Talk Ten Listener Poll

Join Talk Talk Ten Tuesdays every Tuesday at 10 a.m. ET for the latest news and information on coding, clinical documentation integrity (CDI), value-based purchasing and revenue cycle management.

During broadcast, our popular Talk Ten Tuesdays listener poll provides a real-time snapshot of current healthcare initiatives.

If you find a poll question that sparks your interest, you can listen to the related Talk Ten Tuesdays podcast by clicking the adjacent podcast icon, or by visiting the podcast library here. Listening to Talk Ten Tuesdays helps to keep you in front of the latest healthcare news and information.

October 12, 2021

For listeners with HCC efforts, what is the timing of your HCC medical record chart reviews?

For listeners with HCC efforts, what is the timing of your HCC medical record chart reviews?
  • Prospective
    15.15%
  • Concurrent
    23.23%
  • Retrospective
    23.23%
  • We don’t perform reviews we focus on education
    16.16%
  • Other
    22.22%
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October 12, 2021

Do you believe that the data for Medicare Fee For Service and Medicare Advantage is indicative of the entire population regarding COVID infections, hospitalizations, and deaths?

Do you believe that the data for Medicare Fee For Service and Medicare Advantage is indicative of the entire population regarding COVID infections, hospitalizations, and deaths?
  • Yes
    10%
  • No
    53%
  • I don't know
    30%
  • No Answer
    7%
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September 28, 2021

Are you and/or your organization involved in any OP CDI efforts, if yes what is your primary focus?

What have you done to be prepared for October 1, 2021?
  • Reviewed the list or listened to webinar on the new ICD-10-CM/PCS codes on-line
    40.4%
  • Reviewed and identified New Technology items
    0%
  • Reviewed MS-DRG changes and updated (as needed) query templates
    0%
  • Some of the above
    38.38%
  • All of the above
    14.14%
  • Does not apply
    7.07%
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September 28, 2021

What have you done to be prepared for October 1, 2021?

What actions do you take related to the Coordination and Maintenance Committee:
  • Review agenda topics
    5%
  • Review materials prior to the meeting
    2%
  • Listen to the meeting
    9%
  • Listen to the meeting and make comments
    3%
  • Send comments regarding the topics to CMS or the CDC
    1%
  • Some of the above
    29%
  • None of the above
    51%
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August 10, 2021

Do the changes to the MS-DRGs impact your coding process and/or facility-specific coding guidelines?

Do the changes to the MS-DRGs impact your coding process and/or facility-specific coding guidelines?
  • Coding Process
    7%
  • Facility-specific Coding Guidelines
    2%
  • Both
    42%
  • Neither
    10%
  • Does Not Apply
    39%
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July 27, 2021

What is your most frequent nonmaternal, non-neonatal principal diagnosis?

What is your most frequent nonmaternal, non-neonatal principal diagnosis?
  • Septicemia
    23%
  • Heart Failure
    21%
  • Osteoarthritis
    3%
  • Pneumonia
    7%
  • Another diagnosis
    14%
  • No Answer/Does Not Apply
    32%
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July 20, 2021

Have you noticed an increase in overdose deaths in your area?

Have you noticed an increase in overdose deaths in your area?
  • Yes
    32.9%
  • No
    20.32%
  • Unknown/No Answer
    46.77%
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June 30, 2021

When is the ideal time to review ICD-10-CM/PCS code updates?

When is the ideal time to review ICD-10-CM/PCS code updates?
  • September
    27%
  • August
    16%
  • Now
    42%
  • October
    11%
  • Does Not Apply/I don’t know
    4%
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June 22, 2021

Have you memorized ICD-10-CM codes?

Have you memorized ICD-10-CM codes?
  • Yes, more than 20
    25%
  • Yes, between 1 and 19
    43%
  • No
    23%
  • Does not apply/Don’t know
    9%
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June 8, 2021

With the release of the FY22 ICD-10-PCS codes, what have you already checked out?

