Healthcare Crossroads

A podcast showcasing the connections in Healthcare Data, Compliance and Patient Care

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 

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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

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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

Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM

Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I

Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI

Sonal Patel, BA, CPMA, CPC, CMC, ICDCM

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
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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.

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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

Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I

Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM

Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI

Sonal Patel, BA, CPMA, CPC, CMC, ICDCM

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:

Susan Walberg Books on Amazon

Insiders Guide to Compliance for Physician Practices Paperback – November 28, 2019

Insider’s Guide to Compliance: Real World Advice for Building a Successful Compliance Program Paperback – February 20, 2018

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