Talk Ten Tuesdays
Talk Ten Tuesdays delivers the latest news and information on ICD-10, hosted by Chuck Buck and Angela Comfort. Each Tuesday, they welcome ICD10monitor contributing editors and special guests to discuss the progress of ICD-10 implementation across healthcare stakeholders. Listeners can register to attend live webcasts for real-time updates.
Episodes
ACDIS-AHIMA Query Practice Brief: No More Public Comment, so Listen to Talk Ten Tuesday
Public comments have closed on the 2026 AHIMA-ACDIS Query Practice Brief.In other words, the time to talk is over, and the time to listen has begun.During the next live edition of the popular Internet broadcast Talk Ten Tuesdays, produced by ICD10monitor, you can hear out senior healthcare attorney Richelle Marting as she leads a reflection session to review key themes from the Brief.She will also
Spice Up Documentation: Bring on the PEPPER
After a two-year hiatus, the PEPPER (Program for Evaluating Payment Patterns Electronic Report) is back. It’s now available to all acute care hospitals and critical access hospitals. During the next live edition of Talk Ten Tuesday, Dr. Ronald Hirsch will share some insights that listeners can get from their PEPPER to improve their hospital’s compliance, quality, and revenue. To learn more, regis
How Does Your Physician Advisor Measure Up?
Nearly every American hospital has at least one physician advisor.So, how does the physician advisor at your facility measure up? We reached out to longtime physician advisor Dr. Juliet Ugarte Hopkins to address this issue in her capacity as the special guest for the upcoming live edition of the popular Talk Ten Tuesday broadcast.According to Dr. Ugarte Hopkins, also the chief medical officer for
The New Battle in the Era of AI
There’s a quiet battle taking place, with no field hospitals for the sick and wounded, and no bloodshed.But the stakes are high, and the losses are unforgiving.It’s the battle of algorithms.Employed by both payers and providers, the ultimate prize: money, in the form of reimbursement from submitted claims for medical care. Payers deny and recoup. Providers bill as margins shrink.During the next li
Artificial Intelligence: The Good, The Bad, and The Ugly
Although one could conclude that artificial intelligence (AI) is a relatively new technology in healthcare, the reality is that AI has been silently working in the shadows for a while now.During the next live edition of the popular Talk Ten Tuesdays broadcast, you’ll hear how AI is guiding the technology of the automated query technology at HITEKS, under the supervision of Gerasimos Petratos, foun
Healthcare Technology Demystified: The Series Begins
At last, the secrets of healthcare technology will be revealed during a fresh new two-part series, especially written for the accomplished healthcare professional who wants a refresher course on the latest developments that are quickly enveloping healthcare.Coders, clinical documentation integrity specialists (CDISs), and Revenue Cycle professionals who comprise the Talk Ten Tuesday (TTT) audience
Help! Too Many Hats, not Enough Heads!
