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Talk Ten Tuesdays

ICD10monitor

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Get the most up-to-minute news and information on ICD-10. Join Chuck Buck and Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, 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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Not Elsewhere Classified

Medical Coding Geek

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Not Elsewhere Classified is a podcast where we create conversations and share stories with individuals in the medical coding, health information technology, and clinical documentation integrity community. This podcast is hosted by Brian Cui, RHIA, CDIP and presented by MedicalCodingGeek.com
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Before medical school you want to help people feel better. Once you start training and get into your practice,whether it is private, hospital-based, institutional, academic or corporate, you discover the distress of toxic work habits, stressed health professionals and bureaucracy. You are in danger of becoming a faceless white coat that doesn’t have a clue how to feel good! This show meets doctors and allied health professionals where they are, from medical school, residency, fellowship, pra ...
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Radiology reports are rich in clinical detail, yet ICD-10 codes often fail to fully capture the complexity and specificity of imaging findings. That is why the producers of Talk Ten Tuesdays and ICD10monitor have invited Laura Manser to explore the most common disconnects between radiology documentation and ICD-10 coding – especially in areas like …
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The revenue cycle can be thought of as a machine that keeps churning nonstop, making everything work, financially speaking, for your hospital. But even the most well-oiled machinery can get clogged, meaning it doesn’t perform at its peak. And that is why the producers of ICD10monitor and Talk Ten Tuesdays have invited Jessica Miller-Dobbs to join t…
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Payer edits and denials are pervasive in healthcare reimbursement. These problems typically arise from coding inaccuracies, insufficient documentation, or non-compliance with payer-specific guidelines. These challenges can lead to revenue loss, increased administrative burden, and frustration among healthcare providers. A skilled coding staff plays…
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Custodial and social hospitalizations have long been a hospital challenge. From inadequate patient support and services to medically unwarranted occupancy of inpatient beds, plus lack of payment for provision of care, prevention and management of these cases continues to be an issue. While much has been discussed about how to proceed, many hospital…
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In today’s healthcare environment, America’s hospitals are experiencing increases in payer denials as a result of incorrect application of drug HCPCS units and a drug HCPCS modifier (JW/JZ). These denials have increased costs for providers, because the existing staff is either being redirected to spend more time on the issue or additional staff are…
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Effective communication is a critical skill in navigating clinical and non-clinical interactions to avoid disaster striking a facility’s bottom line. In fact, poor communication directly impacts the bottom line. Today, amid a cacophony of competing and complex issues spanning generations and a range of viewpoints, there is an overarching need to fo…
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World Health Day, which will be officially observed on Monday, April 7, will mark what organizers claim will be a year-long celebration. Here at ICD10monitor and Talk Ten Tuesdays, we will celebrate a bit early, during the next edition of the Talk Ten Tuesdays live Internet broadcast. Headlining the broadcast will be Lorraine Fernandes, immediate p…
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National Doctors’ Day is Sunday, March 30. Even though the national one-day observance is only a few days away, the ICD10monitor producers of Talk Ten Tuesdays want to ensure that everyone is aware of the significant contributions made daily by America’s doctors. Hence, our recognition of the occasion will continue during the next live edition of t…
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Time is money. And nowhere is that adage more relevant than in today’s American hospitals. For example, consider the patient who is medically ready for discharge, but still waiting for a skilled nursing facility (SNF) bed to open up. Or the case in which a patient might medically require a cardiac catheterization before being safely cleared to disc…
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Overwhelmed by nutrition advice? You’re not alone. From sketchy influencer “secrets” to Big Food’s algorithm-driven traps, a myriad of pitfalls means making healthy choices has never been harder. Questions abound: should you go all-in on the potato diet? Or embrace the all-meat life? (Spoiler: probably not.) This week, during the long-running and p…
