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Get 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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Marlegny Mourino is a medical coder, auditor, compliance officer, and educator with over a decade of experience. She is also the creator, host, and producer of 2 healthcare podcasts (Includes Podcast - English Version and Todo Incluido Podcast - Spanish Version) covering topics on medical billing, medical coding, auditing, compliance, stories of pr…
 
ICD10monitor and Talk Ten Tuesdays will continue their reporting on the advent of ICD-11 – particularly during April, when attention turns to the World Health Organization (WHO). A key question that needs answering: where does the United States fall among the countries that are either preparing or even implementing the new update for the standard c…
 
Sharol Pausal Noblejas earned her Associate Degree from the University of Florida, her Bachelor of Science from the University of Central Florida in Health Information Management and her MBA from Orlando College. Sharol is a Commissioner for the City of Jacksonville Housing and Community Development Commission, Chair of the City of Jacksonville May…
 
The World Health Organization (WHO) gave us the International Classification of Diseases (ICD), including several updates over the years, more recently versions 9 and 10. And now on the horizon is version 11. Thus, it is only fitting that Talk Ten Tuesdays would focus on the global accomplishments of the WHO this week, with the lead story for this …
 
Sharol Pausal Noblejas earned her Associate Degree from the University of Florida, her Bachelor of Science from the University of Central Florida in Health Information Management and her MBA from Orlando College. Sharol is a Commissioner for the City of Jacksonville Housing and Community Development Commission, Chair of the City of Jacksonville May…
 
Implementation of the 21st Century Cures Act is set for Monday, April 5. In a nutshell, the legislation directs providers to cease all efforts of information blocking with respect to their electronic health records (EHRs), and to encourage and promote interoperability, allowing for communication and cooperation with third-party application program …
 
Allen on LinkedIn: https://www.linkedin.com/in/allen-frady-33347873/ Allen Frady, RN, BSN, CCDS, CCS, CRC is a Managing Consultant in the CDI industry, former CDI Educator at HCPro and the Association of Clinical Documentation Improvement Specialists (ACDIS) where he taught clinical documentation improvement, risk adjustment, clinical validation an…
 
The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention’s National Center for Health Statistics (CDC/NCHS) have announced a proposal for biannual ICD-10-CM and PCS updates. The impact on business processes would be far-reaching – much of it good, and some possibly not so good, according to Susan Gatehou…
 
Allen on LinkedIn: https://www.linkedin.com/in/allen-frady-33347873/ Allen Frady, RN, BSN, CCDS, CCS, CRC is a Managing Consultant in the CDI industry, former CDI Educator at HCPro and the Association of Clinical Documentation Improvement Specialists (ACDIS) where he taught clinical documentation improvement, risk adjustment, clinical validation an…
 
To improve patient care and create transparency, Medicare mandated a pay-for-quality reporting program for hospital outpatient services in 2009. The related measures can impact hospital payment if not met, thus creating financial incentives for hospitals to report them. The measures are intended to evaluate the regularity of outpatient treatments k…
 
Certified Coding Specialist: https://ahima.org/certification-careers/certification-exams/ccs/ Last week's episode: https://anchor.fm/necpodcast/episodes/Lets-Talk-About-the-CDIP-Certification-erka61 Palate cleanser (funny story) presented by Patricia (Trish) Keller: https://www.linkedin.com/in/patricia-keller-rhit-crc-cdip-ccs-793342123/ Submit a s…
 
Whether you work for a full-scale enterprise or a smaller healthcare facility, the importance of revenue integrity programs is gaining increased importance, especially in the light of renewed auditing activities anticipated under the Biden Administration. Beyond ensuring accurate billing and collection, revenue integrity should strengthen reimburse…
 
LinkedIn Post: Can we talk about why and when AHIMA removed the two-year requirement for the CDIP certification?https://www.linkedin.com/posts/briancui_can-we-talk-about-why-and-when-ahima-removed-activity-6768650018837581824-8NPM/ CDIP (Clinical Documentation Improvement Practitioner) Credential Details: https://ahima.org/certification-careers/cer…
 
Will there be an ICD-10 code for post-traumatic visual disturbance? Or for an encounter for PPD test reading and medication review? Or prolonged grief disorder? In light of COVID-19, the ICD-10 Coordination and Maintenance Committee (C&M) meeting will be online-only, as was the case last spring, at the outset of the pandemic. This year, the two-day…
 
Bleu is a certified medical coder and active member of The American Health Information Management Association where she currently holds a Certified Coding Associate credential. She has been perfecting her craft since 2008, dedicated to sharpening her skills in the outpatient setting. Her experience in the clinical setting includes specialties such …
 
Infection rates from the coronavirus are declining. Vaccination rates are increasing. And while that’s good news, word on the ground is anything but good. Vaccination distribution in the U.S. has been, by most accounts, uneven, with reports of supplies not keeping up with demand in many states. And this week, a spate of bad weather, particularly in…
 