The role of physician advisor began as a friendly clinical champion for case/utilization management and clinical documentation integrity (CDI) teams. Today, the role has evolved into a catchall profession within hospitals. With a scope that encompasses multiple departments within revenue cycle, quality, and hospital utilization, it has becoming increasingly difficult for single individuals to suc
ACDIS-AHIMA Proposed Practice Brief: Comment Period Now Open
What’s new for the proposed 2026 American Health Information Management Association/Association of Clinical Documentation Integrity Specialists (AHIMA-ACDIS) Practice Brief?What’s unchanged? And what does it really mean to issue a “compliant” query in today’s healthcare landscape?According to healthcare attorney Richelle Martin, the special guest for the next live edition of the popular Internet b
Learn Something New: How Payer Logs can be a UR Resource
Learning how daily payer logs can help you and your utilization review (UR) team identify denials earlier, strengthen communication between UR and clinical documentation integrity (CDI), and improve the defensibility of medical necessity carries the potential to be a game-changer for healthcare professionals.During the next episode of Talk Ten Tuesday, Teri Rice, a regulatory specialist with HCPro
LIVE from ACDIS, James S. Kennedy MD: Analysis of the 2027 IPPS Proposed Rule
The Association of Clinical Documentation Integrity Specialists (ACDIS) will conclude the formal agenda of its Annual Conference at the close of business next Tuesday in Chicago, but not before the preeminent Dr. James S. Kennedy reports on the highlights of the 2027 Inpatient Prospective Payment System (IPPS) Proposed Rule.Kennedy, no stranger to the Talk Ten Tuesday audience, will be the special
Tips to Protect Revenue in the Face of OIG Oversight
Many of you dedicated healthcare professionals no doubt often find yourselves wearing many different hats, as does Penny Jefferson, cohost of the long-running Talk Ten Tuesdays weekly national podcast.During the next live edition of the popular Internet program, Jefferson will serve as our special guest.Jefferson is expected to report on the recent guidance and enforcement from the U.S. Department
Outpatient CDI: Protecting Risk Adjustment in a Time of Intensified OIG Oversight
As federal oversight of risk adjustment and documentation practices intensifies, healthcare organizations are facing new scrutiny regarding how patient complexity is documented and reported. Recent guidance and enforcement activity from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has placed renewed focus on risk-adjustment accuracy, defensible documenta
Clinically Correct, but Legally Risky
A recent False Claims Act case is raising an important question for CDI professionals: what if the diagnosis is clinically valid, but the process behind it is challenged? During the next live edition of the popular Talk Ten Tuesdays podcast, Dr. Robert Oubre, director of CDI and UM at St. Tammany Health System, will report on a motion for summary judgement on a case (Smith vs Mercy Health) on how
Yet Another Data Breach
Data breaches have unfortunately become a fact of life in America’s healthcare system.The next edition of the popular Talk Ten Tuesdays will focus on just the latest in a succession of such incidents, as providers scramble to determine what to do to prevent cyberattacks – and how to react when they arise, nonetheless.The popular Internet broadcast will also feature these additional instantly recog
Part 3: Building a Neurodiverse Coding Workforce: Results and Impact
After two powerful segments introducing her neurodiversity coding initiative, Tami McMasters Gomez, Executive Director for the Mid-Revenue Cycle, Enterprise-Wide Coding and CDI Operations for the University of California Davis Medical Center, returns to report on how this program is unlocking untapped strengths, improving accuracy, and building a more resilient health information (HIM) workforce.
Rising Dispute: Clinical Validation Audits
The rise of third-party payer audits is no secret to healthcare professionals and facilities, but one type of audit has gained particular attention in recent years: the clinical validation audit. Clinical validation audits ultimately lead to a downgrade of a hospital’s diagnostic-related group (DRG) payment, but the process by which they reach that result makes them particularly curious. During ut
The Breach Impacting Coders, CDISs, HIM Professionals – and Millions