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Overwhelmed by nutrition advice? You’re not alone. From sketchy influencer “secrets” to Big Food’s algorithm-driven traps, a myriad of pitfalls means making healthy choices has never been harder. Questions abound: should you go all-in on the potato diet? Or embrace the all-meat life? (Spoiler: probably not.) This week, during the long-running and p…
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Overwhelmed by nutrition advice? You’re not alone. From sketchy influencer “secrets” to Big Food’s algorithm-driven traps, a myriad of pitfalls means making healthy choices has never been harder. Questions abound: should you go all-in on the potato diet? Or embrace the all-meat life? (Spoiler: probably not.) This week, during the long-running and p…
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Discharge orders have evolved. Today, they indicate the end of hospital billing for an encounter. However, when the discharge order is placed on a day other than the day a patient actually leaves the hospital, it can often lead to under-reporting the patient’s length of stay (LOS) and other issues. And when some clinicians are told to place such an…
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Could generative artificial intelligence (AI) revolutionize healthcare, or is it just a risky trend? During the next must-see live broadcast of Talk Ten Tuesdays, Dr. Christopher Boyle will walk you through the potential and pitfalls of generative AI. His journey will take you on an exploration of three promising uses of AI that focus on safety, do…
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When a law enforcement officer comes to your facility, what do you need to know? And what should you do? While until recently, this topic was seldom on the top of lists of healthcare issues, a recent move by the Trump Administration (Executive Order) appears to have revoked a longstanding policy that prevented federal law enforcement agents (U.S. I…
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It could be the shot heard ‘round the world: the announcement recently of Stargate, a multi-billion-dollar artificial intelligence (AI) project now underway in the U.S. and backed by huge corporations, including Oracle, Open AI, and SoftBank, among others. But what will be the impact on healthcare, and notably, health information management (HIM) p…
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Looking to unravel healthcare’s complex issues? Looking to streamline your operations and improve decision-making? Join us this coming Tuesday, Jan. 14 at 10 a.m. EST, when the long-running Talk Ten Tuesdays kicks off its 2025 broadcast season with special guest Frank Cohen, senior director of analytics for VMG Health. Cohen will share his insight …
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We’re living in a hybrid world. And now the hybrid concept has become part of the coding and clinical documentation integrity (CDI) world. The process of physician querying is already a stressful activity for many CDI and coding professionals. It has recently become even more stressful, because many hospitals are receiving a new type of denial: a h…
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The Centers for Medicare and Medicaid Services (CMS) measures and, in some cases, penalizes facilities whose inpatient mortality or readmission (up to 3 per cent of their traditional Medicare revenue) rates for pneumonia, heart failure, acute myocardial infarction, and other conditions exceed their established benchmarks. Since these measures are b…
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Even savvy dentists tend to find a challenge in boosting their reimbursements by correctly coding procedures as medical claims instead of dental ones. During the next live edition of Talk Ten Tuesdays, Jeff Holt will report on the benefits of this strategy, including common pitfalls that make dentists want to pull their hair out. You’ll discover th…
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He was enthralling as he explained his revolutionary technology that empowers healthcare professionals to make crucial decisions in real time that improve patient care. Dr. Gerasimos Petratos, founder and CEO for HITEKS, had successfully automated the tenuous physician query process. In our continuing series of technical reporting, “Healthcare Tech…
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In the wake of last Tuesday’s Presidential Election, the producers of ICD10monitor and Talk Ten Tuesdays have invited world-renowned psychiatrist H. Steven Moffic, MD to analyze America’s collective psyche. As in all election outcomes, there were losers and winners. Yet how we, as Americans, manifest these feelings will be the essence of the next l…
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Feeling parched? Well, you’re not alone. Hospitals across the country are dealing with a saline shortage. Thanks to Hurricane Helene’s unwelcome visit to the Baxter International facility in North Carolina, your IV bags may be running low. Imagine a busy highway suddenly reduced to a single lane: that’s what this IV shortage feels like for impacted…
