Talk Ten Tuesdays

Latest Episodes:

Capturing Revenue for Care Management Services Mar 25, 2020

Show notes

What are care management services, and are you capturing revenue associated with them?
Transitional care management (TCM), chronic care management (CCM), advance care planning (ACP), and behavioral health integration are among services you may already be providing for your patients. Good news: you can be paid for those services, as you’ll discover during the next live edition of Talk Ten Tuesdays when nationally-recognized professional physician coder and auditor Terry Fletcher reports our lead story.
The live broadcast will also feature these other segments:

The Coding Report: Laurie Johnson will have an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
Special Report: Amid the global pandemic of COVID-19, Dennis Jones of Montefiore Nyack Hospital gives us an update of the State of New York.
Tuesday Focus: Laurie Johnson will report on the outcome of the two-day virtual Coordination and Maintenance (C&M) that concluded on Wednesday.

C&M Virtual Meeting: Will there be an Official Code for EVALI? Mar 17, 2020

Show notes

Will there be a code for EVALI? Or the use of e-cigarettes? Or one for the deadly coronavirus that the World Health Organization has now declared as a pandemic?
In light of the coronavirus outbreak, the ICD-10 Coordination and Maintenance Committee (C&M) meeting will be online only and convene Tuesday, March 17. The virtual meeting brings together representatives from the Centers for Medicare and Medicaid Services (CMS), the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS), various medical societies, medical device vendors, and the general public.
The live broadcast will also feature these other segments:

Tuesday Focus: Dr. Moffic, one of America’s foremost psychiatrists, continues his reporting on the rising world temperature and its impact on mental health.
Special Report: The World Health Organization has declared that the global coronavirus outbreak is now a pandemic. Given the international scope of the crisis and the vast amount of health data that will be exchanged, Lorraine Fernandes, president of the International Federation of Health Information Management Associations (IFHIMA), returns to report on patient privacy in this global pandemic.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, returns to the broadcast to report on another thought-provoking topic that has captured her attention.

Helping Transgender Patients Understand their Coverage and Rights Mar 10, 2020

Show notes

There are HIPAA privacy rights that reach farther than those of the average patient. And there are privacy provisions in the Patient Protection and Affordable Care Act (PPACA) that prohibit discrimination against this population of patients.
But do these prevent discrimination against transgender patients? During this edition of Talk Ten Tuesdays, we asked nationally-recognized professional physician coder and auditor Terry Fletcher to report on the insurance policies from state to state on what cannot be automatically excluded.
The podcast also includes these other segments:

Special Report: Nationally prominent psychiatrist and author H. Steven Moffic, MD, returns to the broadcast to report on the intersection of the coronavirus and the rise of racism directed toward Asians and Asian-Americans.
The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.
Tuesday Focus: Data Deep Dive: Dr. Joseph Nichols returns to the broadcast to report his second installment in his exclusive four-part series on healthcare data for ICD10monitor.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.
RegWatch: Stanley Nachimson joins the broadcast to break down the OMB review of the CMS and ONC Interoperability rules that were released Monday March 9, 2020.

Patient Privacy and the International Response to Coronavirus Mar 03, 2020

Show notes

With more cases of the novel coronavirus (COVID-19) being reported in countries outside of China, where the deadly virus has claimed the lives of a reported 2,771, world health leaders are preparing for a global pandemic that will provide a tsunami of health information for use by governments, world health agencies, and researchers, to hopefully control the future spread of the disease, develop vaccines, and share new learning to prevent future outbreaks.
That’s a good thing. But what about the privacy of that health information? Even in a crisis, health practitioners have a responsibility to protect privacy, which is a matter of trust between health professionals and the patient/consumer. And that is why we asked Lorraine Fernandes, president of the International Federation of Health Information Associates (IFHIMA), to report on this crucially important healthcare issue.
The live broadcast will also feature these other segments:

RegWatch: Stanley Nachimson reports on the latest regulatory news coming out of Washington, D.C.
The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.
Tuesday Focus: March 1 through 7 is National Sleep Awareness Week, and that is why we asked Dr. Nick van Terheyden to report on the importance of sleep.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.
TalkBack: Kathy Pride, senior vice president of coding and documentation services for Panacea Healthcare will discuss a current topic that’s surfaced on her radar.

