirus conundrum during the next edition of Talk Ten Tuesdays will be Terry Fletcher, a nationally recognized professional physician coder and auditor.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.
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.
Town Hall: Your questions will be answered live during this special interactive broadcast.

Could New AHA Advice Raise Surgery Complication Rates? Aug 03, 2021

Show notes

Surgery doesn't have to be complicated; it shouldn't automatically translate into a misadventure.
Recent American Hospital Association (AHA) advice has the potential to result in artificially elevated complication rates for surgery, however, jeopardizing your safety and performance profiles. Clinical accuracy of diagnoses is king, even in the operating room.
Reporting on this developing story during the next live edition of Talk Ten Tuesdays will be senior healthcare executive Allen Frady, who will reveal important information and provide tips on how to approach this conversation without accidentally veering into forbidden territory.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk-Ten-Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.
Tuesday Focus: Fixing Healthcare, Part I: Bureaucratic, redundant, labor-intensive, wasteful, costly things appear to characterize some healthcare operations. What are some solutions? Rose Dunn, former American Health Information Management Association (AHIMA) CEO, and COO for First Class Solutions, will return to the broadcast with an exclusive two-part series in which she offers ideas aimed at fixing healthcare.
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.

Where Did All the Money Go? Jul 27, 2021

Show notes

"Where did all the money go?" It’s a valid question. Join us for the next live edition of Talk Ten Tuesdays, when nationally-recognized professional coder, educator, and auditor Terry Fletcher will provide an answer by discussing a topic not addressed often enough: physician under-coding. The bad habit leads to not getting paid for services provided. Multiply those issues by 20 to 30 patient encounters daily, and it’s little wonder that physicians are missing a ton of money – important and well-earned revenue.
During the pandemic, many physicians just tried to stay afloat with various programs from the U.S. Department of Health and Human Services (HHS): survival programs such as the Paycheck Protection Program (PPP), PPP loans, and the Provider Relief Fund (PRF). But now, the focus is on recovery. During the broadcast, Fletcher will offer examples of those missed revenue opportunities, along with the reasons why under-coding occurs.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.
Tuesday Focus: Change Coping: Keeping your coding department up-to-date and current on changes and guidelines is always a challenge. Fortunately, there are easy lessons to learn as you’ll discover when Shannon DeConda, founder of the National Association of Medical Auditing Specialists (NAMAS) shares come very practical advice.
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.

Exclusive: AHIMA Reveals New CDI Brief Jul 20, 2021

Show notes

The American Health Information Management Association (AHIMA) has just released a new practice brief focused on prospective clinical documentation integrity reviews and query alerts.
Being revealed for the first time during the next edition of Talk Ten Tuesdays, the practice brief was developed by AHIMA through a workgroup of clinical documentation integrity (CDI) industry experts. The free practice brief explores the need for prospective reviews and the impact they have on the CDI industry. The publication also provides information on the provider perspective and how to manage the data obtained in prospective reviews. Every CDI professional will benefit from the practice brief by recognizing the compliance standards that should be followed when performing prospective health record reviews.
The live broadcast will also feature these other segments:

CDI Report: Nationally recognized CDI expert Cheryl Ericson, clinical program manager for Iodine Software, will have the Talk Ten Tuesdays CDI Report.
Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the broadcast’s Coding Report, and its weekly Listeners Survey.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the News Desk.
Point of View: Dennis Jones, Patient Financial Services Administrator at Montefiore Nyack Hospital, will substitute for co-host Erica Remer, MD.

Virtual Care: New Issues for Coders Jul 13, 2021

Show notes

Lawmakers are lining up to decide what Medicare will pay for after the COVID-19 public health emergency (PHE) is over – and they are looking confident that they have the votes to include it in a must-pass piece of legislation this year.
Congress also seems to be on board with a plan to allow millions of Medicare patients to continue to video-chat with their physicians once the PHE is over. The Medicare advisory committee, MedPAC, has recommended a cautious approach, however, that would temporarily cover some telehealth services for all beneficiaries, but revert to lower reimbursement rates post-crisis for virtual appointments compared to in-person. There's also concern that a rapid expansion could prompt more fraudulent billings: the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) estimates that $4.5 billion in telehealth-related fraud was lost last year, which is why Part B evaluation and management (E&M) services provided during the PHE is on the current OIG 2021 Work Plan.
Nationally recognized physician auditor, educator, and coder Terry Fletcher will report on this developing story during the next live edition of Talk Ten Tuesdays.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast’s weekly Listeners Survey.
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.

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