Talk Ten Tuesdays

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Exclusive Town Hall: Vaccination Nation – Part II Feb 09, 2021

Show notes

The Centers for Disease Control and Prevention (CDC) is forecasting that there will be more than 500,000 deaths from the coronavirus in the U.S. by the third week of February. In the meantime, the U.S. vaccine rollout fell short of federal projections, according to Bloomberg News, which noted that the initial round of shots, delivered through early January, was distributed through hospitals.
Then 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).
During Part II 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 a live town hall, answering listeners’ questions in real time. Remer is a volunteer inoculator 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 104 million cases worldwide, as well as 2.27 million deaths. More than 27 million of those cases and nearly 460,000 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 29 million doses have been administered, reaching 7.2 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, is expected to apply for FDA approval for its single-dose vaccine shortly, 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.

Exclusive: Vaccination Nation – Part I Feb 02, 2021

Show notes

The Centers for Disease Control and Prevention (CDC) is forecasting that there will be more than 500,000 deaths from the coronavirus in the U.S. by the third week of February. In the meantime, there has been a flurry of activity by major pharmaceutical companies to work together to help meet the huge demand for vaccines, all against the backdrop of an emerging trend: 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).
In the first portion of an exclusive series produced by ICD10monitor for Talk Ten Tuesdays, Erica Remer, MD will kick things off with a report on the subject, including a listener survey conducted during the live broadcast. Remer is a volunteer inoculator with the Medical Reserve Corps of the Cuyahoga County Board of Health.
The live broadcast will also feature these other segments:

COVID-19 Report: John Foggle, MD, a frontline physician caring for COVID-19 patients at Rhode Island’s alternative site field hospital as a member of Brown University’s emergency medicine department, will report on the latest news coming from the frontlines of America’s battle against the deadly coronavirus.
RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on how healthcare and politics are inextricably entwined.
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.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report our lead story—the first installment in a three-part series on Vaccination Nation.

Exclusive: Improving Documentation for PSI-9 Jan 26, 2021

Show notes

There has long been a focus on improving documentation for the purpose of maximizing the capture of complications and morbidities and major complications and morbidities (CCs and MCCs). As value-based purchasing is becoming more widely adopted, the importance of improving documentation is becoming more relevant. Case in point: the importance of coagulopathy documentation and its impact on perioperative hemorrhage and hematoma, a patient safety indictor (PSI-9).
Reporting our lead story during the next edition of Talk Ten Tuesdays will be Dr. Ahmed Abuabdou, Associate Chief Medical Officer and Associate Professor of Medicine at the University of Arkansas for Medical Sciences (UAMS) Medical Center.
The live broadcast will also feature these other segments:

Tuesday Focus: Telehealth: The proliferation of telehealth, now identified in the 2021 U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan, means that you will need to be extra diligent when coding the service in order to be compliant, according to Terry Fletcher, nationally recognized professional auditor and coder, who will return to the broadcast to report on the topic with a focus on audio-only check-ins.
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.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.

The Reality of Care Rationing Jan 19, 2021

Show notes

The U.S. death toll from the coronavirus is approaching the number of Americans killed in World War II, and as America is experiencing another surge of infections, the once-unthinkable subject of rationing care is now being debated.
But how is care to be rationed? Is there a uniform guide for triaging care, as the availability of all beds, ICU beds, ventilators, and other hospital equipment is weighed, based on the acuity of each patient?
As John Zelem, MD wrote recently for RACmonitor, “we have entered a time in which drastic scenarios demand drastic measures (care rationing). We all look forward to the time when we can look back on these challenging times as a unique response to a fairly unique medical emergency.”
Reporting our lead story during the next live edition of Talk Ten Tuesdays will be Dr. Zelem, founder of Streamline Consulting Solutions.
The live broadcast will also feature these other segments:

CDI Report: Cheryl Ericson, clinical program manager for Iodine Software, will have the CDI Report, in which she is expected to ask if every item in the medical record is truly “documentation.”
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.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.

COVID-19 Relief Bill: Conversion Factor Increases Twice in One Week Jan 12, 2021

Show notes

The Centers for Medicare & Medicaid Services (CMS) 2021 Final Rule and 2021 Medicare Physician Fee Schedule (MPFS) are effective Jan. 1, 2021, and both affect reimbursement.
But in a rare move, CMS increased the conversion factor (CF) in the MPFS twice in one week as a result of the COVID-19 relief bill, which added a hike of 3.75 percent.
For an update on the major CMS changes for 2021 that will affect your reimbursement under the Part B Physician Fee Schedule, tune in to the next live edition of Talk Ten Tuesdays, coming your way Tuesday, Jan. 12 from 10-10:30 a.m. EST. That’s when nationally recognized professional coder and auditor Terry Fletcher will join the broadcast to report on all the relevant details.
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, D.C.
SOAP Note: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists and a partner of DoctorsManagement, will provide a long-awaited update to the legendary SOAP (subjective, objective, assessment, and plan) note.
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.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk-Ten-Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.

