Podcast
Origin Stories
Listen to the full episode here: https://spotifyanchor-web.app.link/e/v3FVAF0cILb I’ve hosted the Off the Record podcast since September 2022. Over that time I’ve recorded dozens of interviews with scores of great guests, with episode 50 right around the corner. But I’ve never had the microphone turned on myself. Until now. This past April I was hanging out…
Read MoreCalling Card for Success: Keisha Wilson on Entrepreneurialism and Telehealth
Listen to the episode here: https://spotifyanchor-web.app.link/e/bm8XvCnagLb I have to say it’s very inspiring being around my guest on today’s show. Prior to this episode of Off the Record I had never met Keisha Wilson … and within minutes I felt like we were friends. Something about her warmth and spirit that grabbed me right way.…
Read MoreGetting Comfortable With Risk: A Conversation with Crystal May
Listen to the episode here: https://spotifyanchor-web.app.link/e/Oyrv1reDKKb It’s often been said that the only constant in life is change. And the mid-revenue cycle is no exception. As new regulations emerge and new technologies develop, professions get radically transformed—or even erased altogether. The antidote is a commitment to lifelong learning, and embracing the discomfort that accompanies growth.…
Read MoreTry a “yes, and” approach when changing provider documentation habits
I love this “yes, and” approach recommended by my current Off the Record podcast guest, Kalee Vincent. Many physicians prefer (and need, for quality reporting purposes) the New York Heart Association (NYHA) Classification for their heart failure patients, for example. But CDI needs acuity and type to satisfy hospital coding and billing. Instead…
Read MorePayers turning to clinical validation to ignore coding guidelines, deny claims
By Brian Murphy Clinical validation audits are on the rise and among the chief causes of claims denials, per my current Off the Record podcast guest Richelle Marting, JD, MHSA, RHIA, CPC, CEMC, CPMA, CPC-I. While denials are payer-agnostic, Marting says that Medicare Advantage Organizations have risen to the top of worst offenders.…
Read MoreNo one will hire a CPC-A, or a coder without experience? Think again
By Brian Murphy “Nobody will hire a CPC-A.” “Nobody will hire without experience.” My recent guest on Off the Record, Revka Stearns, describes these oft-expressed statements as not factual. And rightly so. If they were, no one new would ever be hired. Which of course cannot be the case, and is not…
Read MoreClinical (and career) validation: Richelle Marting on legal aspects of HIM, CDI
Listen to the episode: https://spotifyanchor-web.app.link/e/FV3hTItIZJb Earning your RHIA (Registered Health Information Administrator) is a huge accomplishment, and for some marks the end of a four-year academic journey and an entry into HIM. For Richelle Marting, it was only the beginning. In pursuit of her RHIA, which she eventually earned, my guest on today’s episode took…
Read MoreBattle over Sepsis-2 vs. Sepsis-3 Heating Up
By Brian Murphy The battle over Sepsis-2 vs. Sepsis-3 continues. Advocates of Sepsis-3 state that it offers a more clinically accurate and rigorous definition, and that sepsis-2 is too vague to be truly useful. Advocates of Sepsis-2 believe that it’s more sensitive and superior for early detection, and sepsis-3 too high a bar to capture…
Read MoreBack to Documentation School: Lessons from CDI Educator Kalee Vincent
Listen to the full episode here: https://spotifyanchor-web.app.link/e/AzfGTtkICJb One of the more promising developments I’ve seen over my career watching the CDI profession bloom is the creation of the CDI educator role. CDI is often labeled by its critics as reactive, sending queries to the provider after he or she has already documented in the chart.…
Read MoreDecoding Sepsis: A Clinical Nurse Specialist’s Frontline Perspective
Listen to the full episode here: https://spotifyanchor-web.app.link/e/deiNqUvFgJb Sepsis it seems is always in the news, never far from anyone who works in CDI or coding circles. And here we are again, back in the headlines due to its inclusion in the Office of Inspector General (OIG) Work Plan. Sepsis has been discussed so…
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