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The panic was widespread. Rumors were flying. Cellphone alarms were sounding. From large hospital conference rooms to upholstered cubicles, everyone seemed to have the same sense of disbelief and mounting frustration: Acentra Health (previously Kepro) had announced a new appeal process for Medicare patients – specifically, those whose status change…
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The Rules of Engagement for medical coding and clinical documentation integrity (CDI) are based on four authoritative sources: the ICD-10-CM/PCS Official Coding Guidelines, the American Hospital Association (AHA) Coding Clinic Advice, the American Health Information Management Association (AHIMA) Standards of Ethical Coding, and practice briefs. Th…
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The American Hospital Association’s (AHA’s) Coding Clinic edition for the fourth quarter of 2024 has been published, and it includes several key changes of which providers nationwide should take heed. And that is why the producers of ICD10monitor have invited renowned subject matter expert Dr. James S. Kennedy to delve into the details and provide …
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Health and longevity are within reach for everyone, no matter from where you’re starting. And it’s never too late to begin. During the next live edition of Talk Ten Tuesdays, Dr. Nick van Terheyden will cover some key areas upon which to focus so you can start bringing about improvements in your life by making small, consistent changes that are exp…
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The Centers for Medicare & Medicaid Services (CMS) has released the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code updates for the 2025 fiscal year (FY). The FY 2025 ICD-10-CM updates introduce more than 300 code changes, including 252 new codes, 13 deletions, and 36 revisions, reflecting ongoing ad…
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How we communicate within and without influences our ability and our patients' ability to feel better. Are you open to hearing a patient's perspective on communication with doctors and ways to encourage your patients to become more confident communicators? Mr. David Vogt's story is insightful. This is only a part of our interview. More patient-focu…
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Sleep is essential for all living organisms, from jellyfish to humans, and even bacteria have phases that resemble rest. Experiments show that severe sleep deprivation is lethal, as seen in rats, fruit flies, and Randy Gardner's 1964 11-day sleepless experiment. But what does it mean for you? Join Dr Nick as he explores a natural experiment in slee…
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Elusive and seemingly unattainable, the crux of medical record coding essentially can be distilled into these apparently irreconcilable elements—accuracy, speed and knowledge. Overlay on this current situation the incessant need to be aware of constant updates, inevitable staffing changes, the apparent searching for some 74,000 codes and the ensuin…
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Ships and airplanes apparently vanish into thin air. Mystery abounds. It’s the legendary Bermuda Triangle. But wait! Might there also be a healthcare Bermuda Triangle? Internationally renowned psychiatrist Dr. H. Steven Moffic will make the case for just that during the next live edition of Talk Ten Tuesdays. Dr. Moffic will report on the three key…
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As senior healthcare leaders and stakeholders continue to look for ways to reduce coding and clinical documentation integrity (CDI) resource expenditures, making the business case for new technology such as artificial intelligence (AI) has never been more essential than it is right now. That is why the ICD10monitor producers of the popular Talk Ten…
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Recognizing that preventable medical errors, infections, and injuries are estimated to account for the deaths of 250,000 people annually, the Centers for Medicare & Medicaid Services (CMS) has expanded public reporting by hospitals on rates of patient safety events. Furthermore, CMS recently introduced the Patient Safety Structural Measure, effecti…
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The Centers for Medicare & Medicaid Services (CMS) Outpatient Prospective Payment System (OPPS) Proposed Rule includes proposed policies that align with several key goals for the agency, one of which is promoting safe, effective, patient-centered care. CMS has several quality measure changes being proposed to the Hospital Outpatient Quality Reporti…
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News reports, essays, and technical papers continue to laud the efficacy of generative article intelligence (AI) in healthcare. But what about AI and its application to the revenue cycle? Cassi Birnbaum, formerly the administrative director at Stanford Medicine Health Care, is set to return to Talk Ten Tuesday with an exclusive report on how AI can…