It’s huge, and serious.Its implications may impact millions, even beyond the halls of healthcare. In fact, it’s the eighth-largest healthcare-related cybersecurity breach in U.S. history.In Texas alone, 15.4 million residents were involved – nearly half the state’s population. Oregon reports another 10.5 million. Other states are still notifying residents. The final number may climb even higher. T
Groundbreaking Series Continues
Part II of the groundbreaking Talk Ten Tuesday series concludes as Tami McMasters Gomez returns to share the real-world impact of UC Davis Health’s neurodiversity coding internship.In this powerful follow-up, Tami moves beyond the vision and into outcomes — workforce transformation, productivity gains, retention success, and the measurable value of inclusive hiring in HIM.This isn’t a theory. It’s
Gone but Not Forgotten: The Inpatient-Only List
Once a relic symbolic of earlier times in medicine, the Inpatient-Only (IPO) List has been added to the junkyard of outdated medical processes and practices. And if you and your team fail to plan and align your system appropriately, you risk major financial, operational, and compliance consequences.The good news: during the next live edition of Monitor Mondays, you’ll learn why inpatient status is
Where Are the Best Coders? Part II
What if the solution to healthcare’s coding workforce challenges has been hiding in plain sight?The conversation doesn’t end with rethinking who can succeed in medical coding. In Part II of this special Talk Ten Tuesday series, the focus is on how healthcare organizations can get involved.This broadcast will highlight a growing partnership with the American Health Information Management Associatio
Where Are the Best Coders? A Special Two-Part Series
What if the solution to healthcare’s coding workforce challenges has been hiding in plain sight?During this special two-part Talk Ten Tuesday series, UC Davis Health shares how an innovative neurodiversity-focused coding internship is redefining how talent is identified, trained, and retained. Join Tami McMasters Gomez, Executive Director, for the Mid-Revenue Cycle, Enterprise-Wide Coding and CDI
2026 National Coding Roundup
While many of you might have been enjoying the holiday season, thebeat of healthcare keeps on beating.Much has happened in the world of medical coding and that is whythe producers of Talk Ten Tuesday are dedicating the next liveedition of the popular national Internet broadcast to the topic ofcoding.And that’s why Dr. James S. Kennedy, a trained medical professionalwho loves coding, will be the Ta
Artificial Intelligence and Coding: The Series Continues
What’s new when it comes to artificial intelligence (AI) and coding?Listen to the next edition of the long-running and popular Talk Ten Tuesday and learn from longtime RACmonitor and ICD10monitor contributing author Sharon Easterling.Sharon Easterling will continue her editorial series on artificial intelligence and medical record coding. The potential for AI in health information is both exciting
Apple, Chair, Ocean, Book, Clock
Are you wondering what connects the nouns in the headline together?It’s a Medicare cognitive screening devise. Look at these words and commit them to memory. Try to repeat back this list of words twice a day, from memory: Apple, Chair, Ocean, Book, and Clock. During the next live edition of the popular Talk Ten Tuesday live Internet broadcast, Gloryanne Bryant will report on what some medical exp
CMS Conditions of Coverage: A Deep Dive
Anyone who has been working within the scope of hospital case/utilization management for any period of time has heard of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation.But are you familiar with the CMS Conditions for Coverage? Sometimes referred to as “conditions of payment,” these requirements must be met in order for federal health plans to pay a healthcare fac
Welcome to the Coding and CDI Congress
They were once called “clinical documentation improvement” specialists, charged with correcting the medical record to identify an overlooked diagnosis that carried the potential to increase revenue. Later, the description was changed to clinical documentation “integrity” (CDI) specialists. But that was then. This is now.Today, the job description continues to change. CDI professionals are being as
Improving Patient Care for Non-Medical Needs
Since 80 percent of a person’s health is influenced by factors outside of medical care, it is critical that a healthcare system has an understanding and appreciation for the circumstances of patients’ daily lives that impact their health outcomes, referred to as the social determinants of health (SDoH). During the next live edition of Talk Ten Tuesday, Lauren Montwill, Vice President of Community
