Talk Ten Tuesdays
360 episodes - English - Latest episode: 2 days ago - ★★★★ - 36 ratingsGet the most up-to-minute news and information on ICD-10. Join Chuck Buck and Erica Remer, MD, FACEP, CCDS, every Tuesday as they welcome ICD10monitor contributing editors and special guests to monitor and report on the progress that all healthcare stakeholders are experiencing in their respective implementations of ICD-10. Register to attend live here: https://event.webcasts.com/starthere.jsp?ei=1236510&tp_key=da0e4c0f76
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Episodes
Sleep: Underrated, Undervalued, and Now a U.S. Health Crisis
April 23, 2024 15:00 - 31 minutes - 22 MBTired of tossing and turning? You’re not alone. A Gallup poll released last Monday revealed that 57 percent of Americans said they would feel better if they could get more sleep. And that is why ICD10monitor and Talk Ten Tuesdays invited Dr. Nick van Terheyden – to investigate our national sleep crisis. During the next live edition of the long-running Internet broadcast, you’ll discover why we seem to be clocking in fewer Z’s. Dr. Nick is also expected to reveal some sneaky culprits behin...
Transforming Patient Access Services: A Blueprint for Healthcare Success
April 16, 2024 15:00 - 29 minutes - 20.5 MBProperly managed patient identity queues are the foundation of an effective master person index that minimizes issues and facilitates streamlined care coordination. Conversely, unresolved identity queue backlogs can have costly implications for patient care, safety, and revenue integrity. It’s a growing problem with a time-consuming, resource-intensive resolution that few HIM departments have the capacity to handle. During the next live broadcast of the popular and long-running Talk Ten Tue...
Saluting World Health Day in Preparation for ICD-11
April 09, 2024 15:00 - 27 minutes - 19.1 MBWorld Health Day will be observed on Sunday, April 7 but on Tuesday, April 9, 10 a.m. Eastern Time, Talk Ten Tuesday will recognize World Health Day with the special guest appearance of Lorraine Fernandes, immediate past president (2019-2022) of the International Federation of Health Information Management Association (IFHIMA). Today, Fernandes serves as the Communications Chair for IFHIMA. During the next live broadcast of the popular and long-running Talk Ten Tuesday, the Internet broadca...
Data Breaches: What Every Coder Needs to Know
April 02, 2024 16:00 - 33 minutes - 22.7 MBThe continued onslaught of cybersecurity attacks is only getting worse. These attacks have impacted the healthcare system in dramatic fashion, starting with the Change Healthcare payment network being brought down. Hopefully, everyone – including coders – will be more vigilant and wary of potential attacks and attempts to breach security. The constant development of new approaches and innovative tools means that if you or your facility have not yet been subject to an attack, it is likely o...
New Code W44: The Ins and Outs of New Foreign Bodies
March 26, 2024 15:00 - 28 minutes - 19.8 MBIn a move towards greater specificity, the nation’s healthcare providers have a new ICD-10-CM code category: Code W44. Having gone into effect October 2023, the new code category (foreign body entering into or through a natural orifice) is seen as enhancing specificity, although Code W45 had already existed for foreign bodies entering through the skin. During the next live edition of Talk Ten Tuesdays, Gina Yacovelli, DHSc, associated with Coding & Billing Solutions, will report on how and...
Looking Ahead to What the Future Holds with ICD-11
March 19, 2024 16:00 - 27 minutes - 18.7 MBOn the horizon, looming like an ominous thunderhead, is ICD-11. But wait! There’s more: the expanding role of coding in big data, for example. The evolving healthcare IT, and how it will redefine the coding profession. All this and more is coming your way. That’s why ICD10monitor and Talk Ten Tuesdays invited senior healthcare consultant Angela Comfort, assistant vice president of revenue integrity at Montefiore, to take you on an exclusive trip into the future of ICD-11 and health informat...
