Best Ipp Podcast Podcasts (2024)

1
The Patient Safety Structural Measure: A New Initiative Designed to Reduce Medical Errors 28:42

1h ago28:42

28:42

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…

1
Federal Officials Announce Medical Relief in Wake of Hurricane 27:15

2h ago27:15

27:15

In response to the devastation caused by Hurricane Debby, now Tropical Storm Debby, the Centers for Medicare & Medicaid Services (CMS) has announced additional resources and flexibilities to support the affected states of Florida, Georgia, and South Carolina. Following President Biden’s emergency declarations and U.S. Department of Health and Human…

1
2025 OPPS Proposed Rule: Important Changes Coming to the Hospital Outpatient Quality Reporting Program 28:51

2h ago28:51

28:51

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…

1
There’s a New Sheriff in Town: New DOJ Program Intends to Snare Even More FCA Fraudsters 28:37

16h ago28:37

28:37

The U.S. Department of Justice (DOJ) has a new whistleblower reward initiative called the DOJ Corporate Whistleblower Awards Pilot Program. The Program, which seeks to fill gaps left by existing whistleblower reward programs, incentivizes whistleblowers to bring tips to the DOJ about types of healthcare fraud not already covered by the False Claims…

1
Is AI a Game-Changer for Coding and CDI? 31:36

7d ago31:36

31:36

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…

1
FY 2025 IPPS: The Clinical Report 31:07

8d ago31:07

31:07

The Inpatient Prospective Payment System Final Rule for Acute Care and Long-Term Care hospitals in the 2025 fiscal year (FY) continues to generate interest from providers, payers, hospital administrators, vendors, and consultants. But what are the significant takeaways for stakeholders as they prepare for the government’s fiscal year, which begins …

1
National Coding Roundup: Preparing for the New FY2025 IPPS Final Rule 30:37

16d ago30:37

30:37

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…

1
“Do the Crime, Pay the Fine:” DaVita to Pay$34 million to Resolve Allegations of Illegal Kickbacks 27:28

15d ago27:28

27:28

Denver-based DaVita Inc. has agreed to pay slightly more than $34 million to resolve allegations that it violated the False Claims Act (FCA). The U.S. Department of Justice (DOJ) reported in a news release that DaVita paid kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis patients, directin…

1
Making the Transition from Solopreneur to Entrepreneur 11:26

19d ago11:26

11:26

Get ready for a fiery discussion on IPP Thursday as host Lynn Lessell takes on the topic that's been burning up the business community: solopreneur vs. entrepreneur. Join Lynn as she dives into an article by Kellee Marlow, exploring when it's time to make the leap from solo entrepreneurship to scaling up with a team. If you're a business owner wond…

1
Scorching Reality: The Health Impacts of Excess Heat and Climate Change 29:59

21d ago29:59

29:59

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…

1
End of the Road for the ALJs? 30:07

22d ago30:07

30:07

Could the end be near for the administrative law judges of the Centers for Medicare & Medicaid Service (CMS). What about the Office of Medicare Hearings and Appeals (OMHA)? Could these entities be gone from the audit landscape? Case in point: the Supreme Court (SCOTUS) continues eviscerating executive powers. This time SCOTUS has limited the author…

1
16 Areas Business Owners Need To Outsource ASAP (Part III) 5:46

27d ago5:46

5:46

In the final segment of this episode, Lynn tackles the remaining 8 areas identified in the Forbes article, including marketing, customer service, and technology support. Lynn shares her own experiences with outsourcing and delegation, and offers practical advice on how to identify the right freelancers or contractors for the job. By the end of this…

1
2025 OPPS Proposed Rule: Significant Changes Impacting Medicare Payments Revealed 30:37

1M ago30:37

30:37

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…

1
Handle with Care: Taking Steps for Safe Transitions 29:12

29d ago29:12

29:12

Have you ever wondered how professional movers carefully pack everything? From expensive china to precious crystal stemware, they seem to have a knack and knowledge for how to prepare. When it comes to healthcare, how safe is the transition from hospital to home if a patient cannot get the services they need at home when they are ready to transitio…

1
16 Areas Business Owners Need To Outsource ASAP (Part II) 8:12

1M ago8:12

8:12

In part two of this episode, Lynn delves deeper into the article's top areas where business owners can benefit from hiring or outsourcing. From social media management to bookkeeping, Lynn highlights the importance of recognizing your own strengths and weaknesses, and how outsourcing can help you build a stronger, more efficient business. Whether y…