Bleu is a certified medical coder and active member of The American Health Information Management Association where she currently holds a Certified Coding Associate credential. She has been perfecting her craft since 2008, dedicated to sharpening her skills in the outpatient setting. Her experience in the clinical setting includes specialties such …
 
They’re standing in long lines, often in the early morning darkness and in the cold, waiting for access to community vaccination centers all across the country. According to the Centers for Disease Control and Prevention (CDC), more than 1 million doses are being administered daily to grateful recipients. Yet there’s still the disturbing trend of v…
 
Stacie Buck is President & Senior Consultant at RadRx based in Stuart, FL. RadRx provides diagnostic and interventional radiology coding and consulting services to a nationwide client base consisting of hospitals, imaging centers, radiologists, billing companies, and various consulting companies. Stacie Buck on LinkedIn: https://www.linkedin.com/in…
 
The Centers for Disease Control and Prevention (CDC) is forecasting that there will be more than 500,000 deaths from the coronavirus in the U.S. by the third week of February. In the meantime, the U.S. vaccine rollout fell short of federal projections, according to Bloomberg News, which noted that the initial round of shots, delivered through early…
 
Stacie Buck is President & Senior Consultant at RadRx based in Stuart, FL. RadRx provides diagnostic and interventional radiology coding and consulting services to a nationwide client base consisting of hospitals, imaging centers, radiologists, billing companies, and various consulting companies. Stacie Buck on LinkedIn: https://www.linkedin.com/in…
 
The Centers for Disease Control and Prevention (CDC) is forecasting that there will be more than 500,000 deaths from the coronavirus in the U.S. by the third week of February. In the meantime, there has been a flurry of activity by major pharmaceutical companies to work together to help meet the huge demand for vaccines, all against the backdrop of…
 
Dr. John Zelem is a Board-Certified general surgeon with more than 25 years of clinical experience, has transitioned out of clinical practice into Healthcare Executive Leadership. As a previous Vice-President, he has over 13 years of experience in compliance, utilization management/review, federal regulations, sales, account management, and many ot…
 
There has long been a focus on improving documentation for the purpose of maximizing the capture of complications and morbidities and major complications and morbidities (CCs and MCCs). As value-based purchasing is becoming more widely adopted, the importance of improving documentation is becoming more relevant. Case in point: the importance of coa…
 
Dr. John Zelem is a Board-Certified general surgeon with more than 25 years of clinical experience, has transitioned out of clinical practice into Healthcare Executive Leadership. As a previous Vice-President, he has over 13 years of experience in compliance, utilization management/review, federal regulations, sales, account management, and many ot…
 
The U.S. death toll from the coronavirus is approaching the number of Americans killed in World War II, and as America is experiencing another surge of infections, the once-unthinkable subject of rationing care is now being debated. But how is care to be rationed? Is there a uniform guide for triaging care, as the availability of all beds, ICU beds…
 
The Centers for Medicare & Medicaid Services (CMS) 2021 Final Rule and 2021 Medicare Physician Fee Schedule (MPFS) are effective Jan. 1, 2021, and both affect reimbursement. But in a rare move, CMS increased the conversion factor (CF) in the MPFS twice in one week as a result of the COVID-19 relief bill, which added a hike of 3.75 percent. For an u…
 
Sue Chamberlain is a graduate from Ferris State University with a bachelor's degree in Health Information Management, and a Master's in Career and Technology Education, with a focus on training and development in the workforce. With 30 years in the field, Sue's career has included working in acute care hospitals, large multi-specialty physician gro…
 
Sue Chamberlain is a graduate from Ferris State University with a bachelor's degree in Health Information Management, and a Master's in Career and Technology Education, with a focus on training and development in the workforce. With 30 years in the field, Sue's career has included working in acute care hospitals, large multi-specialty physician gro…
 
Out in the West Texas “town” of El Paso, a number of COVID-19 patients are being treated with a new monoclonal antibody infusion called bamlanivimab. Now in the second week of the operation being conducted in the El Paso Convention Center’s makeshift hospital, Dr. Edward Michelson, Chair of the Department of Emergency Medicine at Texas Tech Univers…
 
NEC Podcast host and producer, Brian Cui, shares his LinkedIn Strategies that will help you get noticed and promote your professional brand. There is a PowerPoint presentation associated with this podcast episode. If you would like the presentation, go to medicalcodinggeek.com/services and then check out our Facebook groups and join the "Not Elsewh…
 
There’s a recently added CPT® code for personal protective equipment (PPE). But there’s a corresponding catch: who pays and who doesn’t, and what’s the best practice for handling the new normal in physician practices? Could the new code, 99072, although a payable service by Medicare, as well as commercial payers, wind up being a patient’s out-of-po…
 
Happy Thanksgiving! Here's a solo episode (longer than 30 minutes) that discusses some advice on connecting (keeping them awake) with your virtual audience with suggested audio, video, and presenting tips. Brian Cui on LinkedIn: https://www.linkedin.com/in/briancui/ Alpha Coding Podcast: https://www.alphacodingexperts.com/podcast-1 UR Just a Number…
 
