Talk Ten Tuesdays

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HIP Voices Apr 15, 2021

Show notes

Every day, in facilities ranging from small rural hospitals to large academic teaching facilities and health systems, these dedicated professionals are working to keep patient health information data accurate, secure, and most importantly, personal. Because when it’s personal, it’s relevant.

As part of our recognition of the importance of HIPs, please listen to HIP Voices, a podcast during which you’ll hear the stories of three dedicated professionals:

Laurie Peters, Global privacy officer at Orion Health

Sarah Throop, who describes her journey into telehealth and virtual care.

Shannan Swafford, Manages coding process improvement, BlueCross Blue Shield of Tennessee

ICD-11: Where in the World is the U.S.? Apr 13, 2021

Show notes

ICD10monitor and Talk Ten Tuesdays will continue their reporting on the advent of ICD-11 – particularly during April, when attention turns to the World Health Organization (WHO).
A key question that needs answering: where does the United States fall among the countries that are either preparing or even implementing the new update for the standard code set?
For a global perspective on ICD-11 and the nation’s position on the new code set, Margaret Skurka, a member of the International Federation of Health Information Management Associations (IFHIMA) and past president of the American Health Information Management (AHIMA),will share perspective on ICD-11 planning during the next 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 two proposal rules posted by CMS.
Mental Health Report: Anti-Asian Discrimination: Nearly 3,800 incidents have been reported by the Stop Asian American Pacific Islander (AAPI) Hate reporting center from March 2020 through February 2021. There is an ICD-10 code to specify a diagnosis of being a victim of crime and terrorism. Reporting this troubling issue will be Dr. H. Steven Moffic, award-winning author and internationally renowned psychiatrist.
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.

ICD-11: The Journey of Adoption Begins Now—During World Health Week Apr 06, 2021

Show notes

The World Health Organization (WHO) gave us the International Classification of Diseases (ICD), including several updates over the years, more recently versions 9 and 10.
And now on the horizon is version 11.
Thus, it is only fitting that Talk Ten Tuesdays would focus on the global accomplishments of the WHO this week, with the lead story for this upcoming edition focusing on the looming implementation of the new update for the standard code set. Leading off the reporting will be the broadcast’s special guest, Lorraine Fernandes, president of the International Federation of Health Information Management Associations (IFHIMA). Lorraine will report on the efforts by the organization to further advance the implementation of ICD-11.
The live broadcast will also feature these other segments:

CDI Report: Senior healthcare consultant and physician Alba Kuqi will make her Talk Ten Tuesdays debut with her report on clinical documentation integrity (CDI).
Coding Report: Gloryanne Bryant, senior healthcare consultant, will report on First Quarter Coding Clinic.
Tuesday Focus: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists (NAMAS), will return to the broadcast with an update on evaluation and management (E&M) codes.
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.
Attorney and physician John K. Hall will be substituting as guest host for the vacationing Dr. Erica Remer.

Why to Care About the Cures Act Mar 30, 2021

Show notes

Implementation of the 21st Century Cures Act is set for Monday, April 5. In a nutshell, the legislation directs providers to cease all efforts of information blocking with respect to their electronic health records (EHRs), and to encourage and promote interoperability, allowing for communication and cooperation with third-party application program interfaces.
With respect to portions of clinical notes, there appear to be certain exceptions where physicians can block access, including psychotherapy notes, HIV testing results, and any notes that, in a physician’s judgement, could cause harm to an individual. Reporting our lead story on this topic during the next edition of Talk Ten Tuesdays will be nationally recognized professional auditor and coder Terry Fletcher.
The live broadcast will also feature these other segments:

Outpatient CDI Report: Colleen Deighan, senior consultant with 3M, will conclude her exclusive three-part series for ICD10monitor and Talk Ten Tuesdays on outpatient clinical documentation improvement (CDI), reporting on measures that require abstracting.
Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news and will also conduct the Talk Ten Tuesdays 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.

