Posts Tagged ‘off the record’
2025 IPPS final rule has something for everyone in CDI, inpatient coding
New CCs and MCCs, TEAM model implemented, and new quality measures among other changes By Brian Murphy The 2025 Inpatient Prospective Payment System (IPPS) final rule is out, and takes effect Oct. 1, 2024. These rules are always long and this one is no exception, but here’s some interesting bits I pulled out for CDI…
Read MoreMeet MEAT criteria to shore up your risk adjustment coding against denial
By Joanne Wilson, RN, ASN, CCDS, Senior Director, Solutions Monitoring, evaluating, assessing, or treating—also known as MEAT—is a well-known and helpful concept organizations and coding professionals should use in the risk adjustment space. Adequate MEAT criteria can shore up claims from denial and prevent costly takebacks from auditing agencies—and remove the bullseye from your organization’s…
Read MoreOrigin 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 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 MoreClinical Clarity: Navigating Problem Lists and Defensible Narratives with Dr. Trey LaCharite’
Listen to the full episode here: https://spotifyanchor-web.app.link/e/mQEUhXavSIb If you’ve ever been a member of ACDIS you’ve almost certainly encountered Dr. Trey LaCharite’. ACDIS advisory board member? Check. Regular columnist for CDI Journal? Check. Author of the CDI Field Guide to Denial Prevention and Audit Defense? Check. Speaker at the physician advisor pre-conference every year since…
Read MoreMalnutrition Deep Dive: A Conversation with ECU Health’s Ashley Strickland
Listen to the full episode here: https://spotifyanchor-web.app.link/e/S5y8KpFOKHb Listeners of Off the Record may recall our episodes on the OIG audit of severe malnutrition directed at North Carolina based Vidant, now ECU Health. Vidant/ECU won a landmark case against the OIG in large part because it had a multidisciplinary clinical and coding team in place to…
Read MoreCDI Finish Line: Lynne Spryszak on Patient Care and Professional Purpose
Listen to the full episode here: https://spotifyanchor-web.app.link/e/qadqA4R6mHb In 2009 ACDIS was growing. The association’s boot camps were taking off. We were at the point where we needed to hire our first full-time instructor and CDI educator. That person was Lynne Spryszak. Lynne had been in CDI since 2002 and volunteered as an inaugural ACDIS inaugural…
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