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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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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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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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Properly 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-inten…
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World 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 ser…
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The 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 const…
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In 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 s…
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On 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 Com…
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Code 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…
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How 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 …
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During 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 Tim…
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What 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 e…
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Achieving 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…
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We 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 pr…
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New 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 n…
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Shrouded 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 jo…
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Last 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…
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Codes 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 repo…
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There’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)…
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There 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 t…
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MINOCA (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 m…
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With 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…
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Like 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 Ta…
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As 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) guid…
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A 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 chr…
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The 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, wil…
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The 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-…
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There’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 cache…
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"The heart, mediastinum, pulmonary vascularity, pleural spaces, and bones appear normal." [phone rings] "New paragraph." [phone rings] [Telephone receiver is picked up.] “Hello?” “Is this Dr. Lori Barr?” “Yes.” “This is the nurse practitioner in the Eliza Coffee Memorial Hospital Emergency Room. Your parents have been in a motor vehicle accident. I…
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Artificial 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 te…
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A 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-win…
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Despite 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 ensur…
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The 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 …
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