1
In Deference to HIM: Chevron Explained 34:27

1M ago34:27

34:27

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…

1
No More Chevron? What Happens Next? 29:25

1M ago29:25

29:25

For nearly four decades, a judicial principle known as “Chevron deference” has guided the federal courts as they reviewed litigation associated with federal agencies. Chevron deference allowed legislators to leave statutes somewhat vague, assuming that an agency full of government experts would sort out the details and promulgate effective regulati…

1
16 Areas Business Owners Need To Outsource ASAP (Part I) 8:31

1M ago8:31

8:31

Feeling overwhelmed as a one-person show? You're not alone! On this week's IPP Thursday, Lynn Lessell dives into an insightful article from Forbes, identifying 16 areas where business owners need to hire or outsource. From administrative tasks to creative projects, Lynn breaks down which tasks are best left to others and which ones you should prior…

1
Hello, CMS: Are You Listening? Add-on Code G2211 29:31

1M ago29:31

29:31

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 …

1
Special Alert: DOJ Cracks Down on Nearly 200 Involved in Major Healthcare Fraud Schemes 28:55

1M ago28:55

28:55

In a late-breaking press release, the U.S. Department of Justice (DOJ) announced late Thursday that the agency had charged nearly 200 individuals accused with involvement in various healthcare fraud schemes estimated at $2.7 billion. Charges were brought against nurses, physicians, and others in a national sweep, and it was estimated that more than…

1
Why MedPac Chapter 12 is Fast Gaining Attention 29:13

2M ago29:13

29:13

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…

1
How a Different Type of Whistleblower Created a Lesson Worth Learning 28:57

2M ago28:57

28:57

A recent federal court decision in New Jersey demonstrates the viability of a different kind of whistleblower – in this case, a privately defrauded party. The most common type of a whistleblower under the False Claims Act (FCA) tends to be a corporate insider who sees fraud committed against the government by their employer or a company they work w…

1
Mental Health Coping Strategies for Brutal Summer Heat 30:11

2M ago30:11

30:11

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…

1
The Human Touch at the Intersection of Artificial Intelligence and Denied Claims 28:50

2M ago28:50

28:50

Artificial intelligence (AI) is fast becoming a fixture in healthcare revenue cycle management (RCM), where finance leaders are desperate for ways to relieve understaffed departments struggling under unprecedented volumes of third-party audit demands and rising denial rates without sacrificing accuracy or precision. During the next live edition of …

1
Food for Thought: Food as Medicine 27:29

2M ago27:29

27:29

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…

1
OIG On the Prowl: Semi-Annual Report to Congress 31:15

2M ago31:15

31:15

They’re looking for fraudsters, going on the prowl for bad actors, as revealed in the latest semi-annual report to Congress compiled by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). In this latest report, the government watchdog identified more than $2.76 billion in expected recoveries and receivables. Pr…

1
National Coding News Roundup 28:55

2M ago28:55

28:55

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…

1
Jail Time, or Hefty Fine? 28:40

3M ago28:40

28:40

Most healthcare investigations by the U.S. Department of Justice (DOJ) result in settlements. Many times, the complete details of the settlements in underlying government cases are not fully disclosed. But sometimes, a provider ends up at trial. And when that happens, it often offers insights into what it takes to get hit with hefty fines – and pos…

1
Mental Health Report: Coping with Psychopathologies 28:26

3M ago28:26

28:26

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…

1
New Medical Technologies: Are They Audit-Proof? 27:01

3M ago27:01

27:01

A deep dive into microbiology can reveal an up-close look at the cells that make up organs of the human body – and corresponding cancer treatments that leave no trace of damage. The science of medicine appears to be moving at the speed of light lately. But will new healthcare technologies be audit-proof? Monitoring these escalating changes and thei…

1
Conversations Across Generations (Episode 2) 28:55

3M ago28:55

28:55

Welcome to the second episode of the Download, our homeschool initiative at 1201! This episode was created, recorded, and edited by students in our podcasting class. It features a conversation about various topics, presented through a game of 20 questions. Join us as we discuss everything from childhood memories to future hopes and ambitions. #TheD…

1
Modifier 25: Where, When, and How to Use It Correctly 30:30

3M ago30:30

30:30

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…

1
Healthcare Whistleblower Roundup: Recent Settlements Reach Nearly $10 Million 28:21

3M ago28:21

28:21

Two recent settlements to resolve allegations of violating the False Claims Act – both involving the virulent COVID-19 – are the latest in a series of actions that will be reported on during the next edition of Monitor Mondays by famed whistleblower Mary Inman, who also notes that her company, Whistleblower Partners, LLP, is poised to announce anot…