With the release of the FY22 ICD-10-PCS codes, what have you already checked out?
  • Deleted Codes
    1.98%
  • New Codes
    4.95%
  • Guideline updates
    10.89%
  • All of it
    23.76%
  • None/Does Not Apply
    58.42%
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May 18, 2021

As we begin to talk about the Inpatient Prospective Payment System Proposed Rule for FY22: I am looking forward to seeing/hearing:

As we begin to talk about the Inpatient Prospective Payment System Proposed Rule for FY22: I am looking forward to seeing/hearing:
  • DRG Changes
    3%
  • CC/MCC Changes
    9%
  • New Technology items
    3%
  • Changes to the OR designation
    2%
  • Changes to the CC/MCC designation
    3%
  • All of it
    61%
  • None of it
    3%
  • Does not apply
    16%
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May 18, 2021

How much will Medicare Advantage benefit enhancements help your fiscal bottom line.

How much will Medicare Advantage benefit enhancements help your fiscal bottom line.
  • Does not apply
    15.84%
  • Do not know
    51.49%
  • A great deal
    7.92%
  • Somewhat
    14.85%
  • Very little
    9.9%
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April 27, 2021

Has the discussions over the last three weeks inspired you to writing or updating your facility coding guidelines?

Has the discussions over the last three weeks inspired you to writing or updating your facility coding guidelines?
  • Yes, started writing our guidelines
    5%
  • Yes, updating our guidelines
    18%
  • No
    20%
  • Not applicable
    57%
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April 20, 2021

Have you reviewed the items for New Technology Add-On Payment (NTAP) and communicated to the inpatient coders which ones that should be coded for your facility?

Have you reviewed the items for New Technology Add-On Payment (NTAP) and communicated to the inpatient coders which ones that should be coded for your facility?
  • Current (FY 21)
    24.75%
  • Not current (have for FY20 and/or earlier)
    5.94%
  • No
    23.76%
  • Not applicable
    45.54%
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April 13, 2021

How are your facility specific coding guidelines documented?

How are your facility specific coding guidelines documented?
  • Written and available for viewing
    53%
  • Verbal
    5%
  • In process
    9%
  • No
    10%
  • Not applicable
    23%
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March 30, 2021

As you think about Health Information Professionals Week, how will you celebrate?

As you think about Health Information Professionals Week, how will you celebrate?
  • Departmental luncheon/meal (Zoom or in person)
    6%
  • Special departmental education
    1%
  • Special departmental activities
    8%
  • More than one of the above activities
    10%
  • No celebration
    52%
  • Not applicable
    23%
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March 23, 2021

Which diagnosis is the topic of your most frequent denial?

Which diagnosis is the topic of your most frequent denial?
  • Sepsis
    50%
  • Encephalopathy (Metabolic or Toxic)
    8%
  • Acute Respiratory Failure
    23%
  • Acute Congestive Heart Failure
    2%
  • Other
    17%
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March 16, 2021

When thinking about the Coordination and Maintenance Committee Meeting, I was surprised about:

When thinking about the Coordination and Maintenance Committee Meeting, I was surprised about:
  • New procedures
    8%
  • Minimal new codes on COVID-19
    20%
  • Changes in the process to expedite ICD codes
    37%
  • Nothing
    16%
  • Other/I don’t care/Not applicable
    19%
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March 9, 2021

What part of the Coordination and Maintenance Committee Meeting do you feel is the most important?

What part of the Coordination and Maintenance Committee Meeting do you feel is the most important?
  • Diagnosis
    67%
  • Procedure
    24%
  • Neither
    9%
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March 2, 2021

How will you participate in the Coordination and Maintenance Committee Meeting?

How will you participate in the Coordination and Maintenance Committee Meeting?
  • I will not watch or listen ever
    24%
  • Watch the recording
    26%
  • Live, but Listen Only
    41%
  • Live and have the ability to comment (Via Zoom)
    9%
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February 2, 2021

Which of these responses characterizes your view on vaccination?