The Code that Keeps on Giving: G2211
March 12, 2024 16:00 - 32 minutes - 22.2 MBCode G2211 continues to be a gift disguised as something else. As many nuances surrounding the code continue to linger, there are still some areas that are not as clear-cut as many healthcare professionals would prefer. As a refresher, G2211 allows providers (primary care, as well as specialists) to bill for additional cognitive work effort that is not currently captured in the evaluation and management (E&M) codes typically billed for these services. One of the gray areas surrounding G22...
Hospital Star Ratings: How to Earn Back Fallen Stars
March 05, 2024 16:00 - 31 minutes - 21.5 MBHow many hospital star ratings does your facility have? Do you know? If you don’t, you’re not alone. Apparently, many coders and clinical documentation integrity specialists (CDISs) don’t know. But you should know. That’s why ICD10monitor and Talk Ten Tuesdays have invited Michelle Wieczorek, a registered nurse (RN) and a CDI authority, to explain what the hospital star rating means and how coders and CDISs impact those stars. Wieczorek, an independent revenue cycle consultant, will also e...
Good News: The Flip Side of Social Psychopathologies
February 27, 2024 18:00 - 29 minutes - 20.6 MBDuring the next live edition of Talk Ten Tuesdays, award-winning author H. Steven Moffic, MD, considered to rank among the world’s most renowned psychiatrists, will report on what he calls “social psychoexemplaries” – the other side of what he reported two weeks ago on social psychopathologies. Moffic, in his popular daily column in Psychiatric Times, recently mused on the notion of positive social psychiatry, writing “I have come to wonder if positive psychiatry can be expanded to positive...
Safe Handling Instructions for Code G2211
February 20, 2024 18:00 - 30 minutes - 20.9 MBWhat are the “do’s” and “don’ts” for the safe handling of HCPCS code G2211, used to report payment to physicians and other qualified healthcare providers for the additional work required to adequately care for patients with serious or complex conditions? The code is now payable for the 2024 calendar year (CY). Not only has the code quickly become enigmatic, in the lexicon of medical record coding, but it also must be handled with care – as if operating a powerful band saw. On the surface, ...
Leveraging Revenue Cycle Management: New Series Begins Today
February 13, 2024 17:00 - 32 minutes - 22.3 MBAchieving high-performing revenue cycle management (RCM) begins with understanding where your healthcare organization falls on the RCM Maturity Framework, according to Matt Bridge, senior vice president for AGS Health. Bridge, who will be the special guest during the next upcoming edition of Talk Ten Tuesdays, says this four-stage framework informs a strategic roadmap designed for optimizing and digitally transforming revenue cycle performance and future proofing operations through a hybrid...
Searching for a New Z Code: Psychopathologies
February 06, 2024 17:00 - 29 minutes - 20.5 MBWe are all familiar with DSM-5 and ICD-10 for the classification of various mental disorders. Both, but especially ICD, also cover some of the social conditions needing medical attention that may or may not be connected to the primary disorder or illness. ICD does that in the Z codes. However, Z codes are used infrequently. Moreover, many social problems harmful to individuals, groups, and countries seem resistant to elimination – think racism, sexism, ageism, antisemitism, Islamophobia,...
There’s a New Code in Town: Condition Code 92
January 30, 2024 16:00 - 29 minutes - 20.6 MBNew Condition Code 92 is here, and it’s effective now. The code outlines the billing requirement for intensive outpatient program services for hospital outpatient departments, critical access hospitals (CAHs), and community mental health centers (CMHCs). To explain what you need to know about correctly billing the new Condition Code 92 during the next weekly edition of Talk Ten Tuesdays will be Rose T. Dunn, past president of the American Health Information Management Association (AHIMA), ...
Decoding the Enigmatic Code G2211
January 23, 2024 19:00 - 30 minutes - 20.9 MBShrouded in controversy, the HCPCS code G2211 was released in 2021, proposed by the Centers for Medicare & Medicaid Services (CMS) to pay physicians and other qualified healthcare providers for the additional work required to adequately care for patients with serious or complex conditions. The code is now payable for calendar year (CY) 2024. The journey for this code to become payable has been fraught with obstacles. First, to financially support it, CMS slashed the conversion factor (CF)....
