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Code Red: CMS announces massive audit expansion of Medicare Advantage, raising risk adjustment coding questions

By Brian Murphy For a while I felt like this was coming to a head. As far back as 2016-2017 I was monitoring reports of…

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Are you assigning admit type based on NUBC guidelines—or a loose interpretation to influence quality metrics?

By Brian Murphy  Prior to our Off the Record podcast recording my guest Penny Jefferson shared with me a white paper she authored on admit…

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Anybody Listening? Ambient AI and the Future of Documentation with Dr. David Canes

Listen to the episode here.   Back in 1990 the heavy metal band Queensryche asked its listeners, “Is there anybody listening?”, a lament for not…

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Structure your physician advisor program not just for financial ROI, but work-life balance

By Brian Murphy Physicians are the lifeblood of a hospital. They provide lifesaving treatment and specialized care but also write the admission orders that keep…

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Rising from ruin and talking telehealth, SDOH with Keisha Wilson

Listen to the episode here.   Regular listeners of Off the Record will recall Keisha Wilson, whom I hosted on the program in June 2024…

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