Which of these responses characterizes your view on vaccination?
  • Already been vaccinated
    47.47%
  • Scheduled to be vaccinated
    4.04%
  • Will get vaccinated when it is available to me
    24.24%
  • Hesitant to get vaccinated
    12.12%
  • Will not get vaccinated
    6.06%
  • Unsure
    6.06%
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December 8, 2020

Are you going to get vaccinated against COVID-19 when the vaccine becomes available for you?

Are you going to get vaccinated against COVID-19 when the vaccine becomes available for you?
  • Yes
    51.49%
  • No
    17.82%
  • Don't Know
    30.69%
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December 8, 2020

Do you personally know someone (not a famous person) who has died of COVID-19?

Do you personally know someone (not a famous person) who has died of COVID-19?
  • Yes, a family member or close friend
    16%
  • Yes, someone other than a family member or close friend
    35%
  • No
    49%
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March 24, 2020

How did you attend the Coordination and Maintenance Committee Meeting:

How did you attend the Coordination and Maintenance Committee Meeting:
  • Watched via webex
    12%
  • Via phone call to listen
    2%
  • Will watch on demand later
    37%
  • Did not watch/listen and have no plans to do so
    28%
  • What’s Coordination and Maintenance?
    21%
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September 24, 2019

Which clinical criteria does your institution use to diagnose sepsis?

Which clinical criteria does your institution use to diagnose sepsis?
  • Sepsis-2 (Infection plus SIRS)
    18.18%
  • Sepsis-3 (Infection plus organ dysfunction)
    9.09%
  • CMS definition (Infection plus SIRS, specific limited organ dysfunction for severe sepsis)
    25.25%
  • Clinician judgment
    9.09%
  • I don’t know
    21.21%
  • Not applicable
    17.17%
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July 16, 2019

Which of these best describes your institution’s experience with clinical validation denials regarding cerebral edema?

Which best describes your institution’s experience with clinical validation denials regarding cerebral edema?
  • Seeing them with increasing frequency
    6.93%
  • Occasional denial, but constant frequency
    7.92%
  • Never or rarely see denials regarding cerebral edema
    9.9%
  • Unsure if the frequency is increasing
    22.77%
  • Not privy to denials rate in my institution, so I don’t know
    35.64%
  • Not applicable
    16.83%
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July 24, 2018

Does your CDI team participate in patient rounds?

April 3, 2018

Which of these best represents your institution's issue with elevated troponins?

March 13, 2018

What is the most difficult issue for your system/institution when it comes to respiratory failure?

January 30, 2018

How would you code a patient with ESRD who is 22 weeks pregnant?

October 31, 2017

Has your hospital or system ever gotten in trouble for noncompliant queries?

September 19, 2017

Which of these educational topics do you feel would benefit you the most?

September 12, 2017

We are exploring which sepsis criteria your facility/institution uses.

August 29, 2017

Almost 2 years after the implementation of ICD-10, how is the ICD-10 productivity at your organization compared to ICD-9-CM (pre-ICD-10)?

August 22, 2017

Does your institution have a policy for turnaround time for a CDI query response?

August 15, 2017

What is your goal for turnaround time for a CDI query response?

July 11, 2017

Does your institution/facility use scribes?

June 6, 2017

How do you learn about the AHA quarterly Coding Clinics?

May 9, 2017

Under payment reforms, do you anticipate denials will increase even more due to the following:

April 25, 2017

The majority of our medical necessity denials stem from the following:

March 14, 2017

Do you know the procedure to petition for new codes or suggest revisions to existing ICD-10-CM codes?

March 7, 2017

Approximately what percentage of time is a veteran CDIS in your organization permitted to work remotely?

February 28, 2017

At our hospital we have:

February 21, 2017

What poses the biggest challenge in your facility/institution/system in getting surgeons to document malnutrition?

February 7, 2017

What have you been experiencing related to your Case Mix since the implementation of ICD-10?

January 24, 2017

Are you experiencing payers denying septic shock claims?