Never Before Reported: The Impact of 2021 E&M Changes on 2024 E&M Coding
January 09, 2024 17:00 - 27 minutes - 19.2 MBLast year, healthcare professionals saw many of the rules for evaluation and management (E&M) services that were implemented in 2021 now applied to 2023 E&M codes. This included codes representing services for hospital inpatient care (99221-99223 and 99231-99233), emergency department visits (99281-99285), nursing facility visits (99307-99210), and all consultation services. How are these changes likely to impact 2024 E&M coding? Senior healthcare consultant Frank Cohen, founder of the Fran...
AMA and CMS Alignment on Split/Shared E&M Visits
December 05, 2023 17:00 - 34 minutes - 23.9 MBCodes for split (or shared) evaluation and management (E&M) services for 2024 have been revised, simplified, and aligned by the American Medical Association (AMA) and the Centers for Medicare and Medicaid Services (CMS). During the next live edition of the long-running Talk Ten Tuesdays broadcast, 3M Senior Consultant Colleen Deighan-Ejak will report on the revised guidelines for determining who performed the substantive portion of a given service. She will also discuss the Medicare paymen...
Warning: New Add-on Payment Code for E&M Coming
November 28, 2023 17:00 - 29 minutes - 20.2 MBThere’s a new code in town. It’s an add-on code, HCPCS Code G2211. And its effective date is Jan. 1, 2024. The new code is associated with the continuing focal point for all needed medical services that are part of ongoing care related to a patient’s single, serious condition, or complex condition. The Centers for Medicare & Medicaid Services (CMS) will be implementing this separate add-on payment code to be reported with evaluation and management (E&M) categories Office and Other Services...
Warning: New Changes to MDS Assessments for SNFs
November 21, 2023 17:00 - 30 minutes - 21 MBThere are substantial new changes to the minimum data set (MDS) assessment, including how functional abilities and goals are scored, the introduction of tracking of indications for medication use, and the addition of new measures for tracking communication of transfer-of-health information. The recent changes became effective Oct. 1, the start of the government’s fiscal year. The MDS assessment is a standardized assessment used in skilled nursing facilities (SNFs) and some swing beds to cap...
MINOCA and INOCA: Twin Aspects of a Cardio Conundrum
November 14, 2023 17:00 - 29 minutes - 20.2 MBMINOCA (myocardial infarction with non-obstructive coronary arteries) and INOCA (ischemia with non-obstructive coronary arteries) pertain generally to coronary artery disease. During the next live edition of the long-running and popular Internet broadcast Talk Ten Tuesdays, Pam Scott will take you on a coding journey into these conditions and the microvasculature of the heart – located downstream from the epicardial vessels and featuring structures as small as a human hair, which cannot be a...
The FAQs of EMRs
November 07, 2023 16:00 - 24 minutes - 16.8 MBWith thousands of followers on social media, Dr. Robert Oubre, aka “The Doctor of Documentation,” will make his Talk Ten Tuesdays debut on Tuesday, Nov. 7, when he will be the broadcast’s special guest. Dr. Oubre will be reporting on what documentation considerations should be given when patients are reading physician notes appearing on the monitor screen of the electronic medical record (EMR). He is expected to cite the 21st Century Cures Act, which went into effect April 5, 2021, mandatin...
New Codes Raining Down Daily
November 01, 2023 01:00 - 28 minutes - 19.5 MBLike autumn leaves, new codes and guidelines are raining down on hospitals and physician practices, impacting coders, clinical documentation integrity specialists (CDISs), and professionals managing the revenue cycle. And while there appears to be no respite, the weary can take comfort during the next live edition of the long-running and popular Talk Ten Tuesdays Internet broadcast, produced by ICD10monitor. That’s when the legendary Rose Dunn, past president of the American Health Informat...