Words Matter Most: Patient Status
It’s often said that “words matter.”And hospital patient status assignment is no exception. What do your teams say when a patient is in inpatient status which isn’t supported? How about the reverse: when a patient is in outpatient status with observation services. Can your team change to inpatient? Words matter, and Dr. Juliet Ugarte Hopkins, chief medical officer for Phoenix Medical Management,
IMPORTANT: New Version of Sepsis Released
A new version of the Sequential Organ Failure Assessment (SOFA) score, has been introduced.The new revision aligns the organ dysfunction measurement in critically ill adults with current clinical practices, especially those diagnosed with sepsis.Published Oct. 29 in Journal of the American Medical Association (JAMA) and is available here https://jamanetwork.com/journals/jama/fullarticle/2840822.Du
Your Doctor Is Not an AI Babysitter
Welcome to “Is Ambient Listening Right for You?” Or, in the alternative, “Free AI Tools and Other Expensive Mistakes.”Nick van Terheyden, MD, the special guest during the next live edition of Talk Ten Tuesdays, says he has seen enough of artificial intelligence (AI) “helpers” turn doctors into unpaid editors and part-time exorcists for hallucinating software.“Clinicians signed up to heal humans, n
CDI On Strike: When Fiscal Strain Meets Human Capacity
H.R. 1, known as the One Big Beautiful Bill Act (OBBBA), is set to reshape hospital finances by cutting an estimated $840 billion from Medicaid and Patient Protection and Affordable Care Act (PPACA) funding. As hospitals absorb these losses, many are tightening budgets, reducing staff, and facing renewed labor tensions.For the first time, clinical documentation integrity (CDI) teams are part of th
Misinformation and Misdirection are Lurking
Have you been told that Medicare and Medicare Advantage (MA) patients who have difficulties with activities of daily living (ADLs) are appropriate for inpatient status if their hospital stay crosses a second midnight? What direction have you received about “discharge effectuation?” Are your physicians keen on placing the majority of their patients into inpatient status because they want to prevent
LIVE FROM AHIMA: 2025 AHIMA Conference
Join us this coming Tuesday, Oct. 14, when Talk Ten Tuesday will bring you an exclusive interview with two nationally recognized healthcare leaders: Thea Campbell and Mackenzie Higgins. Thea Campbell is the 2026 AHIMA President-Elect and Mackenzie Higgins is the 2025 AHIMA Emerging Star award recipient.The popular broadcast will also feature these instantly recognizable panelists, who will report
Revenue Cycle Roundup: Exclusive News Broadcast
The revenue cycle helps keep hospital revenue flowing. But sometimes, it seems to sputter out, as if not all the cylinders are firing. And that is why the producers of Talk Ten Tuesdays have invited longtime ICD10monitor editorial consultant Dennis Jones, senior director of revenue cycle at the famed Jefferson Health, to be the special guest during the next live edition of the weekly Internet radi
Deep Dive: 2026 IPPS: Beware of Key Changes
When the final rule take effect Oct. 1, 2025, coders, providers, and administration leaders will need to adjust to several key changes, including the new MS-DRGs and broad policy changes. And that is why the producers of Talk Ten Tuesday have invited Leigh Poland, vice president of the AGS Health coding service product line to return to the popular Internet broadcast, Talk Ten Tuesday, to report o
Too Much of a Good Thing: Prolonged Hospitalization
Prolonged hospitalizations can result from many different barriers and delays within the hospital setting.However, a new challenge is emerging.And this new hurdle appears to be identified more and more commonly. So, what’s happening?During the next live edition of Talk Ten Tuesdays, Dr. Juliet B. Ugarte Hopkins, Chief Medical Officer at Phoenix Medical Management, Inc., will reveal this new culpri
Sepsis: The New Frontier
Could sepsis be healthcare’s new frontier?During the next live edition of the popular Internet broadcast, Talk Ten Tuesday, James S. Kennedy, MD, will report on his recent attendance at The Unite for Sepsis symposium, sponsored by the San Diego-based Sepsis Alliance (https://www.sepsis.org). The event was held in Chicago and attracted clinicians, researchers, technologists, and government official
The Eyes Have It” – Lens Implants for Cataracts