January 17, 2017

Which statement below best describes the relationship you have from a communication perspective with your payers when it comes to settling clinical based claim disputes?

January 10, 2017

What is your overall ICD-10 coding accuracy?

What is your overall ICD-10 coding accuracy?
  • 90-100%
    41.84%
  • 80-89%
    12.24%
  • 70-79%
    2.04%
  • 69% or lower
    0%
  • We have not done an assessment since the October 2016 update
    8.16%
  • We have done an assessment but I do not know the results
    9.18%
  • I do not know if we have done an assessment
    14.29%
  • Not Applicable
    12.24%
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December 13, 2016

Was the implementation of ICD-10 worth all of the blood sweat and tears that went into making it happen?

November 29, 2016

What have you been experiencing related to your Case Mix Index since the implementation of ICD-10?

What have you been experiencing related to your Case Mix Index since the implementation of ICD-10?
  • Overall our CMI has increased
    15%
  • Overall our CMI has decreased
    8%
  • Overall our CMI has remained the same
    13%
  • We have not investigated yet
    5%
  • I do not know
    30%
  • Not Applicable
    29%
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November 8, 2016

Which statement below is causing the largest increase in your Physician queries since the implementation of ICD-10 (concurrent and/or retrospective)?

November 1, 2016

One year into ICD-10 which item below are you experiencing the most issues with?

October 25, 2016

Which statement below describes your status with CAC?

October 18, 2016

When you receive a clinical validation denial and review the medical record which statement below best describes your findings a majority of the time?

October 11, 2016

What is your overall ICD-10 coding accuracy rate one year in?

September 27, 2016

What percent of your claims are downgraded annually by third party payers?

August 30, 2016

Since the implementations of ICD-10 which statement below best reflects where your organization is now in relation to claim rejections?

August 23, 2016

Which statement below best describes how your Coding Professionals assign codes?

August 16, 2016

What do you think about the ICD-10 official guidelines that have been recently released?

August 9, 2016

What level of stress and burnout are you experiencing in your current work environment?

August 2, 2016

Are you performing some form of HCC coding in your organization?

July 19, 2016

What hospital outpatient services are you coding in ICD-10-PCS?

July 12, 2016

What is your overall ICD-10 coding accuracy nine months in?

May 24, 2016

Do you have a CDI Program or some similar functionality in the organization you work?

May 17, 2016

What have you been experiencing related to Case Mix Index since the implementation of ICD-10?

April 20, 2016

What percentage are you running below your normal coding productivity rate?

What percentage are you running below your normal coding productivity rate?
  • None we are meeting the same rates as we did in ICD-9
    11.81%
  • Up to a 10% drop
    12.24%
  • 11 - 20% drop
    12.66%
  • 21 - 30% drop
    6.33%
  • 31 - 40% drop
    3.8%
  • 41 - 50% drop
    1.69%
  • 51% and over
    1.27%
  • I don't know
    27.43%
  • Not Applicable
    22.78%
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April 12, 2016

What is the most common type of ICD-10 coding difficulty you are finding in your organization with your coding staff?

What is the most common type of ICD-10 coding difficulty you are finding in your organization with your coding staff?
  • New I-10 diagnosis feature (e.g. combo code increased specificity laterality etc.)
    8.7%
  • New I-10 procedure coding system
    20.87%
  • Lack of physician documentation /specificity for diagnosis codes
    32.61%
  • Lack of physician documentation / specificity for procedure codes
    8.7%
  • Other
    3.04%
  • I don't know
    7.39%
  • Change in I-10 Diagnosis Coding Conventions and Guidelines from I-9
    4.35%
  • Not Applicable
    14.35%
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April 5, 2016

If you're experiencing a DRG shift have you begun to implement an action plan to analyze the shift?

If you're experiencing a DRG shift have you begun to implement an action plan to analyze the shift?
  • Yes
    19.76%
  • No
    6.27%
  • No not yet
    17.11%
  • I don't know
    25.78%
  • Not Applicable
    29.4%
  • It's not my fault
    1.69%
← Back