Navigating the New Normal: Understanding Telehealth Coding and Documentation
October 24, 2023 16:00 - 29 minutes - 20.3 MBAs the demand for telehealth services has surged, the nuances of coding and documentation for virtual visits present unique challenges and opportunities. During the next live edition of Talk Ten Tuesdays, Angela Comfort will delve into the specifics of coding for telehealth, including the evolving Centers for Medicare & Medicaid Services (CMS) guidelines, and the importance of accurate documentation to ensure compliance and proper reimbursement. Also, during her segment, Comfort is expected...
An Insider’s View of the AHA Coding Clinic
October 17, 2023 16:00 - 27 minutes - 19.2 MBA must-have resource for any coding or clinical documentation integrity specialist (CDIS) is the American Hospital Association (AHA) Coding Clinic. Each quarterly issue provides official guidance for ICD-10-CM and ICD-10-PCS coding for all healthcare settings. The third-quarter issue covers a variety of topics, from prescribed marijuana use for chronic pain during pregnancy to subcapsular hematoma, epidural hematoma, and several ICD-10-PCS procedures – Hemospray, HeRO® Graft, and NAVA among...
Live from AHIMA Annual Conference
October 10, 2023 18:00 - 28 minutes - 19.7 MBThe nation’s healthcare spotlight will shine on the American Health Information Management Association (AHIMA) during the organization’s live AHIMA23 Conference, gaveling to order Oct. 8 through Oct. 10 at the Baltimore Convention Center. During the next live edition of Talk Ten Tuesdays, the legendary Rose Dunn, former AHIMA president and CEO, will be the broadcast’s special guest. She will report on activities taking place there, as several thousand HIM and other healthcare professionals ...
Preparing for the FY 2024 ICD-10-CM Code Updates
October 03, 2023 15:00 - 29 minutes - 20.3 MBThe Centers for Disease Control and Prevention (CDC) has released the ICD-10-CM code updates for the 2024 fiscal year (FY), which will be effective starting Oct. 1. The update includes more than 433 diagnosis code changes, including 395 code additions, 25 code deletions, and 13 code revisions. It is essential for coding professionals to stay up-to-date with these annual code changes, and to understand how to apply them. It is also important that all applicable team members, including coders...
New ICD-10 Code on Muscle Wasting Becomes Effective Oct. 1
September 26, 2023 16:00 - 29 minutes - 20.1 MBThere’s a new ICD-10 code presenting a new challenge for facilities, physicians, clinical documentation integrity specialists (CDISs), and coders: E88.A, muscle wasting due to underlying conditions. This new code represents an opportunity to identify, document, and report the frequent and too-often unrecognized undernutrition, sarcopenia, and cachexia disorders associated with muscle wasting, along with their underlying causes. During the next live edition of Talk Ten Tuesdays, James S. K...
Artificial Intelligence and E&M Coding: A Powerful New ForceArtificial Intelligence and E&M Coding: A Powerful New Force
September 19, 2023 18:00 - 27 minutes - 18.9 MBArtificial intelligence (AI) is what many in healthcare will come to remember about the closing years of this decade in healthcare – a decade of unprecedented technological changes, ranging from telehealth to algorithms. And now AI is becoming an accepted technology for evaluation and management (E&M) coding. The results appear to be dramatic in terms of remarkable speed and extraordinary accuracy. Join us during the next live edition of Talk Ten Tuesdays, when Angela Jordan, executive vic...
National Suicide Prevention Week
September 12, 2023 17:00 - 30 minutes - 20.8 MBA reported 700,000 suicides worldwide annually are the impetus for the World Health Organization (WHO) to recognize what it has called a major public health problem ahead of World Suicide Prevention Day on Sept. 10. In recognition of this global issue, during its next edition, Talk Ten Tuesdays will feature world-renowned psychiatrist and award-winning author H. Steven Moffic as the program’s special guest. Dr. Moffic will report on how to detect early-warning signs of potential self-harm....