1
Is There a Code for Greed? 28:51

4M ago28:51

28:51

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…

1
The AI Arms Race in Healthcare Auditing: Handicapping Winners and Losers 29:07

3M ago29:07

29:07

The arms race is heating up. On one side there are healthcare providers, and on the opposing side, an army operated by the auditors. Who will be the winners and losers? Are you safe? And how do you protect your facility from claim denials and takebacks, especially when auditors are using artificial intelligence (AI)? RACmonitor investigative report…

1
Out with the Old, In with the New: Patient Access Systems 31:21

4M ago31:21

31:21

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…

1
The Value of Peer-to-Peer Discussion 28:09

4M ago28:09

28:09

Do you have peer-to-peer (P2P) discussions? Are they useful? Are they valuable? And how do you know? Our own physician and attorney, Dr. John K. Hall, will offer his unique take on the value of P2P interactions and how you should measure it during his appearance as Guest Panelist on the next upcoming edition of Monitor Mondays. Broadcast segments w…

1
Sleep: Underrated, Undervalued, and Now a U.S. Health Crisis 31:58

4M ago31:58

31:58

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…

1
The Two-Midnight Rule: Navigating Treacherous Medicare Currents 27:49

4M ago27:49

27:49

Like seasoned harbor pilots navigating tugboats through natural and manmade hazards, physician advisors each day face the daunting task of guiding their hospitals through a labyrinth of Medicare rules and regulations. Reporting on those conditions during the next edition of Monitor Mondays will be the vice chair of the recently concluded national c…

1
Transforming Patient Access Services: A Blueprint for Healthcare Success 29:46

4M ago29:46

29:46

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…

1
Defense Strategies Against AI Audits 40:16

4M ago40:16

40:16

Artificial Intelligence (AI) software is now in the “hype phase” of adoption. It promises to increase the efficiency of medical audits. But also, AI is being touted as being able to handle much more data, examine many more cases, and instantly make decisions regarding medical necessity or inadequate documentation. The number of audits can be double…

1
Saluting World Health Day in Preparation for ICD-11 27:46

4M ago27:46

27:46

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…

1
Medicare Advantage “Schemes” in the DOJ Crosshairs 31:06

5M ago31:06

31:06

The recent $37 million settlement against Cigna regarding enhancing risk adjustment factor (RAF) scores —along with related litigation by the U.S. Department of Justice (DOJ)— highlight the aggressiveness of the federal government to crack down on entities for non-compliant billing practices. During the next live edition of Monitor Mondays, Dr. Jam…

1
Data Breaches: What Every Coder Needs to Know 33:04

5M ago33:04

33:04

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…

1
Whistleblower Update: $300 Million in Alleged Fraud 31:19

5M ago31:19

31:19

The U.S. Department of Justice (DOJ) has joined a whistleblower lawsuit that accuses Martin’s Point Health Care, along with five other providers in other states, of defrauding the government of more than $300 million, pertaining to allegations that the providers inflated patients’ risk scores to obtain higher payments to which they were not entitle…

1
New Code W44: The Ins and Outs of New Foreign Bodies 28:49

5M ago28:49

28:49

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…

1
How to Achieve a Clear Vision for Hospital Price Transparency 29:21

5M ago29:21

29:21

Since its launch in January 2021, the Hospital Price Transparency Rule from the Centers for Medicare & Medicaid Services (CMS) has been a vexing issue for many of America’s hospitals. Despite enforcement efforts from CMS, implementation for many providers has been onerous – so much so that when the latest requirements were issued by CMS, one could …

1
IPP Thursday (Dealing with Difficult People) 6:55

5M ago6:55

6:55

In today's episode of IPP Thursday, host Lynn tackles the tough topic of dealing with difficult people in conversation. Whether they dominate the discussion or are just downright offensive, Lynn challenges listeners to consider strategies for handling these challenging interactions. Tune in for practical tips and advice on how to navigate conversat…

1
Looking Ahead to What the Future Holds with ICD-11 27:11

5M ago27:11

27:11

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…

1
The Fix is in: Hospital Price Transparency Rule 28:32

5M ago28:32

28:32

Many of America’s hospitals continue to be challenged as it pertains to complying with the requirements from the Centers for Medicare & Medicaid Services (CMS) for implementing the agency’s rule on hospital price transparency. And that is why RACmonitor and Monitor Mondays are producing a three-part series, in collaboration with ClaraPrice, to help…

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