You waited and waited.Finally, the big day came, and just as quickly, day turned into evening – and there you were with cloudy vision, halos, and difficulty reading. Not to mention the occasional glare.You and about 25 percent of patients experience a common complication following cataract surgery (or, more precisely, “posterior capsule opacity,” or PCO). The good news: the standard treatment is Y
Artificial Intelligence and Coding: The Series Continues
Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI in health information is both exciting and daunting. Reporting the lead story during the next live edition of Talk Ten Tuesday will be longtime RACmonitor and ICD10monitor contributing author Sharon Easterling.Sharon Easterling will continue her editorial ser
Introducing the Chief Physician Advisor
At one time, a physician advisor in a hospital was a rarity. That was then, but this is now, with many healthcare systems having not just one physician advisor, but often many on staff. Does this emerging need signal the deployment of a new position within the physician advisory service team?To learn more, ICD10monitor producers have invited Dr. Juliet B. Ugarte Hopkins to explain when and how thi
2026 Inpatient Prospective Payment System: The Complexity Simplified
Although the proposed rule for the 2026 Inpatient Prospective Payment System (IPPS) has been released by the Centers for Medicare & Medicaid Services (CMS), mastering the complexities will continue to challenge most coders and coding team members. That is why ICD10monitor producers have asked Dr. James S. Kennedy to join the upcoming edition of Talk Ten Tuesdays: to highlight potentially signi
AI and Coding: Working Smarter, Not Harder
During the next live edition of the popular Talk Ten Tuesday Internet broadcast, you’ll learn how artificial intelligence (AI) and autonomous coding are quickly reshaping the day-to-day work of coders.From inpatient DRG suggestions to outpatient evaluation and management (E&M) automation, these tools speed up workflows, reduce errors, and help prevent costly denials, according to Penny Jeffers
Fragility Fractures: An Underdiagnosed Epidemic
According to the Centers for Disease Control and Prevention (CDC), accidental falls are the leading cause of injury for adults 65 and older, with more than 1 in 4 older adults reporting falls every year.During the next live edition of Talk Ten Tuesday, Dr. James S. Kennedy will discuss the clinical concept of the “fragility fracture,” and how the under-documentation of fragility fractures results
Addiction: The Troubling Issue with Huge Impacts
Substance abuse is a pervasive issue with profound implications for hospitals.It has been estimated that up to 25 percent of hospitalized patients have a substance abuse disorder. And up to 44 percent of these patients abuse some substance during hospitalization. The annual estimated hospital cost for treating substance abuse disorders is as high as $13 billion.But it’s not limited to patients, ac
Calling Condition Code W2…
Attention, calling all coders!Is your hospital compliantly following all the the steps in the Condition Code W2 process?It’s imperative to understand all the details that must be followed, no matter how complex and daunting.Implementation is mandated by the Centers for Medicare & Medicaid Services (CMS). Participation is not optional. So take a moment and ask yourself: are your attending physi
Artificial Intelligence and Medical Record Coding
Artificial intelligence (AI) has quickly transitioned from something to expect in the future to the here and now today. The potential for AI in health information is both exciting and daunting. Reporting the lead story during the next live edition of Talk Ten Tuesday will be longtime RACmonitor and ICD10monitor contributing author Sharon Easterling.Sharon Easterling is slated to create an editoria
New Coding Challenges for Reporting Gender-Affirming Care
As state laws, federal regulations, and insurance policies continue to evolve, healthcare organizations face growing demands to ensure that gender-affirming care is appropriately documented and reported.Reporting on these serious coding challenges and the dire consequences of failing to achieve compliance during the next edition of Talk Ten Tuesdays will be senior healthcare consultant Penny Jeffe
Is there a Code for Probiotic Dispensers?
Your pets might be doing more than just keeping you company. They could be reshaping your immune system.Early exposure to pets, especially in childhood, may reduce allergies and asthma by diversifying gut bacteria and strengthening immunity, according to Dr. Nick van Terheyden, director of Incremental Health. Dr. Nick is scheduled to be the special guest during the next live edition of Talk Ten Tu
Could Physician Advisors Become Dinosaurs?