Price Transparency is Coming to a Chargemaster Near You Feb 25, 2020

Show notes

The Trump Administration has grand plans to make healthcare prices more transparent, hoping a little bit of light will help lower the high costs of U.S. healthcare.
In new regulations, the administration is requiring hospitals to disclose, for the first time, the prices they negotiated with health insurers for a wide range of services, as well as the prices they charge patients who are paying with their own money.
But is it going to make any difference? We ask nationally-recognized professional physician coder and auditor Terry Fletcher to check with some health policy experts for their opinions about the new price transparency regimes. Terry gives you the best and worst-case scenarios, as well as the more realistic predictions, as this new rule is enforced during 2020.
The podcast also features other segments:

Tuesday Focus: Is it extravasation or infiltration? Knowing the difference is important for coders – and, actually, all healthcare professionals. Susan Gatehouse, founder and CEO of Axea Solutions, explains why this really matters.
The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines. She also reports on the upcoming Coordination and Maintenance Committee scheduled for March 17 and 18 at the headquarters of the Centers for Medicare & Medicaid Services (CMS).
News Desk: Grant Huang, CPMA, CPC, a consultant for DoctorsManagement, anchors the Talk Ten Tuesdays News Desk.
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.

Analyze This: Healthcare Data and Solastalgia on Mental Health Feb 18, 2020

Show notes

Dr. Nichols, who is authoring an exclusive four-part series on healthcare data for ICD10monitor, reports on the crucial search for reliable health information, noting that without it, all stakeholders are at significant financial and/or personal health risks.
Dr. Moffic, one of America’s foremost psychiatrists, reports on the intriguing subject of solastalgia – the rising world temperature, and its impact on mental health. Dr. Moffic is writing an exclusive series on the topic for ICD10monitor, and Tuesday’s report will be his second in his remarkable series.
The podcast also features these other segments:

RegWatch: Stanley Nachimson reports on the latest Medicare Advantage news coming out of Washington, D.C.
The Coding Report: Laurie Johnson has an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on the latest with the Social Determinants of Health.

Million-Dollar Coding Mistakes – and How to Avoid Costly Errors Feb 11, 2020

Show notes

While facilities and practices are concentrating on making critical changes in 2020 and 2021, it is important not to lose focus on the basics of correct coding. CPT® and ICD-10-CM coding errors can cost healthcare providers millions of dollars in lost revenue, but also, those errors can trigger compliance issues that could lead to audits.
Reporting our lead story during this edition of Talk Ten Tuesdays is a nationally recognized professional physician coder and auditor Terry Fletcher.
The podcast also features these other segments:

Special Report: The EHR Source of Truth: Is your organization’s electronic health record (EHR) the source of clinical truth? Exploring that question is Susan Gatehouse, founder and CEO of Axea Solutions, who reports on how documentation and coding audits can uncover deficits within an EHR.
Tuesday Focus: How does one avoid compromising on quality when faced with reimbursement cuts? It’s an issue that we hear about frequently, and that is why we asked Rhonda Buckholtz, chief executive officer for Century Vision Global, for her thoughts on this pervasive issue.
The Coding Report: Laurie Johnson reports on the deadly coronavirus that has resulted in a scurry of international activity – evacuees arriving from countries hit hard by the virus, and others being shunned, quarantined, and tracked. Meanwhile, Johnson will be reporting on the latest U.S. efforts to designate a code for this global health emergency.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
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.

