Talk Ten Tuesdays

Latest Episodes:

EXCLUSIVE: Sleeping Patterns Gone Awry Amid the COVID-19 Pandemic Aug 25, 2020

Show notes

Plenty of time at home. Self-isolation. Binge-watching television shows. No commuting. Working remotely.
You would think that with all the time spent at home these days, folks would be getting more and better sleep, right? Wrong!
The truth is, according to Dr. Nick van Terheyden, that there are daunting obstacles to getting a good night’s sleep, with all the additional worries and fear induced by the COVID-19 pandemic and associated challenges in our economy and society. Reporting our lead story during this edition of the long-running Talk Ten Tuesdays weekly Internet radio broadcast will be “Dr. Nick the Incrementalist,” founder of Incremental Health, who has previously reported here that sleep is “this amazing new treatment that allows you to live longer, improves your memory, makes you more creative and slimmer, (and) decreases (risk of) cancer, dementia, infections, heart disease, strokes, and diabetes.” Now, if only there were a vaccine for sleep disorder.
The live broadcast will also feature these other segments:

Special Report: Transgender Rights: On June 14, 2019, the U.S. Department of Health and Human Services (HHS) proposed what it described as “substantial revisions” to its regulations implementing Section 1557 of the Patient Protection and Affordable Care Act, prohibiting discrimination based on race, color, national origin, sex, age, and disability in health programs and activities receiving federal financial assistance. The new rules governing this, recently implemented, will narrow the scope of the existing HHS regulations. Nationally recognized professional coder and auditor Terry Fletcher provides the details on this important story.
Tuesday Focus: HHS Provider Relief Fund at Risk: The HHS Provider Relief Fund could be valued at $25 billion less than expected. Organizations without efficient processes in place may find themselves at a disadvantage. Reporting on this developing story is Susan Gatehouse, founder and CEO of Axea Solutions.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
The Coding Report: Laurie Johnson reports on a current healthcare coding issue that has national importance.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on another thought-provoking topic that has captured her attention.

EXCLUSIVE: Dissecting the 2021 OPPS Proposed Rule Aug 18, 2020

Show notes

It’s out and it’s already creating controversy: the Centers for Medicare & Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS) proposed rule, which becomes effective January 2021. The rule, issued Aug. 4, would eliminate the Medicare inpatient-only list of services while increasing the number of Ambulatory Surgical Center (ASC)-eligible procedures. The rule would also increase 340B payment cuts, and it looks to overhaul the hospital star-rating system.
It’s an interesting time for such changes, amid the impact of COVID-19. Dissecting the OPPS proposed rule during the next edition of Talk Ten Tuesdays will be Susan Gatehouse, founder and CEO of Axea Solutions.
The live broadcast will also feature these other segments:

CDI Report: Senior healthcare consultant Glenn Krauss, founder and creator of Core-CDI.com, files the CDI report, in which he’s expected to discuss what he calls the stagnation of clinical documentation integrity (CDI) as a result of visionary leadership being replaced by task leaders.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent anchor the Talk Ten Tuesdays News Desk.
The Coding Report: Laurie Johnson reports on a the upcoming coordination and maintenance meeting in September.
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 Counseling: Now a Payable Compliance Risk Aug 11, 2020

Show notes

The Centers for Medicare & Medicaid Services (CMS) has announced two new payment initiatives, with one being the use of "counseling" to help stop the spread of COVID-19.
CMS will make payment available to physicians and providers to counsel patients at the time of COVID-19 testing about the importance of self-isolation after they are tested, and prior to the onset of symptoms. However, to get reimbursed for these services, there are protocols to follow, eligible providers to consider, and place-of-service rules. During the next live edition of Talk Ten Tuesdays, Terry Fletcher, nationally recognized professional coder and auditor, will report our lead story.
The live broadcast will also feature these other segments:

Tuesday Focus: COVID and Caregiver Parents: With schools opening, healthcare workers face a daunting dilemma as they plan for their children to return to class. The impact to healthcare workers, specifically those who are unable to work remotely while they home-school their children, is challenging, and it’s our Tuesday Focus that will be reported by Tiffany Ferguson.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
The Coding Report: Laurie Johnson will report on the recent announcement from the Centers for Disease Control and Prevention (CDC) that between August and November is when to expect more cases of a rare illness that causes permanent paralysis and respiratory failure in children – it’s known as acute flaccid myelitis (AFM).
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.