Could physician advisors become dinosaurs in healthcare, bound for extinction?The role of the physician advisor has developed into an absolute necessity in hospitals of all sizes around the country. As the healthcare landscape rapidly evolves, physician advisors have served as critical players, bridging the gap between confusion and clarity within clinical and administrative functions.Yet, the que
Five Key Takeaways from CHIA
One of the largest regional coding organizations in America’s healthcare universe – the California Health Information Association (CHIA) – wrapped its final workshops this past week, with delegates flying home to share their insights on what was considered to be a pivotal experience.The ICD10monitor producers of Talk Ten Tuesdays have secured a rare appearance of CHIA’s past president, Gloryanne B
Join Us Live from CHIA
The national conference of the largest regional coding organization chapters in America’s healthcare universe gets underway this weekend – and James S. Kennedy, MD, will be there.Dr. Kennedy, president of CDIMD, a national coding and clinical documentation integrity (CDI) consultancy, will be reporting on major events taking place at the California Health Information Association (CHIA) conference,
A Puzzling Departure
UnitedHealth Group (UHG) stock is plummeting following the abrupt resignation of its CEO Andrew Witty. His sudden departure, coming on Tuesday, May 13, came amid multiple lawsuits and threatened actions by private, state, and federal agencies across the country, and amid massive criticism for the company’s tendency to deny beneficiaries coverage for services at elevated rates.Witty’s exit from the
Looking for the Disconnect Impacting Compliance and Reimbursement
Radiology reports are rich in clinical detail, yet ICD-10 codes often fail to fully capture the complexity and specificity of imaging findings.That is why the producers of Talk Ten Tuesdays and ICD10monitor have invited Laura Manser to explore the most common disconnects between radiology documentation and ICD-10 coding – especially in areas like incidental findings, laterality, and linking imagin
Jumpstart Your Revenue Cycle: Get Your Motor Running
The revenue cycle can be thought of as a machine that keeps churning nonstop, making everything work, financially speaking, for your hospital.But even the most well-oiled machinery can get clogged, meaning it doesn’t perform at its peak. And that is why the producers of ICD10monitor and Talk Ten Tuesdays have invited Jessica Miller-Dobbs to join the popular Internet broadcast as its special guest
How Coders and CDISs Can Help Avoid Payer Edits and Denials
Payer edits and denials are pervasive in healthcare reimbursement.These problems typically arise from coding inaccuracies, insufficient documentation, or non-compliance with payer-specific guidelines. These challenges can lead to revenue loss, increased administrative burden, and frustration among healthcare providers.A skilled coding staff plays a vital role in mitigating these issues. Proactive
How to Unfriend Hospital Social Stays
Custodial and social hospitalizations have long been a hospital challenge.From inadequate patient support and services to medically unwarranted occupancy of inpatient beds, plus lack of payment for provision of care, prevention and management of these cases continues to be an issue.While much has been discussed about how to proceed, many hospitals fail.And that is why the producers of ICD10monitor
Coders’ Delight: A Faster, Better, Smarter Drug Lookup Strategy
In today’s healthcare environment, America’s hospitals are experiencing increases in payer denials as a result of incorrect application of drug HCPCS units and a drug HCPCS modifier (JW/JZ).These denials have increased costs for providers, because the existing staff is either being redirected to spend more time on the issue or additional staff are being hired to resolve the drug charge denials. He
Mayday! Mayday! Avoiding Bottom-Line Disaster
Effective communication is a critical skill in navigating clinical and non-clinical interactions to avoid disaster striking a facility’s bottom line.In fact, poor communication directly impacts the bottom line. Today, amid a cacophony of competing and complex issues spanning generations and a range of viewpoints, there is an overarching need to foster collaboration.During the next live edition of
World Health Day 2025
World Health Day, which will be officially observed on Monday, April 7, will mark what organizers claim will be a year-long celebration. Here at ICD10monitor and Talk Ten Tuesdays, we will celebrate a bit early, during the next edition of the Talk Ten Tuesdays live Internet broadcast.Headlining the broadcast will be Lorraine Fernandes, immediate past president and communications chair of the Inter
Doctors’ Day Observance Continues
National Doctors’ Day is Sunday, March 30. Even though the national one-day observance is only a few days away, the ICD10monitor producers of Talk Ten Tuesdays want to ensure that everyone is aware of the significant contributions made daily by America’s doctors. Hence, our recognition of the occasion will continue during the next live edition of the popular weekly Internet broadcast.As part of th
When is it Okay to Delay?
