Posts Tagged ‘off the record’
A win for clinical truth: How Vaughn Matacale and Vidant prevailed against the OIG
Listen to the episode here: https://spotifyanchor-web.app.link/e/PrC1cbFXCDb Severe malnutrition is a major predictor of mortality/morbidity. In a five-year observational study cited by the National Institutes of Health, malnourished patients showed an eight times greater risk of harmful falls during hospitalization as compared to well-nourished patients. Further, malnutrition is associated with increased risk for septic shock, acute…
Read MoreDon’t hate on hospitals: Navigating the complexities of healthcare reimbursement with Jugna Shah, MPH
Stop hating on hospitals. It’s a sentiment most Off the Record podcast listeners would probably agree with. But not everyone. Hospitals are under assault in some corners, including the media and in the halls of government. We need a villain and hospitals often find themselves playing the role of fall guy. For example, many blame them…
Read MoreThe obstacle is the way: The art of overcoming challenges with WVU’s Dawn Diven
It’s not easy moving into Clinical Documentation Integrity as a new nurse or coding professional. But now imagine what it’s like if you’re from Maryland. And it’s 2006. These were pre-ACDIS days, in a state which used APR-DRGs. In other words, no best practice, little information, and no real community. But Dawn Diven, Enterprise System…
Read MoreWalking the leadership tightrope: Meet Sheri Blanchard, Senior Director of CDE, Orlando Health
To be an effective leader you have to have a vision and be willing to implement changes that disrupt the status quo. But you also have to involve your team, and use diplomacy to obtain buy-in. In short, be a team player with a little bit of swagger. It’s a delicate dance, but it describes…
Read MoreA First Year for the Record Books: Catching up with Wellstar’s new Executive Director of CDI
Few CDI professionals are rising as fast as Faisal Hussain, Executive Director of CDI at Wellstar Health System in Georgia. Fewer still have come as far as he has, both literally and figuratively. A foreign medical graduate and native of Pakistan, Hussain has risen up through the ranks in a remarkable career in healthcare. In…
Read MoreLighting a CDI fire with Tom Brazelton, CDI medical director UW Health
News flash: Many (most?) physicians aren’t on board with CDI initiatives and coding practice. It’s understandable; they’re busy with patient care, and in their remaining hours are swamped with chart completion. Answering clinical queries and documenting with greater specificity is either seen as a chore or falls by the wayside entirely. Sometimes it takes real-world…
Read MoreAntarctic Anecdotes: The real-life adventure of ex-CDI physician advisor Howard Rodenberg
There comes a point in our life when we all need to take an adventure. For most that means a vacation to an exotic faraway continent. For others, that might mean taking a new job, or changing careers altogether. Or starting a family. All of these are adventures of one sort or another. All are wonderful.…
Read MoreBack from ACDIS, talking value-based care and outpatient CDI with Jason Jobes
By Brian Murphy After a short break that was not really a break because we were on the road at ACDIS 2023 we’re back with another episode of Off the Record. I’m joined by fellow conference-goer, presenter, and colleague Jason Jobes, senior vice president of solutions at Norwood. On this show we dive into the…
Read MoreLegal eagle: Healthcare denials through the eyes of Sarah Mendiola
Denials are a reality of life in the mid-revenue cycle. And they’re not going anywhere. As Medicare Advantage (MA) grows—MA Organizations statistically deny more care than traditional Medicare—the volume of denied claims will only keep growing. I wanted to talk about this subject with someone who not only understands the current mine-filled landscape, but knows…
Read MoreBanner Health’s Jami Woebkenberg: Managing the Constant Changes of Modern Healthcare Delivery
“The pessimist complains about the wind. The optimist expects it to change. The leader adjusts the sails.” – John C. Maxwell It’s been said that there is no constant in life except for change. Jami Woebkenberg is proof. Jami is the Senior Director of HIM operations at Banner Health. Or at least, that’s her title now.…
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