Talk Ten Tuesday Podcasts
Auditing Issues Uncovered in Physician Documentation
It’s auditing season, and nationally recognized coding and documentation authority Terry Fletcher will be reporting on errors she is uncovering in a review of more than 1,000 records. During the next edition of Talk-Ten-Tuesdays, she will share her findings in the first of a four-part series on auditing issues in physician documentation. While maintaining that CPT® and ICD-10 coding does become less risky when documentation is done properly, she will offer corrective actions one can to take to prevent negative payer audits.
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How Risk Adjustment and HCCs Are Impacting Coding and CDI
Are you hearing more about risk adjustment methodologies and Hierarchical Condition Categories (HCCs)? No doubt you are. That’s because they impact coding, clinical documentation integrity activities and reimbursement. So what impact can you have on any of these issues? Join us for the next edition of Talk Ten Tuesdays when Marie A. Morin, director at Alvarez and Marsal Healthcare Industry Group LLC, will report on her experiences in assisting clients with risk assessment, coding and documentation practices.
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The recent Doximity research study that revealed an average national wage gap between male and female physicians of $105,000 was greeted by some healthcare professionals as “old news,” while to others it seemed one more thread in the national fabric of the discussion on women’s rights in the era of #metoo. Yet this income disparity could also contribute to physician burnout—a diagnosis that is higher among female physicians than their counterparts.
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MIPS: Maligned and Misunderstood
Maligned and misunderstood, the Merit-Based Incentive Payment System (MIPS) is under assault, as industry experts are urging officials at the U.S. Department of Health and Human Services (HHS) to consider repealing the program.
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Medicare Beneficiaries to be Carded
Medicare beneficiaries will soon be receiving from the Centers for Medicare & Medicaid Services (CMS) new identification cards—cards that will use a unique and what CMS describes as a “randomly-assigned number” called a Medicare Beneficiary Identifier (MBI). The new number replaces the Social Security-based Health Insurance Claim Number (HICN). The new cards, scheduled to be mailed next month, are designed to help combat identity theft and fraud. Reporting our lead story will be author, educator, and consultant Duane Abbey, PhD, president of Abbey and Abbey Consultants, Inc.
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Myocardial Infarctions: The Impact on Mortality Rates
Given that February was American Heart Month, we will continue to focus on cardiology during the next Talk Ten Tuesdays broadcast, when Jeffrey E. Epstein, MD, FACPA will appear as a special guest along with Glenn Krauss. Together the pair co-authored a paper titled “Physician Documentation Impacts Hospital Mortality Rates for Acute Myocardial Infarctions.”
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Chronic obstructive pulmonary disease (COPD) continues to be a challenge to code and document – its coding in particular, and its sequencing, can be difficult. As a medical diagnosis, COPD is one of the most frequently searched terms on the Internet.
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Baltimore’s Best and Brightest Breaks Down Barriers in Health
February is Black History Month, and Talk Ten Tuesdays is recognizing it with an appearance by Dr. Crystal Watkins, who will share thoughts about her ascension from an African-American student in the Baltimore City Public Schools to becoming an MD, PhD, neuroscientist, and finally director of The Memory Clinic at Sheppard Pratt Health System.
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Talk Ten Listener Poll
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No issue (appropriate documentation)19.33%
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Under-documentation of Type 2 MI?34%
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Excessive use of diagnosis of Type 2 MI?8.67%
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Institutional policy to avoid the use of Type 2 MI?1.33%
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What is a Type 2 MI?8%
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Not applicable28.67%
Advisors
Editorial Board
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Bonnie S. Cassidy, MPA, RHIA, FAHIMA, FHIMSSCesar M Limjoco, MDChuck BuckDeborah Grider, CPC, CPC-H, CPC-I, CPC-P, CPMA, CEMC, CCS-P, CDIP, Certified Clinical Documentation Improvement PractitionerDenise M. Nash, MD, CCS, CIMErica E. Remer, MD, FACEP, CCDSEvan M. Gwilliam, DC, MBA, BS, CPC, CCPC, CCCPC, NCICS, CPC-I MCS-P, CPMAGlenn Krauss, RHIA, BBA, CCS, CCS-P, CPUR, CCDS, C-CDI, PCS, FCS, C-CDAMGloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerHolly Louie, RN, BSN, CHBMEJoseph C. Nichols, MDKim Carr, RHIT, CCS, CDIP, CCDS, AHIMA-Approved ICD-10-CM/PCS TrainerKristi Pollard, RHIT, CCS, CPC, CIRCC, AHIMA-Approved ICD-10-CM/PCS TrainerLaurie Johnson, MS, RHIA, CPC-H, FAHIMA, AHIMA-Approved ICD-10-CM/PCS TrainerMark SpiveyMichelle M. Wieczorek RN RHIT CPHQ
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