AI and Coding: Beware of the Intersection
August 30, 2023 18:00 - 33 minutes - 23.1 MBDespite their advanced capabilities, artificial intelligence (AI) tools can occasionally misinterpret ambiguous documentation or lack the nuance necessary for complex decision-making. And that is why coders must continue to exercise their expertise and judgment when reviewing AI-assisted code assignment. This level of vigilance is crucial for ensuring that AI-assisted coding assignment meets stringent standards of quality and compliance – as you’ll learn during the next live edition of Talk...
How Safe is Safe? AHRQ Patient Safety Indicator Methodology Finally Revealed
August 22, 2023 16:00 - 30 minutes - 20.8 MBThe Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) affect Leapfrog’s ubiquitous reputation scores and contribute approximately 15 percent to the Centers for Medicare & Medicaid Services (CMS) Hospital-Acquired Condition (HAC) penalty determinations of 1 percent of a hospital’s total inpatient reimbursement. AHRQ finally released its PSI methodology for the 2023 fiscal year (FY) on Aug. 14, and it involves a significant expansion of the risk-adjusted univ...
Learn Important Revisions: 2024 CMS Part C Risk Model
August 15, 2023 16:00 - 31 minutes - 21.6 MBThe Centers for Medicare & Medicaid Services (CMS) has released the finalized 2024 Part C risk adjustment model, which goes into effect Jan. 1, 2024. This revised model, V28, comes with substantial changes to the current V24 model, starting with using the ICD-10-CM classification system – which aligns with the rest of the healthcare system that has been using ICD-10 codes since 2015. Comparing CMS V24 to V28, there is an increase in the number of Hierarchical Condition Categories (HCCs) and...
Now Available: 2024 IPPS Final Rule
August 08, 2023 16:00 - 33 minutes - 22.7 MBStart unpacking. The 2024 Inpatient Prospective Payment System (IPPS) Final Rule by the Centers for Medicare & Medicaid Services (CMS), plus half a dozen other final payment rules have arrived. To help you and your team prepare for the onslaught of new codes, Leigh Poland, vice president of coding service line for AGS Health, will offer practical tips and best practices so you can effectively adapt to the final rule’s coding changes, thus helping to ensure compliance, and optimizing reimbur...
2024 IPPS Final Rule Expected Soon
August 01, 2023 17:00 - 29 minutes - 20.1 MBThe 2024 Inpatient Prospective Payment System (IPPS) Final Rule by the Centers for Medicare & Medicaid Services (CMS), plus half a dozen other payment rules, will all require new codes and fresh new thinking. And that is why ICD10monitor is producing an exclusive national coding update broadcast on Talk Ten Tuesdays. All this and more will be covered during the next live edition of the weekly Internet radio broadcast, which will feature these outstanding segments and thought leaders: Codin...
The Anatomy of Automated Query Solutions
July 25, 2023 15:00 - 30 minutes - 21.3 MBCould clinical documentation improvement specialists (CDISs) be at risk as a profession, with the growing acceptance of automated query solutions? And what is driving the demand for them? Today, with the advent of “smart hospitals,” automated query solutions are being used by providers and CDISs in capturing acute and chronic diagnoses, as specified by ICD-10. With this rapidly developing technology, real-time documentation prompts and automated queries are assisting providers as they are w...
Smart Strategies for Boosting Hospital Revenue
July 18, 2023 16:00 - 30 minutes - 21.2 MBRevenue leakage presents a huge challenge for healthcare organizations. According to a study by the Healthcare Financial Management Association (HFMA), it can account for up to 5 percent of a healthcare organization’s net revenue – potentially making the difference between an entity being profitable or not profitable. Fear not, however – there are solutions to tackle revenue leakage. One effective strategy is strong denial management. In fact, the Medical Group Management Association (MGMA)...