Time is money. And nowhere is that adage more relevant than in today’s American hospitals.For example, consider the patient who is medically ready for discharge, but still waiting for a skilled nursing facility (SNF) bed to open up. Or the case in which a patient might medically require a cardiac catheterization before being safely cleared to discharge to home, but there’s a delay until the proced
Transgender Care Creates New Challenges for Hospitals
Overwhelmed by nutrition advice?You’re not alone.From sketchy influencer “secrets” to Big Food’s algorithm-driven traps, a myriad of pitfalls means making healthy choices has never been harder.Questions abound: should you go all-in on the potato diet? Or embrace the all-meat life? (Spoiler: probably not.)This week, during the long-running and popular Talk Ten Tuesdays Internet broadcast produced b
At the Intersection of Artificial Intelligence and CDI
Overwhelmed by nutrition advice?You’re not alone.From sketchy influencer “secrets” to Big Food’s algorithm-driven traps, a myriad of pitfalls means making healthy choices has never been harder.Questions abound: should you go all-in on the potato diet? Or embrace the all-meat life? (Spoiler: probably not.)This week, during the long-running and popular Talk Ten Tuesdays Internet broadcast produced b
Algorithms vs. Abs: Outsmarting Big Food and Bad Advice
Overwhelmed by nutrition advice?You’re not alone.From sketchy influencer “secrets” to Big Food’s algorithm-driven traps, a myriad of pitfalls means making healthy choices has never been harder.Questions abound: should you go all-in on the potato diet? Or embrace the all-meat life? (Spoiler: probably not.)This week, during the long-running and popular Talk Ten Tuesdays Internet broadcast produced b
To Discharge, Or Not to Discharge: The Evolving Role of EHRs
Discharge orders have evolved. Today, they indicate the end of hospital billing for an encounter.However, when the discharge order is placed on a day other than the day a patient actually leaves the hospital, it can often lead to under-reporting the patient’s length of stay (LOS) and other issues. And when some clinicians are told to place such an order when patients are medically ready to leave –
“Artificial Intelligence: Pitfalls and Potential in Healthcare
Could generative artificial intelligence (AI) revolutionize healthcare, or is it just a risky trend?During the next must-see live broadcast of Talk Ten Tuesdays, Dr. Christopher Boyle will walk you through the potential and pitfalls of generative AI. His journey will take you on an exploration of three promising uses of AI that focus on safety, documentation, and coding accuracy. You’ll learn how
“The Police Are Here!” What Should You Know?
When a law enforcement officer comes to your facility, what do you need to know? And what should you do?While until recently, this topic was seldom on the top of lists ofhealthcare issues, a recent move by the Trump Administration (Executive Order) appears to have revoked a longstanding policy that prevented federal law enforcement agents (U.S. Immigration and Custom Enforcement) from going to cer
The Stargate Project: How Will New AI Initiative Impact HIM?