Thanksgiving, the flu season, and a dramatic surge of the COVID-19 pandemic are converging at a time when the nation’s coronavirus death toll has reportedly exceeded 250,000, with more than 11 million confirmed cases. With soaring infection rates come more testing, as well as more hospitalizations and deaths. A focus on COVID-19 testing will come i…
 
The global coronavirus pandemic is worsening quickly, and at a time when winter is bearing down, forcing more of us to remain inside. In fact, health experts are predicting that confirmed daily cases of COVID-19 will climb above 200,000 nationally. With soaring infection rates come more testing, as well as more hospitalizations and deaths. A focus …
 
Robin Sewell CDIP CCS CPC CIC is a 25-year Healthcare Consultant and SME with a background that includes Physician, Outpatient and Inpatient Revenue Cycle as well as DRG and Clinical Validation audits on the Payer side of healthcare. Robin is the owner of HIM Analytic Solutions and Founder and Creator of Cleopatra "Queen of Denial" Revenue Cycle De…
 
As the nation is experiencing a dramatic surge in confirmed cases of COVID-19, the terms “false negative” and “false positive” accompany not only medical records, but also news media dispatches. The public health establishment and the medical world have generally treated positive results of PCR-based tests for the virus that causes COVID-19 as if t…
 
Robin Sewell CDIP CCS CPC CIC is a 25-year Healthcare Consultant and SME with a background that includes Physician, Outpatient and Inpatient Revenue Cycle as well as DRG and Clinical Validation audits on the Payer side of healthcare. Robin is the owner of HIM Analytic Solutions and Founder and Creator of Cleopatra "Queen of Denial" Revenue Cycle De…
 
We are all participants in one of the most tumultuous times in the 21st century. A global pandemic rages throughout the United States and Europe, the consequences of which are tangible, but not yet fully quantified. A divisive political environment, exacerbated by 24/7 news and social media, has intensified our feelings about ourselves, our colleag…
 
Mrs. Hopkins has been the Health Science CTE teacher for Houston Independent School District since 2016. She began a career in Healthcare administration in 1994 and in addition to being a teacher, is still a medical biller and coder for a Family Medicine physician since 1999. Drieca on LinkedIn: https://www.linkedin.com/in/drieca-d-hopkins-cpc-cpc-…
 
Amid the global COVID-19 pandemic, the 2020 presidential campaign, coding updates, and a tangle of regulatory waivers, it’s important to not to lose sight of the fact that ICD-11 for the United States is on the horizon. That’s why we asked Margaret Skurka, a voting member of the National Committee on Vital and Health Statistics (NCVHS) in Washingto…
 
Mrs. Hopkins has been the Health Science CTE teacher for Houston Independent School District since 2016. She began a career in Healthcare administration in 1994 and in addition to being a teacher, is still a medical biller and coder for a Family Medicine physician since 1999. Drieca on LinkedIn: https://www.linkedin.com/in/drieca-d-hopkins-cpc-cpc-…
 
In the deadly throes of a global pandemic, Americans are struggling as they adjust to a confusing new normal. Halloween this year will portend an actual frightening threat. And America’s traditional Thanksgiving dinner will have an unwanted guest: COVID-19, the elephant in the room. The coronavirus continues to dominate headlines, family dinner con…
 
This is a replay of episode 4 with Pam Kulczar, founder of Jobs for American Medical Coders. My condolences and prayers to her family, friends, and the community she served. https://www.linkedin.com/posts/briancui_yesterday-i-received-sad-news-that-the-founder-activity-6722117471547076609-ESaK --- Send in a voice message: https://anchor.fm/necpodca…
 
Once a frequent flyer with all the attendant privileges, senior healthcare consultant Deborah Grider was abruptly grounded when COVID-19 curtailed her coast-to-coast consulting. She first reported on her sequela from the coronavirus infection, the disease that causes COVID-19, for Talk Ten Tuesdays listeners in July. Now, she will return to the lon…
 
Jim Zelem is a former VP of Operations who transitioned to be an effective leader that coached many successful teams. Jim started his career as a simple factory worker who held many positions such as Industrial and Manufacturing Engineer as he worked his way up to VP. Jim currently resides in Madison, Wisconsin. He loves sports as he officiated hig…
 
Given the importance of medical review activities relative to the program integrity efforts of the Centers for Medicare & Medicaid Services (CMS), and regardless of the status of the current federal public health emergency (PHE), providers can expect imminent pre- and post-payment reviews, plus audits by Supplemental Medical Review Contractors (SMR…
 
Jim Zelem is a former VP of Operations who transitioned to be an effective leader that coached many successful teams. Jim started his career as a simple factory worker who held many positions such as Industrial and Manufacturing Engineer as he worked his way up to VP. Jim currently resides in Madison, Wisconsin. He loves sports as he officiated hig…
 
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