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The summer is here, and it’s raining codes. There are ICD-10 codes, CPT® codes, and the Z codes. Plus, coming up is the 2025 Inpatient Prospective Payment System (IPPS) Final Rule, which is expected to contain some new codes and deletions of others, for an expected net total increase of ICD-10 codes. In preparation, the producers at ICD10monitor ha…
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As global temperatures soar and heatwaves become more frequent, the connection between climate change and rising heat is undeniable. The results are not limited to uncontrolled wildfires but extend to widespread health consequences of excess heat from immediate threats like heat exhaustion and heat stroke to the exacerbation of chronic conditions s…
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The Centers for Medicare & Medicaid Services (CMS) has released the Outpatient Prospective Payment System (OPPS) Proposed Rule for the 2025 calendar year (CY). This published information outlines significant changes impacting Medicare payment policies for hospital outpatient services. Key proposals include adjustments to payment rates, updates to t…
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What is “Chevron deference?” And why is it important – especially to health information management (HIM) professionals? And who among the most learned and wise HIM professionals is arguably best qualified to report on this otherwise arcane judicial principle? That would be the legendary Rose T. Dunn. Dunn has offered to speak on this topic during t…
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Where in the world is G2211? Both payers and providers still report lack of information from the Centers for Medicare & Medicaid Services (CMS) about use of this code. If you remember, CMS promised stakeholders an FAQ document back in January. To date it has not been released. And yet, knowing how to document the service is probably the most-asked …
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Each year the Medicare Payment Advisory Commission, MedPAC, provides Congress a report on the Medicare fee-for-service (FFS) payment systems, the Medicare Advantage (MA) program, and the Medicare prescription drug program (Medicare Part D). Within the MedPAC report is also the often (until now) under-reported Chapter 12. During the next live editio…
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With summertime fast approaching, also on the horizon are the inevitable stressors leading to increased psychiatric diagnoses and possible surges in psychopathologies. As temperatures increase, so do incidents of mental health unrest – tempers flaring, mood disorders, and possible cognitive impairment. That is why, with summer officially entering o…
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He once explained to us the value of sleep, and gave tips on how to get more of the once-devalued therapy. That was then. This is now. And during the next live edition of Talk Ten Tuesdays, Dr. Nick van Terheyden will turn his attention to another vital healthcare issue: nutrition. This buzzworthy topic is becoming increasingly relevant as the Whit…
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Welcome to the 600th live edition of the long-running Talk Ten Tuesdays broadcast, produced by ICD10monitor. In commemorating this special edition, the producers are pleased to welcome the legendary Rose T. Dunn, chief operating officer at First Class Solutions, Inc. in St. Louis, a healthcare information management leader since 1988. Rose is the a…
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In recognition of May’s National Mental Health Awareness Month, ICD10monitor and Talk Ten Tuesdays have invited world-renowned psychiatrist and award-winning author H. Steven Moffic, MD to update his theory of social psychopathologies for the next live edition of the weekly Internet radio broadcast. According to Dr. Moffic, those are harmful indivi…
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As if buried in shifting sands like a booby trap, Modifier 25 is poised to wreak havoc on claims when it’s appended incorrectly to an evaluation and management (E&M) charge – typically to indicate a separate service on the same date of service. So, what’s a provider to do? When is it actually appropriate to append Modifier 25? How do providers indi…
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The ongoing consolidation of independent physician practices, in many cases resulting in ownership by private equity groups and large health systems, is causing a shift from traditional medicine to the corporate practice of medicine. The result often is not in the best interest of patients, given that the focus tends to be on maximizing profits rat…
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There’s a renewed sense of urgency. Today’s healthcare providers must modernize their approach to patient access and financial clearance operations, according to Matt Bridge, senior vice president of AGS Health and the special guest during the next live edition of Talk Ten Tuesdays. Bridge is expected to report on the pitfalls of using outdated pat…
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Tired 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-runn…
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