The Incessant Struggle of Patient Status
Why do patient status programs still struggle? Despite experienced utilization teams, inconsistency is incessant. During the next edition of...
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Talk Ten Tuesdays
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...
Episodes
20 of 421 episodesAt the Intersection of Healthcare and the Death of a Super Star
She was America’s songbird. A sassy lady whose voice was her claim to fame. She was revered and loved. Her upbeat, joyful attitude brought t...
Cardiac Coding Confusion: Why the New MI Definition Conflicts with the 2027 Final Rule
The Fifth Universal Definition of Myocardial Infarction (MI), better known colloquially as a heart attack, has replaced the previous Type 1-...
The Inside Story: What’s Happening at AHIMA?
Angela Comfort is a prominent national healthcare executive who, for more than 30 years, has achieved recognition as a revenue cycle integri...
Coordination and Maintenance Committee Meeting: Highlights and Takeaways
The gavel came down at last Tuesday’s Coordination and Maintenance Committee meeting—and professional coders wasted no time digging into the...
Learn Why “Inpatient” and “Observation” are Insufficient Indicators
Clear, rationale-based documentation in utilization review (UR), especially for status recommendations by physician advisors, is essential....
Brief Segment: AHIMA-ACDIS Practice Brief
The American Health Information Management Association (AHIMA) and the Association of Clinical Documentation Integrity Specialists (ACDIS),...
ICD-10-CM/PCS Coordination and Maintenance Committee Fall Meeting: Preview of Coming Attraction Coming Tuesday
The Center for Disease Control and Prevention (CDC) along with the National Center for Health Statistics (NCHS) jointly announced the agenda...
When the Doctor Crossed the Line
Like the virtual line between actors and the audience, an invisible line exists between doctors and patients. Yet, Dr. Juliet B. Ugarte Hopk...
The False Claims Act and the Role Played by Coders
The recent $14.1 million False Claims Act settlement against Complete Health Partners Holdings, a management services organization operating...
Hospital’s Latest Status Symbol: Utilization Managers
Utilization managers (UMs) have long served as a resource for clinicians determining the appropriate patient status. Key considerations incl...
700th Commemorative Live Broadcast of Talk Ten Tuesday
Tuesday, July 28 marks the 700th live edition of the commemorative Talk Ten Tuesdays broadcast. And in honor of this celebration, the ICD10m...
Behavioral Health Amid the Coding Crisis
The squeeze is on. Federal enforcement is intensifying, with behavioral health agencies facing heightened scrutiny following revealing repor...
Understanding the Misunderstanding: Secondary Reviews
The secondary review: Corrective Backup? Or a layer of quality assurance? Given that clinical documentation integrity (CDI) invariably has i...
Twin Horns of a Dilemma: Inpatient Status without the IPO List
What happens when the Inpatient-Only (IPO) List goes away? The entire list is expected to be eliminated Jan. 1, 2028. This will necessitate...
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 h...
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 car...
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 reache...
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 lo...
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...