Talk Ten Tuesdays

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Searching for Codes on Facebook Oct 08, 2019

Show notes

There’s growing concern in the healthcare industry regarding offshore and untrained staff getting their CPT® and ICD-10 codes from non-verified Internet sites such as Facebook, Twitter, and other social media platforms.
This practice aligns with another troubling trend: the use of Google by folks leveraging the Internet for self-diagnosis, doing so with a misdirected sense of trust in all things online while hoping to reach their own conclusions about their illness.
During this edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher reports on how, in this day and age of limited time with doctors, this practice can undermine the role of the physician.
The episode will also feature these other segments:

The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on the 2020 fiscal year’s proposed CC/MCC designation changes that did not happen in the Final Rule, but will be discussed during a listening session Oct. 8.
Five Looking at Ten: Guidelines and the Coding Clinic: Join us for this month-long series on ICD10monitor and Talk Ten Tuesdays as we examine what lessons have been learned since the nation’s healthcare system adopted ICD-10 on Oct. 1, 2015. This Tuesday, Gloryanne Bryant, a nationally recognized health information management (HIM) expert, reports on guidance from the official Coding Guidelines and the American Hospital Association’s (AHA’s) Coding Clinic.
The Dunn Report: National HIM expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast with another installment in her series on how HIM can play a role in other areas of the revenue cycle.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on an important topic that recently captured her attention.

Five Looking at Ten: Lessons Learned Oct 01, 2019

Show notes

Five Looking at Ten is an upcoming month-long series on ICD10monitor and Talk Ten Tuesdays, through which we will examine what lessons have been learned since the nation’s healthcare system adopted ICD-10, which became effective Oct. 1, 2014. Each week, we will report on lessons learned as we approach year five – while at the same time, looking ahead to the implementation of ICD-11.

Joining us during this broadcast is our special guest is Denise Buenning, who, during the run-up to ICD-10, was the deputy director for the Centers for Medicare & Medicaid Services (CMS) Office of E-health Standards & Services.

The broadcast will also feature these other segments:

Five Looking at Ten - Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on lessons learned as the nation prepares for the transition from ICD-10 to ICD-11, as well as the prerequisite training.
- FY20 IPPS Proposed Rule: https://www.govinfo.gov/content/pkg/FR-2019-05-03/pdf/2019-08330.pdf
- ICD-10-CM Impact File: https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software.html.
Five Looking at Ten - The CDI Report: Donna Rugg, American Health Information Management Association (AHIMA) director of HIM Practice Excellence, Terminology Mapping, Coding, and Data Standards, reports on lessons learned with clinical documentation integrity under ICD-10.
- International Classification of Diseases 11th Revision
  https://icd.who.int/en
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will discuss the need for healthcare professionals to tear down silos and work in a spirit of collaboration.

Late Signatures for Medical Services: Can You Still Bill and Get Paid? Sep 24, 2019

Show notes

The Centers for Medicare & Medicaid Services (CMS) has published rules and guidance on the topic of a "completed medical record." But what if the provider didn't sign off on the note or authenticate it in the electronic health record (EHR) until after the fact? Is the record still considered complete, for billing and reporting purposes?
During this edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher reports on the need for complete medical records, including the proper documentation and a dated physician signature.
This podcast also features the following segments:

The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, hasTalk Ten Tuesdays coding report.
The CDI Report: Susan Gatehouse, CEO of Axea Solutions, returns to the broadcast to report on the challenges associated with the proper reporting and documenting of the social determinants of health (SdoH).
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, discusses the need for healthcare professionals to tear down silos and work in a spirit of collaboration.

New ICD-10 Codes Coming Your Way Sep 17, 2019

Show notes

What new codes are coming your way? The ICD-10 Coordination and Maintenance Committee (C&M) met for two days this past week to discuss requests for ICD-10 code changes.
Laurie Johnson, an ICD10monitor editorial member and senior healthcare consultant for Revenue Cycle Solutions, LLC, reports on the public forum held Monday and Tuesday at the headquarters of the Centers for Medicare & Medicaid Services (CMS).
This episode also features these other segments:

Tuesday Focus: Addicted Nation—Two major news stories this week underscored a nation whose citizens are caught in the grip of addiction: the tentative settlement agreement involving Purdue Pharma, makers of OxyContin, and the announcement that the federal government is considering a ban of flavors used in e-cigarettes in response to a surge in underage vaping. Six vaping deaths and some 450 possible cases of lung infection related to vaping have been reported nationwide. Nick van Terheyden, MD, AKA, “The Incrementalist,” returns to report on addiction and Laurie Johnson reports on coding issues surrounding vaping.
The Coding Report: Nationally recognized health information management (HIM) expert Gloryanne Bryant reports live from the national convention of the American Health Information Management Association (AHIMA) on red flags in coding compliance.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, reports on a timely subject that has captured her attention.

Smoking Cessation Programs: Coding for Reimbursement Sep 10, 2019

Show notes

Is your facility currently providing smoking cessation counseling and treatment? Did you know you can bill and get reimbursed for your services? It isn't just part of your standard evaluation and management (E&M) encounter. But who is covered? What are the CPT® and ICD-10-CM codes? What is the reimbursement and rules for payment?
Nationally recognized professional physician coder and auditor Terry Fletcher reports on the latest information about revenue opportunities for all specialty providers involved in smoking cessation programs.
The broadcast will also feature these other segments:

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.
The CDI Report: Mel Tully, vice president of clinical services and education at Nuance Communications’ health division, reports on the benefits of artificial intelligence (AI)-driven clinical documentation integrity (CDI) programs.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchor the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, once again brings back sepsis for Sepsi Awareness Month.