It could be the shot heard ‘round the world: the announcement recently of Stargate, a multi-billion-dollar artificial intelligence (AI) project now underway in the U.S. and backed by huge corporations, including Oracle, Open AI, and SoftBank, among others. But what will be the impact on healthcare, and notably, health information management (HIM) professionals?Reporting on this huge healthcare iss
Staying Sharp in Healthcare Admin
Looking to unravel healthcare’s complex issues? Looking to streamline your operations and improve decision-making?Join us this coming Tuesday, Jan. 14 at 10 a.m. EST, when the long-running Talk Ten Tuesdays kicks off its 2025 broadcast season with special guest Frank Cohen, senior director of analytics for VMG Health. Cohen will share his insight on Hanlon’s Razor, a principle that can be summariz
National Coding News Roundup: A Special 60-Minute Edition
We’re living in a hybrid world. And now the hybrid concept has become part of the coding and clinical documentation integrity (CDI) world.The process of physician querying is already a stressful activity for many CDI and coding professionals. It has recently become even more stressful, because many hospitals are receiving a new type of denial: a hybrid between coding and clinical validation. It ar
Five Proven Strategies to Achieve Accurate Mortality and Readmission Rate Performance
The Centers for Medicare and Medicaid Services (CMS) measures and, in some cases, penalizes facilities whose inpatient mortality or readmission (up to 3 per cent of their traditional Medicare revenue) rates for pneumonia, heart failure, acute myocardial infarction, and other conditions exceed their established benchmarks. Since these measures are based solely on ICD-10-CM/PCS-based administrative
The Dental Billing Trap: Persistent, Throbbing Pain
Even savvy dentists tend to find a challenge in boosting their reimbursements by correctly coding procedures as medical claims instead of dental ones.During the next live edition of Talk Ten Tuesdays, Jeff Holt will report on the benefits of this strategy, including common pitfalls that make dentists want to pull their hair out. You’ll discover that the benefits of having top-notch coders and cutt
Talk Ten Tuesdays Tech Report: Automating Physician Queries
He was enthralling as he explained his revolutionary technology that empowers healthcare professionals to make crucial decisions in real time that improve patient care. Dr. Gerasimos Petratos, founder and CEO for HITEKS, had successfully automated the tenuous physician query process.In our continuing series of technical reporting, “Healthcare Technology,” the producers of ICD10monitor and Talk Ten
Analyzing America’s Collective Mental Health, Post-Election
In the wake of last Tuesday’s Presidential Election, the producers of ICD10monitor and Talk Ten Tuesdays have invited world-renowned psychiatrist H. Steven Moffic, MD to analyze America’s collective psyche.As in all election outcomes, there were losers and winners. Yet how we, as Americans, manifest these feelings will be the essence of the next live edition of the popular and long-running Interne
The IV Drought: A Survival Guide for Healthcare Heroes
Feeling parched?Well, you’re not alone. Hospitals across the country are dealing with a saline shortage.Thanks to Hurricane Helene’s unwelcome visit to the Baxter International facility in North Carolina, your IV bags may be running low. Imagine a busy highway suddenly reduced to a single lane: that’s what this IV shortage feels like for impacted healthcare providers.During the next live edition o
Don’t Code for Panic: Understanding the New Medicare Appeal Process
The panic was widespread. Rumors were flying. Cellphone alarms were sounding.From large hospital conference rooms to upholstered cubicles, everyone seemed to have the same sense of disbelief and mounting frustration: Acentra Health (previously Kepro) had announced a new appeal process for Medicare patients – specifically, those whose status changed from inpatient to observation.Among those who mai
Rules of Engagement: Learning to Code Better, Faster, and More Accurately
The Rules of Engagement for medical coding and clinical documentation integrity (CDI) are based on four authoritative sources: the ICD-10-CM/PCS Official Coding Guidelines, the American Hospital Association (AHA) Coding Clinic Advice, the American Health Information Management Association (AHIMA) Standards of Ethical Coding, and practice briefs. These are, in the words of senior healthcare consult
Q4 Coding Clinic: The Autopsy Report
The American Hospital Association’s (AHA’s) Coding Clinic edition for the fourth quarter of 2024 has been published, and it includes several key changes of which providers nationwide should take heed.And that is why the producers of ICD10monitor have invited renowned subject matter expert Dr. James S. Kennedy to delve into the details and provide you with cautionary insights.Also during the broadc
Health and Longevity
Health and longevity are within reach for everyone, no matter from where you’re starting. And it’s never too late to begin.During the next live edition of Talk Ten Tuesdays, Dr. Nick van Terheyden will cover some key areas upon which to focus so you can start bringing about improvements in your life by making small, consistent changes that are expected to lead to lasting improvements in your well-
Eleven Key Takeaways from the 2025 ICD-10 Code Updates
The Centers for Medicare & Medicaid Services (CMS) has released the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code updates for the 2025 fiscal year (FY).The FY 2025 ICD-10-CM updates introduce more than 300 code changes, including 252 new codes, 13 deletions, and 36 revisions, reflecting ongoing advancements in clinical documentation and diseas
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