Healthcare Crossroads
Unraveling Evaluation and Management : Documenting the Cheif Complaint
The documentation of the chief complaint is a crucial part of a patient's medical record. The chief complaint is the primary reason a patient seeks medical attention, and it is important to document it accurately to ensure proper diagnosis and treatment. In this episode, we will discuss
- Documentation vs Guidelines
- What the payers are saying
There is a level of critical thinking needed by coders and auditors. Our advisors will discuss these areas in detail
Let's tune in to our advisors
Jennifer McNamara CCS,CPC,CPMA,CRC,CGSC,COPC AAPC Approved Instructor
Email Jennifer at jmcnamara@oncospark.com
Visit her website: https://www.sparkadvise.com
Hear her speak at RevCycle Symposium and AAPC Healthcon
Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM
Email Terry at terryfletchercpc@aol.com
Visit her website: http://www.terryfletcher.net/
Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I
Email Christine at christine.hall.guru@gmail.com
Visit her website: https://www.stirlingglobalsolutions.com/
Hear her speak at RevCycle Symposium
Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI
Email Betty at bettyhovey@chcs.consulting
Visit her website: https://chcs.consulting/
Follow Betty to a location near you: https://chcs.consulting/events/
Sonal Patel, BA, CPMA, CPC, CMC, ICDCM
Email Sonal at paintthemedicalpicturepodcast@gmail.com
—
Send in a voice message: https://anchor.fm/healthcrossroads/message
Support this podcast: https://anchor.fm/healthcrossroads/support
Breaking down CDI
In this episode, we are joined by our friend Glenn Krauss from CORE-CDI. Glenn and I had the opportunity to sit down and review the CDI programs for Inpatient and Outpatient and how important CDI is to the healthcare industry. We will discuss the following:
- The medical record as a communication tool versus a reimbursement tool
- Physician documentation improvement must be physician-centric and physician driven
- Compliance and ethics in Physician Documentation Improvement must be an integral part of any program
- Can CDI programs elevate compliance risk unknowingly without proper precautions being taken?
Find Glenn at the upcoming Pain Management Compliance Symposium on April 13 and CDI Symposium 2023 on September 13-14
—
Send in a voice message: https://anchor.fm/healthcrossroads/message
Support this podcast: https://anchor.fm/healthcrossroads/support
Unraveling Evaluation and Management: Individual Patient Risk
In the second installment of our series on Evaluation and Management, we dive into the importance of two keys areas
- Prescription Drug Management
- Major vs Minor surgery
There is a level of critical thinking needed by coders and auditors. Our advisors will discuss these areas in detail
Let’s tune in to our advisors
Jennifer McNamara CCS,CPC,CPMA,CRC,CGSC,COPC AAPC Approved Instructor
- Email Jennifer at jmcnamara@oncospark.com
- Visit her website: https://www.sparkadvise.com
- Hear her speak at RevCycle Symposium and AAPC Healthcon
Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM
- Email Terry at terryfletchercpc@aol.com
- Visit her website: http://www.terryfletcher.net/
Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I
- Email Christine at christine.hall.guru@gmail.com
- Visit her website: https://www.stirlingglobalsolutions.com/
- Hear her speak at RevCycle Symposium
Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI
- Email Betty at bettyhovey@chcs.consulting
- Visit her website: https://chcs.consulting/
- Follow Betty to a location near you: https://chcs.consulting/events/
Sonal Patel, BA, CPMA, CPC, CMC, ICDCM
- Email Sonal at paintthemedicalpicturepodcast@gmail.com
- She is speaking @1pm EST on February 20 and 21, 2023 at Assent Global onAuditing in 2023
Part I: Focus on New E/M Standards in the Office/Outpatient Setting; andAuditing in 2023
Part II: Focus on New E/M Standards in the Inpatient Setting, respectively.
- She has a weekly Compliance & Auditing Tip for NAMAS® on 2/23/2023 titled,Dawning of a New Era: The Sun Rises on New E/M Standards in 2023 and Beyond.
—
Send in a voice message: https://anchor.fm/healthcrossroads/message
Support this podcast: https://anchor.fm/healthcrossroads/support
Organized Healthcare Chaos with Jordan Johnson
The world of healthcare is in a state of chaos. With the rising costs of medical care, the increasing complexity of healthcare systems, and the changing landscape of insurance and payment options, it can be difficult for patients and providers to navigate the system. While there are some efforts to organize healthcare chaos, there is still much work to be done.
—
Send in a voice message: https://anchor.fm/healthcrossroads/message
Support this podcast: https://anchor.fm/healthcrossroads/support
Unraveling Evaluation and Management: Understanding a patients’ condition
In this exciting three-part series we will hear from our advisors all about how to unravel the E/M guidelines and how to interpret areas of documentation. In this episode, we will look at how to interpret some key definitions in the MDM that affect a patient’s condition.
- The meaning of acute vs chronic
- Exacerbated conditions vs severe exacerbations
- Complicated vs uncomplicated conditions
There are many areas to dissect and you simply cannot do it without research, communication, and a good understanding of anatomy and disease processes. .
Let’s tune in to our advisors
Jennifer McNamara CCS, CPC, CPMA,CRC,CGSC,COPC
- Email Christine at jmcnamara@oncospark.com
- Visit her website: https://www.sparkadvise.com
- Hear her speak at RevCycle Symposium and AAPC Healthcon
Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I
- Email Christine at christine.hall.guru@gmail.com
- Visit her website: https://www.stirlingglobalsolutions.com/
- Hear her speak at RevCycle Symposium
Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM
- Email Terry at terryfletchercpc@aol.com
- Visit her website: http://www.terryfletcher.net/
Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI
- Email Betty at bettyhovey@chcs.consulting
- Visit her website: https://chcs.consulting/
- Follow Betty to a location near you: https://chcs.consulting/events/
Sonal Patel, BA, CPMA, CPC, CMC, ICDCM
- Email Sonal at paintthemedicalpicturepodcast@gmail.com
- She is speaking @1pm EST on February 20 and 21, 2023 at Assent Global onAuditing in 2023
Part I: Focus on New E/M Standards in the Office/Outpatient Setting; andAuditing in 2023
Part II: Focus on New E/M Standards in the Inpatient Setting, respectively.
- She has a weekly Compliance & Auditing Tip for NAMAS® on 2/23/2023 titled,Dawning of a New Era: The Sun Rises on New E/M Standards in 2023 and Beyond.
—
Send in a voice message: https://anchor.fm/healthcrossroads/message
Navigating the Minefield of Compliance
In our first episode of Season two, we start out with a very important topic that affects all in healthcare-Compliance! It’s more than understanding what it is, but also how we view it and how we navigate the many levels.
Today we sit down and chat with Compliance and Legal expert Susan Walberg JD, a consultant, and writer in all things compliance.
Susan will tell us all about her latest Compliance Books and Non-Fiction books that are designed to shed light on meeting industry standards and navigating the legal minefields in healthcare. We will discuss
- What compliance is and why we need it
- Areas of Compliance concern
- Better communication skills are needed between clinical and business teams
- Compliance hot topics such s Privacy/Security and OSHA
- Compliance and Technology concerns
Prepare your practice and facility for compliance challenges and jump over to Amazon to check out all things Compliance with Susan Walberg:
Insiders Guide to Compliance for Physician Practices Paperback – November 28, 2019
—
Send in a voice message: https://anchor.fm/healthcrossroads/message
Responses