Time-Based E&M Coding and Reporting Aug 27, 2019

Show notes

There are rules to follow when you are using "time" as your element of support for any evaluation and management (E&M) encounter. If a physician elects to report the level of care based on counseling and/or coordination of care, then a number of factors must be in the patient's medical record.
During this edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher discusses the American Medical Association’s (AMA’s) rules, the position taken by Medicare, and how the electronic medical record (EMR) can actually assist you in your efforts.
But should time really be the new standard for supporting your patient encounters?
The broadcast also features these other segments:

Coding Report: Speaking of E&M coding, 2020 proposed Medicare Physician Fee Schedule (MPFS) shows a significant shift from the 2019 version. Sally Streiber, president of Practical Coding Solutions, explores the changes, including removal of 99201, how levels of service may be selected, and what “time” may mean in the future.
Tuesday Focus: Susan Gatehouse, CEO of Axea Solutions, returns to the broadcast to continues her reporting on the need to focus technology advancements on real transformation rather than transactional efficiency.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, discusses the recent decision by a Texas federal judge to dismiss a False Claims Act lawsuit alleging that Dallas-based Baylor Scott & White Health overbilled Medicare by improperly upcoding claims.

ICD-10-CM Coding for Transgender Patients Aug 20, 2019

Show notes

Gender dysphoria is quickly moving into America’s healthcare lexicon as LGBTQ+ families are rising in number at historic rates, prompting the emergence of alternative medical clinics that are providing services for the transgender patient community. As a result, coders have questions – specifically, about ICD-10-CM diagnosis codes.
During this edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher explains what codes to choose, how to understand them, and how to apply them to this new population of patient encounters.
The live broadcast will also feature these other segments:

Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on the latest development in the baffling condition known as acute flaccid myelitis (AFM).
CDI Report: Gloryanne Bryant, nationally recognized health information management leader, author, and clinical coding and documentation expert, reports on the MS-DRG updates as found in the 2020 Inpatient Prospective Payment System (IPPS) Final Rule.
Tuesday Focus: Susan Gatehouse, CEO of Axea Solutions, reports on the need to focus technology advancements on real transformation rather than transactional efficiency.
News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, continues her discussion of SEP-1.

The Art of the Physician Query Aug 13, 2019

Show notes

So how do you as a coding professional ensure your physician queries are effective and compliant? First, it’s important to understand when to query a physician, how to submit a query and the best way to get a reply from your provider.
During the next edition of Talk Ten Tuesdays, nationally recognized professional physician coder and auditor Terry Fletcher will provide insight into this important and powerful communication tool.
The live broadcast will also feature these other segments:

The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays coding report.
Tuesday Focus: Rhonda Buckholtz, chief compliance officer for Century Vision Global, will report on the use of evidence-based medicine to influence CDI improvements.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent will anchor the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, will discuss the contentious subject of SEP-1.

Burnout: Information for Coders and CDI Specialists Aug 06, 2019

Show notes

As reported by ICD10monitor, the World Health Organization (WHO) has classified physician burnout as an occupational phenomenon, while noting that it is not a medical diagnosis.
There are some estimates that more than half of physicians have experienced burnout. But what do coders and clinical documentation integrity specialists (CDISs) need to know about burnout among their physicians?
Reporting our lead story during this edition of Talk Ten Tuesdays will be Megan Cortazzo, MD, Medical Director for Clinical Documentation Improvement and Health Information Management at UPMC and Assistant Professor of Physical Medicine and Rehabilitation. Joining the conversation on burnout will be nationally prominent psychiatrist H. Steven Moffic, MD.
The live broadcast will also feature these other segments:

The Coding Report: Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, has the Talk Ten Tuesdays coding report.
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: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on the latest coding and documentation issue that has caught her attention.

Patient-Focused Coding: Using Codes to Tell the Patient’s Story Jul 30, 2019

Show notes

Has the art of telling the patient’s story through coding been lost?
So ponders Kristi Pollard, a senior coding consultant for the Haugen Group, who reports this intriguing story in this edition of Talk Ten Tuesdays. Pollard is expected to explain that, first and foremost, coders are storytellers who convey each patient’s medical story through codes.
The podcast also features these other segments:

The Coding Report: Laurie Johnson, a senior healthcare consultant at Revenue Cycle Solutions, LLC, discusses World Hepatitis day on the Talk Ten Tuesday coding report.
The Dunn Report: National health information management (HIM) expert and past American Health Information Management Association (AHIMA) President Rose Dunn returns to the broadcast with the sixth installment in her series on how HIM can play a role in other areas of the revenue cycle.
Tuesday Focus: Rhonda Buckholtz, chief compliance officer for Century Vision Global, reports on a mystery code – actually, a diagnosis code – that could trigger an audit that could lead to a complete refund.
News Desk: Timothy Powell, compliance expert, and ICD10monitor national correspondent anchors the Talk Ten Tuesdays News Desk.
TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on emergency room critical care time documentation.

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