E&M: The Good. The Bad and the Ugly Aug 04, 2020

Show notes

COVID-19 is a disruptor of giant proportions. Case in point: The lead story for tomorrow’s Talk-Ten-Tuesdays was the ongoing COVID-19 pandemic, featuring Dr. John Foggle, who has spent the last three months working on the front lines in an urban, academic medical emergency department, treating COVID patients. Dr. Foggle had to cancel because he was asked to lecture on the deadly virus at Walter Reed National Medical Center.
So, given the attention being given to the coronavirus, it’s not surprising that evaluation and management (E&M) guideline changes for 2021 could be overlooked. That’s why we asked Shannon DeConda to share additional insight on these changes taking place in four short months.
The live broadcast will also feature these other segments:

Mental Health Report: Nationally renowned psychiatrist H. Steven Moffic, MD will report on burnout among frontline nurses caring for hospitalized patients suffering from the coronavirus, recognizing that more often than not, the focus on burnout has been among physicians.
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.
The Coding Report: Laurie Johnson will report on the coding news that’s in the nation’s spotlight.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

EXCLUSIVE: Coding Sequela to COVID-19 Jul 28, 2020

Show notes

One day she’s consulting in Los Angeles. The next day she’s back in Indiana, with upcoming client calls scheduled at hospitals and physician practices in nearly every U.S. city and small town. Her frequent flyer miles would qualify for a round-trip to Mars.
High-flying and always in demand as a speaker, Deborah Grider came crashing down, diagnosed with COVID-19 earlier this year. She’s recovering now – enough so that she wrote a personal account of her COVID ordeal for ICD10monitor. Grider will report on coding sequelae of COVID-19.
The podcast also feature these other segments:

CDI, Past, Present, and Future: The Series: Nationally recognized clinical documentation integrity (CDI) expert Cheryl Ericson, clinical program manager for Iodine Software, launches an exclusive new series for ICD10monitor and Talk Ten Tuesdays that traces the evolution of CDI, noting that although the practice has evolved, the metrics haven’t.
The Coding Report: Laurie Johnson reports on the coding news that’s in the nation’s spotlight.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
E&M 2021: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists and a partner of DoctorsManagement, begins a new series for ICD10monitor and Talk Ten Tuesdays in which she delves into the massive changes in the new American Medical Association (AMA) evaluation and management (E&M) documentation guidelines for 2021: changes that become effective just four short months from now.

Preventative Care vs E/M Problem-Oriented Services Jul 21, 2020

Show notes

Choosing the proper office visit code can be confusing unless you fully understand rules between preventative medicine and evaluation and management (E&M) coding. Knowing the difference between preventive visits, with its many procedural services and bundled service codes, and E&M visits with its complicated coding and documentation guidelines, is imperative to correct office visit coding.
This week on Talk Ten Tuesdays we are joined by Healthcare Coding and Reimbursement Consultant and coding auditor Terry Fletcher, who reports on Preventative Medicine vs. E&M codes
The live broadcast will also feature these other segments:

The Coding Report: Laurie Johnson reports the OIG update for coding sever malnutrition.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
Tuesday Focus: Beth Wolf reports the latest on managed care denials for malnutrition.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays host, will report on another thought-provoking topic that has captured her attention.

Telehealth: Could this be the New Normal? Jul 14, 2020

Show notes

The use of telehealth has surged during the coronavirus pandemic, with the technology spreading far and fast. Doctors and patients alike must be wondering, 'is the beginning of a whole new kind of doctor–patient relationship'? One that will transform health care systems? With the uptick in the use of telehealth the Office of Inspector General (OIG) and Center of Medicare and Medicaid Services (CMS) has added Telehealth to the list of audits due to data analysis and non-compliance.