Beware: Outcomes Impacted at the Intersection of SDoH and CMS Star Rating Quality Measures
July 11, 2023 16:00 - 29 minutes - 20.5 MBAt the intersection of ICD-10-CM social determinants of health (SDoH) codes and the Centers for Medicare & Medicaid Services (CMS) Star Rating Quality Measures, one will find a wide array of socio-economic factors and competing issues, all of which carry the potential to profoundly affect healthcare outcomes and ratings. During the next live edition of Talk Ten Tuesdays, listeners will enjoy the benefits of learning new strategies to leverage these codes for enhanced quality scores and heal...
Major Updates on ICD-11
June 27, 2023 18:00 - 29 minutes - 20.1 MBMajor updates regarding progress on the imminent ICD-11 code set were made during the recent meeting of the National Committee of Vital Health Statistics (NCVHS), including a request for information on the enigmatic code set, yet to be adopted by the U.S. Stanley Nachimson, longtime editorial contributor to ICD10monitor and former career professional at the Centers for Medicare & Medicaid Services (CMS), now an IT consultant, monitored the recent meeting and will report other NCVHS actions,...
The Anatomy of the Latest Coding Clinic
June 20, 2023 16:00 - 28 minutes - 19.6 MBWhat possible factors might trigger an audit or result in money being left on the table? During the live edition of Talk Ten Tuesdays, Gloryanne Bryant, an independent health information management (HIM) consultant, will report on highlights of the 2023 Second Quarter ICD-10-CM/PCS Coding Clinic from the American Hospital Association (AHA) for the second quarter of 2023. Gloryanne — a 40+ year veteran Health Information Management (HIM) professional and past president of the California Hea...
Time is Money: Billing Delays Cost Hospitals Billions
June 13, 2023 18:00 - 26 minutes - 18.5 MBDelays in billing can cost healthcare providers billions of dollars annually. Join us during the next live edition of Talk Ten Tuesdays, when the broadcast’s special guest, Susie Vestevich, COO of TiaTech USA, will discuss potential solutions that may be implemented to combat this dire issue. Talk Ten Tuesdays will also feature these outstanding segments and thought leaders: Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report the latest...
Can’t We All Get Along?
June 06, 2023 17:00 - 29 minutes - 20 MBA recurring conflict continues to plague America’s patchwork system of healthcare delivery. How often, muses Mary Beth Pace, vice president of care management at Trinity Health, is the acute-care environment at odds with payers on the issue of inpatient versus outpatient care? “Is there a better way?” she asks rhetorically. “What if we partnered together?” During the next live edition of the popular and long-running Talk Ten Tuesdays Internet broadcast, Pace will serve as special guest, r...
HCCs and Value-based Care: Important Changes from CMS
May 23, 2023 16:00 - 31 minutes - 21.6 MBA major focus for many hospitals is understanding the changes that impact Hierarchical Condition Category (HCC) reimbursement methodology – changes made as a result of the Inpatient Prospective Payment System (IPPS) rule that will become effective in 2024. Because it’s important for you to know about these changes, we invited John Pitsikoulis principal at Premier Health, to be the special guest during the next live edition of Talk Ten Tuesdays. Pitsikoulis is expected to report on these re...
A Mental Health Alert
May 16, 2023 18:00 - 29 minutes - 20.1 MBMay is Mental Health Awareness Month, and ICD10monitor and Talk Ten Tuesdays are recognizing the major national milestone with a special appearance of world-renowned psychiatrist and author H. Steven Moffic, MD. Every year since 1949, Mental Health Awareness Month has been observed in the U.S. According to Moffic, this year could feature the worst state of America’s mental health since that year. Add to that another level of anxiety among healthcare providers, who are currently grappling w...
Revenue That’s Lost in the Shuffle
May 09, 2023 17:00 - 28 minutes - 19.7 MBNearly 80 percent of medical practice administrators struggle to keep track of and reconcile patient encounters, as you will learn during the next live edition of Talk Ten Tuesdays, when Susie Vestevich will serve as the special guest. Without adequate tracking, insurance claims aren’t submitted, copays aren’t collected, and patient financial responsibility balances aren’t received. Talk Ten Tuesdays will also feature these outstanding segments and thought leaders: Coding Report: Gloryann...
