Healthcare Crossroads

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 AAPC Approved Instructor Email Jennifer at [email protected] 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 [email protected] Visit her website: http://www.terryfletcher.net/ Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I Email Christine at [email protected] 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 [email protected] 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 [email protected]  She is  speaking  @1pm EST on February 20 and 21, 2023 at Assent Global on Auditing in 2023  Part I: Focus on New E/M Standards in the Office/Outpatient Setting; and Auditing 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

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 as 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 --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this final episode of 2022, we are bringing back a fan favorite and a very important topic. We must continue advocating for improved access to care, a better quality of care, and better patient rights and protections. We sat down with Jared Walker the Founder of Dollar For and we dig into the importance of hospitals being transparent about their charity programs and empowering patients to take control of their healthcare Dollar For is a program that provides financial assistance to individuals advocating for themselves or their loved ones in the healthcare system. Dollar For offers financial assistance to help cover the cost of medical bills, medications, and other expenses associated with medical bills. The program also provides resources and support to help individuals navigate the healthcare system and make informed decisions. Learn how you can help others by volunteering and becoming a patient advocate Volunteer as a Patient Advocate at https://dollarfor.org/get-involved/ Apply for assistance at https://forms.dollarfor.org/ Do you need education for your facility on how to improve your patient advocacy and improving in your billing and communication process?  Sign up for the Rev Cycle Symposium to be held virtually on Feb 23, 2023 Tickets are on Sale Now!  Visit https://www.eventbrite.com/e/revcycle-symposium-tickets-482774289897 --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

Do you communicate effectively with your patients? Is your business staff up to the challenge of the necessary communication needed to keep your patients happy? Let's chat about necessary conversations that require communication Explaining Financial responsibility Communication regarding Prior Authorizations Effectively communicating prior to the patient appointment Legal requirements for Copays Join us fo the RevCycle Symposium February 23, 2023 Online and On Demand  --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this episode I had the privilege of interviewing my friend Dr. Michael Cross. Conversation with a Surgeon: Does your patient come first? -Unique challenges in Breast Oncology -Burdens physicians face -Communication with teams -Patient education -Preventative measures and cost --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this episode we discuss Diabetes. November is Diabetes awareness month and we want to understand the impact on patient care and reimbursement and the cost of treating the condition.  How Diabetes affects Cost in Value-Based Care ICD10-CM Coding Guidelines Documentation and Risk Learn more by scheduling an onsite review and education session with your physicians - Contact our Advisory Network  --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

We have a bonus episode this week, to take a look at how we portray ourselves on Linkedin. Do we understand the proper etiquette? Have we made our profile attractive to a future or current employer? Let's take a break and get Linkedin Savvy! --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this episode we discuss the importance developing a Value Based Care Mindset.  What can we do to improve in documentation in light of the new EM Revisions for 2023 that now encompasses Hospital Charges? Do we understand basic definitions and how they will affect Value Based Care payments? Do we understand basic documentation guidelines? Contact [email protected] to schedule your physicians annual Value Based Care training.  --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this episode I invite my special guest Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I  to discuss the Global Package. We will discuss the proposed revisions by CMS and the history of it since 1992. Are we ready for a revision? Let's find out What changes have technology and advances in medicine brought us? Are you getting involved and sharing what challenges your practice is facing? Specialty Specific Global Care for Orthopedics and Dermatology Is your EMR up the challenge? Using Subject Matter experts to improve operations and discover missed opportunities costing your practice Could revising the global package lead to better patient care? Check out some great resources: Global Package FAQ Global Surgery Indicators RAND Report CMS-1751-F Contact [email protected] for more information on improving your operations with coding and revenue challenges --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support

In this episode, we sit down with my friend and fellow podcaster Terry Fletcher and discuss the relationship between Physicians and coders. This is a significant relationship that helps utilize both the clinical and business sides of medicine. This partnership ensures compliance, and accurate revenue and allows the physician to focus on patient care while enabling the coder to make sure the revenue is solid. When physicians keep their hard-earned income, the practice can flourish and patients can continue to receive services. Terry and I will discuss: Expectations of Physicians and Coders Eliminating communication gaps with the assistance of Practice Management Having difficult conversations with physicians How consultants have become effective educators Increase your revenue and decrease denials with an effective denial management program that consists of Data Reviews, Audits, and Education with Oncospark! Contact [email protected] for more information. Check out more episodes from our special guest Terry Fletcher at the CodeCast Podcast on Apple, Spotify, Google, and many more platforms --- Send in a voice message: https://anchor.fm/healthcrossroads/message Support this podcast: https://anchor.fm/healthcrossroads/support