The Coding Dilemma: Reporting Deep-Tissue Pressure Injuries Feb 04, 2020

Show notes

The release of the fiscal year (FY) 2020 Official Guidelines for Coding and Reporting (OCG) has resulted in confusion and apprehension surrounding the intent of the new guideline related to the new ICD-10-CM codes for pressure-induced deep-tissue damage or deep-tissue pressure injury (L89.-6).
The ambiguity stems from what appears to be conflicting advice found within the coding guidelines (I.C.12.a) regarding pressure ulcer stage codes, as you’ll learn when Lisa Baris, Director of Health Information Management (HIM) and Healthcare Clinical Documentation Improvement (CDI) for Nuance Communications reports our lead story during this edition of Talk Ten Tuesdays.
The podcast will also feature these other segments:

CDI Report: In order to effectively challenge DRG reassignments, facilities should retain a team of physicians that can review the cases and generate clinically robust appeal letters that adhere to the Official Guidelines for Coding and Reporting for ICD-10-CM/PCS and Coding Clinic. Dr. Wilbur Lo, chief medical and CDI officer for cdiWorks, returns to the broadcast to report on a successful appeal case involving physician CDI input and clinical validation of a pelvic abscess.
The Coding Report: Laurie Johnson reports on the World Health Organization’s decision to declare the deadly virus that has resulted in 170 deaths in China, a global emergency. The first person-to-person spread of the virus was reported in the U.S. this week.
RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional turned well-known healthcare IT authority, reports on the latest regulatory news coming out of Washington, D.C.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.
TalkBack: Holly Louie, RN joins the podcast to cover the results from the National Coding Contest and how coding is getting worse.

Prior Authorization Headaches: A Pain Point for Providers and Practices Jan 28, 2020

Show notes

With prior authorization (PA) posing a significant pain point for healthcare providers and a major headache for most practices, Talk Ten Tuesdays asked Terry Fletcher to report on this troubling issue, especially in light of the WEDI survey results posted this week, revealing that 84 percent of providers reported that the number of medical services requiring PA has increased.
The PA process, heavily dependent on manual tasks, has grown to become one of the biggest frustrations for physicians in group practices. During this Tuesday’s edition, you and your team will receive the latest update on how the Centers for Medicare & Medicaid Services (CMS), commercial payors, and other organizations are tackling this process to better serve patients.
The podcast will also feature these other segments:

Special Report: As organizations continue to evaluate the most efficient and cost-effective ways to streamline operations, there is increasing movement towards single-source physician and facility emergency department coding. Susan Gatehouse, founder and CEO of Axea Solutions, reports on some of the key considerations in assessing the viability of making this a successful transition.
The Coding Report: Laurie Johnson reports on the deadly virus that has sickened hundreds of people and spread throughout the world, forcing China to lock down three major cities with populations of more than 18 million. The first case in the U.S. arrived in Seattle this week.
Tuesday Focus: It’s Chronic Traumatic Encephalopathy (CTE) Week, and Karen Kinzle, will return to the broadcast with an update on the Patrick Risha CTE Awareness Foundation she founded five years ago to generate awareness of the degenerative brain disease found in athletes and military veterans.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
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.

The Coding World in 2020: Part II Jan 21, 2020

Show notes

Talk Ten Tuesdays is continuing its reporting on the unprecedented changes occurring this decade in the world of healthcare coding.
Coders and health information management (HIM) professionals need to retool in order to meet new challenges brought about by artificial intelligence, as well as by social and political changes already underway. With profound healthcare upheaval taking place here and globally, we asked Ginna Evans, the new president and board chair of the American Health Information Management Association (AHIMA), to share her 2020 agenda for the group, which represents more than 103,000 HIM specialists in the United States and around the world.
The live broadcast will also feature these other segments:

Special Report: Appropriate Use Criteria (AUC), a Medicare program becoming effective January 2021, is expected to be a huge undertaking for organizations reported by Susan Gatehouse, founder and CEO of Axea Solutions.
The Coding Report: Holly Louie, will report on the results of a recent national survey of coding accuracy.
Tuesday Focus: Lamon Willis, reports and gives guidance on steps coders can take to improve their job performance.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on Risk Adjustment and HCC models.

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