Biannual ICD-10 Implementation Dates Proposed: Weighing the Pros & Cons Mar 23, 2021

Show notes

The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention’s National Center for Health Statistics (CDC/NCHS) have announced a proposal for biannual ICD-10-CM and PCS updates.
The impact on business processes would be far-reaching – much of it good, and some possibly not so good, according to Susan Gatehouse, who will report this development as the lead story during the next live edition of Talk Ten Tuesdays. Gatehouse, the founder and CEO for Axea Solutions, will encourage listeners to respond during the public comment period being afforded by both agencies.
The live broadcast will also feature these other segments:

Outpatient CDI Report: Colleen Deighan, senior consultant with 3M, will continue with Part II in her three-part series on outpatient clinical documentation improvement (CDI), reporting on measures that require abstracting.
Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the newly proposed codes presented during last week’s Coordination and Maintenance Committee meeting. Johnson will also conduct the Talk Ten Tuesdays Listener 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.

A New Look at Outpatient CDI: An Exclusive Three-Part Series Mar 16, 2021

Show notes

To improve patient care and create transparency, Medicare mandated a pay-for-quality reporting program for hospital outpatient services in 2009. The related measures can impact hospital payment if not met, thus creating financial incentives for hospitals to report them. The measures are intended to evaluate the regularity of outpatient treatments known to provide the best results for most patients with a particular condition.
During the next three broadcasts of Talk-Ten-Tuesdays, listeners will be introduced to these measures and learn how coding and documentation integrity professionals can get involved in reporting and analyzing the data. The exclusive three-part series will include the following:

Part 1: Hospital outpatient quality reporting program
Part 2: Measures that require abstracting
Part 3: Outcome-based measures

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 newly proposed codes presented during last week’s Coordination and Maintenance Committee meeting. Johnson will also conduct the Talk Ten Tuesdays Listener Survey.
Mental Health Report: Residual Rage: Vaccine shortages, folks cutting in line to get vaccinated, and on-again, off-again guidance concerning opening schools, businesses, and even mask-wearing have all been major COVID-19-related issues. So it’s little wonder there’s pent-up pandemic anger and frustration. There is an ICD-10 code for irritability and anger, and Dr. H. Steven Moffic, award-winning author and internationally renowned psychiatrist, will discuss it – and how and why many of us feel today.
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.

Hitting the Reset Button on Revenue Integrity Mar 09, 2021

Show notes

Whether you work for a full-scale enterprise or a smaller healthcare facility, the importance of revenue integrity programs is gaining increased importance, especially in the light of renewed auditing activities anticipated under the Biden Administration.
Beyond ensuring accurate billing and collection, revenue integrity should strengthen reimbursement performance and provide sound financial practices, according to Susan Gatehouse, founder and CEO for Axea Solutions, who will report on our lead story during the next 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 continue her reporting on proposed codes expected to be discussed during the Coordination and Maintenance Committee meeting, which begins on Tuesday, March 9 and concludes Wednesday, March 10. Johnson will also conduct the Talk Ten Tuesdays Listener Survey.
Tuesday Focus: Congress passed the "No Surprises Act" at the end of 2020, but what does that mean for providers, exactly? Nationally recognized professional coder and auditor Terry Fletcher will share what the Act requires medical providers to do when seeing an out-of-network patient under a non-government payor, and how this will impact your practice revenue and patients. This new law is set to take effect on Jan. 1, 2022, so time is of the essence to work on compliance strategy.
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 Preview: Coordination and Maintenance Committee Meeting Mar 02, 2021

Show notes

Will there be an ICD-10 code for post-traumatic visual disturbance? Or for an encounter for PPD test reading and medication review? Or prolonged grief disorder?
In light of COVID-19, the ICD-10 Coordination and Maintenance Committee (C&M) meeting will be online-only, as was the case last spring, at the outset of the pandemic. This year, the two-day meeting begins next Tuesday, March 9, continuing through March 10, bringing together representatives from the Centers for Medicare & Medicaid Services (CMS), the Centers for Disease Control and Prevention's (CDC’s) National Center for Health Statistics (NCHS), various medical societies, medical device vendors, and the general public.
Senior healthcare consultant Laurie Johnson will have an exclusive preview of Day 1 during the next edition of Talk Ten Tuesdays. Joining her will be nationally prominent psychiatrist H. Steven Moffic, MD, who will report on prolonged grief: an ICD-10-CM diagnostic topic expected to be discussed during the Coordination and Maintenance meeting, and a marker of America’s grim milestone of more than 500,000 souls lost to the deadly coronavirus.
The live broadcast will also feature these other segments:

RegWatch: Stanley Nachimson, former 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 coding the consequences of COVID-19 vaccination

Vaccination Nation, Part IV – The Distribution Bottleneck Feb 23, 2021

Show notes

Infection rates from the coronavirus are declining. Vaccination rates are increasing. And while that’s good news, word on the ground is anything but good. Vaccination distribution in the U.S. has been, by most accounts, uneven, with reports of supplies not keeping up with demand in many states. And this week, a spate of bad weather, particularly in Texas and states across the Southeast, is hampering vaccination efforts – and in some cases, cancelling mass inoculation events.
During the next live edition of Talk-Ten-Tuesdays Susan Gatehouse, founder and CEO for Axea Solutions, and Deborah Grider, senior healthcare consultant for Karen Zupko and Associates, will report on vaccination rates in their respective states: Georgia and Indiana.
It will mark one of several segments making up Part IV of Vaccination Nation, an exclusive series being produced by ICD10monitor for Talk-Ten-Tuesdays. Also during the program, TTT executive producer Chuck Buck and co-host Erica Remer, MD will answer listeners’ questions in real time. Joining them on the program will be Lynne Comstock, who, like Remer, is a volunteer inoculator in Corpus Christi, Texas. Remer is volunteering with the Medical Reserve Corps of the Cuyahoga County Board of Health in Ohio.
The global COVID-19 pandemic has now resulted in more than 110 million cases worldwide, as well as 2.45 million deaths. More than 28 million of those cases and more than half a million deaths have occurred in the U.S. alone.
However, the Centers for Disease Control and Prevention (CDC) recently reported that more than 56 million doses of the vaccine have been administered across the country.
Still, there’s the disturbing trend of vaccine hesitancy. Driven by misinformation, lack of trust, and concerns about safety and efficacy, vaccine hesitancy is considered to be one of the top global health threats, according to the World Health Organization (WHO).
The live broadcast will also feature these other segments:

News Desk: Ronald Hirsch, MD will anchor the Talk Ten Tuesdays News Desk.
The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest ICD-10 codes.

Exclusive: Vaccination Nation, Part III – The Inoculators Feb 16, 2021

Show notes

They’re standing in long lines, often in the early morning darkness and in the cold, waiting for access to community vaccination centers all across the country. According to the Centers for Disease Control and Prevention (CDC), more than 1 million doses are being administered daily to grateful recipients.
Yet there’s still the disturbing trend of vaccine hesitancy. Driven by misinformation, lack of trust, and concerns about safety and efficacy, vaccine hesitancy is considered to be one of the top global health threats, according to the World Health Organization (WHO).
During Part III of Vaccination Nation, an exclusive series produced by ICD10monitor for Talk-Ten-Tuesdays, program host and executive producer Chuck Buck and co-host Erica Remer, MD will conduct another live town hall, answering listeners’ questions in real time.
The global COVID-19 pandemic has now resulted in nearly 108 million cases worldwide, as well as 2.37 million deaths. More than 27 million of those cases and more than 483,000 deaths have occurred in the U.S. alone.
Two companies, Moderna and Pfizer, have had their COVID vaccines approved for use by the Food and Drug Administration (FDA). Since vaccine distribution began in the U.S. in mid-December 2020, more than 44 million doses have been administered, reaching slightly more than 10 percent of the total U.S. population, according to federal data recently collected by the Centers for Disease Control and Prevention (CDC) and reported on by NPR.
A third company, Johnson & Johnson, earlier this month applied for FDA approval for its single-dose vaccine, and company officials have said they will be able to produce 100 million doses by June. Officials with both Moderna and Pfizer have reportedly said that they plan to have produced 200 million doses apiece by the summer.
The live broadcast will also feature these other segments:

News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest ICD-10 codes.

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