News Update: New Monoclonal Antibody Infusion Underway Dec 08, 2020

Show notes

Out in the West Texas “town” of El Paso, a number of COVID-19 patients are being treated with a new monoclonal antibody infusion called bamlanivimab. Now in the second week of the operation being conducted in the El Paso Convention Center’s makeshift hospital, Dr. Edward Michelson, Chair of the Department of Emergency Medicine at Texas Tech University Health Sciences Center, reports that while treatments are underway, there hasn’t been enough time to gather data on the effects and outcomes. Dr. Michelson, who appeared on Talk Ten Tuesdays in October 2017, will return to the live broadcast this coming Tuesday with a live update on the new therapy.

Also on tap for the broadcast:

Tuesday Focus: New COVID-19 Codes: The Centers for Disease Control and Prevention (CDC) recently announced further additions to ICD-10-CM related to COVID-19. Additionally, the Centers for Medicare & Medicaid Services (CMS) has posted new guidelines for ICD-10 CM/PCS coding and an updated MS-DRGs, Version 38.1. Updates include new ICD-10-CM and PCS codes for COVID-19. Reporting our Tuesday Focus will be Susan Gatehouse, founder and CEO for Axea Solutions.
RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, will report on how healthcare and politics are inextricably entwined.
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 ICD-10 coding relative to infusion services.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.

COVID Conundrum: Who’s Paying for Personal Protective Equipment? Dec 01, 2020

Show notes

There’s a recently added CPT® code for personal protective equipment (PPE). But there’s a corresponding catch: who pays and who doesn’t, and what’s the best practice for handling the new normal in physician practices? Could the new code, 99072, although a payable service by Medicare, as well as commercial payers, wind up being a patient’s out-of-pocket expense?
Reporting our lead story during the next live edition of Talk Ten Tuesdays will be nationally recognized professional coder and auditor Terry Fletcher.
Also on tap for the broadcast:

News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
Tuesday Focus: Chronic care management (CCM) has taken on new importance in light of the coronavirus pandemic. Continuing his reporting on this topic will be Andrew Dombro, MD, co-founder of Clarity/CCM, LLC.
CDI Report: Senior healthcare consultant Cheryl Ericson will return to the broadcast with the Talk Ten Tuesdays CDI report.
The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will have the latest ICD-10 coding news.

Exclusive Series: In Search of Solutions to COVID-19 False Positives Nov 24, 2020

Show notes

Thanksgiving, the flu season, and a dramatic surge of the COVID-19 pandemic are converging at a time when the nation’s coronavirus death toll has reportedly exceeded 250,000, with more than 11 million confirmed cases.

With soaring infection rates come more testing, as well as more hospitalizations and deaths.

A focus on COVID-19 testing will come into sharp relief as Talk Ten Tuesdays concludes its exclusive three-part series on false-positive tests. During this episode, co-host Erica Remer, MD will reintroduce Andrew Cohen, PhD, who has been doing groundbreaking work on COVID-19 false positives.

Dr. Cohen will explore possible solutions to this daunting challenge.

Also on tap for the broadcast:

News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
Tuesday Focus: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists (NAMAS), will return to the broadcast with recommendations necessary to implement the new changes that become effective Jan. 1, 2021.
The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on ICD-10 coding relative to mental health issues and their physical manifestations.
Mental Health Report: H. Steven Moffic, MD, internationally renowned psychiatrist and Talk Ten Tuesdays resident psychiatrist, will offer tips to avoid tripping on political landmines during Thanksgiving dinner.

COVID-19 False Positives and Real-Life Implications for Long-term Care Nov 17, 2020

Show notes

The global coronavirus pandemic is worsening quickly, and at a time when winter is bearing down, forcing more of us to remain inside. In fact, health experts are predicting that confirmed daily cases of COVID-19 will climb above 200,000 nationally. With soaring infection rates come more testing, as well as more hospitalizations and deaths.
A focus on COVID-19 testing will come into sharp relief as Talk Ten Tuesdays continues with the second portion of its three-part series on false-positive tests. During the next edition of the popular weekly Internet broadcast, Talk Ten Tuesdays co-host Erica Remer, MD will reintroduce Arnold Cohen, PhD, who has been doing groundbreaking work on COVID-19 false positives.
Dr. Cohen will report on the consequences of false positives for patients in long-term care facilities. Putting a human face on the testing dilemma will be Brian Kim, who will report on his real-life experience of false-positive testing results, and how it wreaked havoc on his family.
Also on top for the broadcast:

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 ICD-10 coding relative to mental health issues and their physical manifestations.

COVID-19 3-Part Series: False Impressions, Real-Life Implications Nov 10, 2020

Show notes

As the nation is experiencing a dramatic surge in confirmed cases of COVID-19, the terms “false negative” and “false positive” accompany not only medical records, but also news media dispatches.
The public health establishment and the medical world have generally treated positive results of PCR-based tests for the virus that causes COVID-19 as if they are infallible. The evidence shows that this may not be true, and there are real-life implications of false positives – yet to date, there has been little media coverage of false-positive tests.
That is why Talk Ten Tuesdays Co-Host Erica Remer, MD will explore this unchartered territory in an exclusive three-part series on the weekly Internet radio broadcast. Joining Dr. Remer will be Andrew Cohen, PhD, who has been doing groundbreaking work on COVID-19 false positives.
Also on tap for the broadcast:

Chronic Care Management: Andrew H. Dombro, MD will join the broadcast and report on a new segment, Chronic Care Management. Dr. Dombro is the chief medical officer and co-founder of ClarityCCM, LLC.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on ICD-10 coding relative to mental health issues and their physical manifestations.

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