Too Many Codes, Too Many Changes: Gain Insight on Talk Ten Tuesdays
May 03, 2023 03:00 - 27 minutes - 19 MBThe 2024 Inpatient Prospective Payment System (IPPS) proposed rule by the Centers for Medicare & Medicaid Services (CMS), plus half a dozen other proposed payment rules, will all require new codes and fresh new thinking. And that is why ICD10monitor is producing an exclusive national coding update broadcast on Talk Ten Tuesdays. All this and more will be covered during the next live edition of the weekly Internet radio broadcast, which will feature these outstanding segments and thought lea...
Colorectal Cancer Screening: Weighing Options for Early Detection
April 25, 2023 18:00 - 32 minutes - 22.1 MBContinuing previous discussions of cancer screening covered under preventive benefits, the subject will get a second look on the next edition of Talk Ten Tuesdays – when Robin Miller Zweifel joins the broadcast to focus on non-invasive versus invasive procedure options for colorectal cancer screening. Robin is also expected to report on the recent National Correct Coding Initiative (NCCI) procedure-to-procedure edits released in October 2022, noting the sequencing of performance for screenin...
Five Ironclad Strategies for Avoiding Revenue Loss
April 18, 2023 17:00 - 26 minutes - 18 MBIs your facility suffering from revenue loss? If so, you’re not alone. A study by the Journal of the American Medical Informatics Association (JAMIA) found that clinics can experience a 10 to 30 percent decrease in revenue due to coding errors alone, losing up to $125,000 per year. Moreover, the American Medical Association (AMA) estimates that coding errors cost the healthcare industry approximately $36 billion annually in lost revenue, denied claims, and potential fines. During the next l...
Coding: The Link to World Health
April 11, 2023 16:00 - 32 minutes - 22.2 MBFrom starkly arid lands to lush, cosmopolitan foreign capitals, a wide-ranging mix of peoples – some old, some new – were the focus of attention as the World Health Organization (WHO), with characteristic dignity, celebrated 75 years of improving the health of mankind. ICD10monitor (so named for the WHO’s International Classification of Diseases, Version 10) and Talk Ten Tuesdays will mark the occasion with the conclusion of a two-part series recognizing the accomplishments of the WHO, whic...
Where in the World is ICD-11?
April 04, 2023 21:00 - 28 minutes - 19.6 MBAlthough World Health Day isn’t until April 7, ICD10monitor and Talk Ten Tuesdays will usher in an early recognition of the worldwide event beginning this coming Tuesday, with the start of a two-part series of broadcasts. During the next live edition of Talk Ten Tuesdays, Mary H. Stanfill, ICD10monitor and broadcast ICD-11 correspondent, will have an update on the new coding system, which has been, according to the World Health Organization (WHO), adopted by 35 countries, including the U.S....
Regroup – The End of the PHE is Near
March 29, 2023 01:00 - 29 minutes - 20.2 MBThe end is near: the federal COVID-19 public health emergency (PHE) and national emergency declarations will come to a screeching halt on May 11. And with that, there will be significant effects on healthcare and healthcare providers in the United States. The ends of these declarations could signal a major shift in the response to the pandemic, and may have far-reaching consequences for the industry. One immediate effect could be a decrease in funding for COVID-19-related activities. And t...
Probing the ICD-10 Impact on CMS-HCC Risk Adjustment
March 21, 2023 17:00 - 31 minutes - 21.7 MBAre there significant risks of potential fraud and abuse with Medicare Advantage (MA) by plans, vendors, and providers, with an emphasis on ICD-10-CM’s impact on Centers for Medicare & Medicaid Services Hierarchical Condition Category (CMS-HCC) risk adjustment? Evidently, the Office of Inspector General (OIG) for the U.S. Department of Health and Human Services (HHS) believes there are. Recently, Christi A. Grimm, Inspector General, issued a statement in which she addressed the concerns of ...