Joining us this week for Talk Ten Tuesdays will be Terry Fletcher who discuss the downfalls and keeping Telehealth compliant and in perspective.

The the podcast features these other segments:

The Coding Report: Laurie Johnson reports on FY21 ICD-10-CM new codes and updated diagnosis guidelines.
News Desk: Timothy Powell, anchors the Talk Ten Tuesdays News Desk.
RegWatch: Stanley Nachimson has the latest regulatory news and reports on the recently published CMS rules on payments for ESRD.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays host, will report on another thought-provoking topic that has captured her attention.

The Ins and Outs of Outpatient CDI Programs Jun 30, 2020

Show notes

Outpatient clinical documentation improvement (CDI) programs have moved into the mainstream, as hospitals and healthcare systems continue to embrace consulting companies’ push into the outpatient arena. As the CDI profession matures and the market for CDI consulting becomes more competitive and less lucrative, these companies have identified a new long-term revenue stream associated with consulting engagements, in addition to software.

Joining us this week onTalk Ten Tuesdays will be Glenn Krauss, CEO and Founder of Core- CDI, to discuss the effectiveness of outpatient clinical documentation improvement (CDI) programs.

The live broadcast will also feature these other segments:

Tuesday Focus: Gloryanne Bryant, reports on CPT codes for Remote Patient Monitoring in relation to COVID19.
The Coding Report: Laurie Johnson reports on coding obesity 3.
News Desk: Timothy Powell, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays host, will report on race desparities of COVID19.

Let’s Talk Data - HHS Issues Requirements of Additional Data and Timely Submission for COVID-19 Testing Jun 23, 2020

Show notes

As the country begins to reopen, it is essential to have clear and accurate data for leadership to make informed decisions during the phased reopening. The U.S. Department of Health and Human Services (HHS) has recently announced guidelines for additional data to be reported to HHS by laboratories along with COVID-19 test results. These guidelines allow for standardization of reporting and ensure comprehensive and nearly real-time data for COVID-19 decision-makers.

During this episode of Talk Ten Tuesdays, Susan Gatehouse will discuss the disproportionate impact of COVID-19 on specific individuals, such as minorities and the elderly, and the need to provide more detailed data to public health experts on a real-time basis.

The podcast will also feature:

Tuesday Focus: Terry Fletcher, nationally recognized professional physician coder and auditor gives us tips and tricks on how to avoid an audit.
The Coding Report: June is Alzheimer's and brain awareness month, and Laurie Johnson briefs us on the stages of the disease.
News Desk: Timothy Powell, anchors the Talk Ten Tuesdays News Desk with a segment about Florida SNFs.
TalkBack: Erica Remer, MD reports on acute blood loss anemia

EXCLUSIVE: Treating ICU COVID-19 Patients: Lessons Learned About Teamwork Jun 16, 2020

Show notes

umbersome yet secure, your PPE is firmly in place as you shadow Dr. David Jury, similarly attired, as he makes his rounds in the ICU, explaining to you the handoff from his overnight telemedicine colleague…

Join for a remarkable, albeit virtual, journey into an ICU unit at the famed Cleveland Clinic, as our Talk Ten Tuesdays special guest Dr. David Jury describes his role as an anesthesiologist and critical care physician dealing with COVID-19 patients.
“I love what I do,” Jury wrote in a recent essay for FrontLine Friday, published by RACmonitor. “I'm intellectually stimulated, emotionally rewarded, and challenged at the same time nearly every day. COVID-19 brings a new set of challenges to my occupation, but I can't imagine doing anything else.”
The live broadcast will also feature these other segments:

Tuesday Focus:Codes that Spark Interest: Gloryanne Bryant, nationally recognized health information management (HIM) authority, will report on two ICD-10-CM codes related to COVID-19 that are generating an unusual amount of attention.
The Coding Report: Laurie Johnson will report on the 2021 ICD-10-PSC codes released last week by the Centers for Medicare & Medicaid Services (CMS).
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 another thought-provoking topic that has captured her attention.

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