A recent False Claims Act case is raising an important question for CDI professionals: what if the diagnosis is clinically valid, but the process behind it is challenged? 

During the next live edition of the popular Talk Ten Tuesdays podcast, Dr. Robert Oubre, director of CDI and UM at St. Tammany Health System, will report on a motion for summary judgement on a case (Smith vs Mercy Health) on 

how malnutrition documentation and electronic medical record (EMR) workflows came under scrutiny. Dr. Oubre will also discuss the role of AHIMA guidance and the importance of compliance oversight. This is a must listen for CDI, coding, and compliance leaders.

The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:

·      POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.

·      CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

·      The Coding Report: Christine Geiger will report on the latest coding news.

·      News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Data breaches have unfortunately become a fact of life in America’s healthcare system.

The next edition of the popular Talk Ten Tuesdays will focus on just the latest in a succession of such incidents, as providers scramble to determine what to do to prevent cyberattacks – and how to react when they arise, nonetheless.

The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:

• POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.

• CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

• The Coding Report: Christine Geiger will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

After two powerful segments introducing her neurodiversity coding initiative, Tami McMasters Gomez, Executive Director for the Mid-Revenue Cycle, Enterprise-Wide Coding and CDI Operations for the University of California Davis Medical Center, returns to report on how this program is unlocking untapped strengths, improving accuracy, and building a more resilient health information (HIM) workforce. Plus, you and your team will learn first-hand the impact that neurodiverse professionals are already making in the coding workforce.

Most importantly, you’ll come to understand why programs like this one may represent an important pathway to both expanding opportunity and strengthening the future healthcare workforce.

Broadcast segments will also include these instantly recognizable panelists, who will report more news during their segments:

• POV: Penny Jefferson, Director of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.

• CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

• SDoH Report: Tiffany Ferguson, CEO for Phoenix Medical Management, reports on the news that’s occurring at the intersection of medical records and federal regulations.

• The Coding Report: Christine Geiger will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national news correspondent, will anchor the Talk Ten Tuesdays News Desk.

The rise of third-party payer audits is no secret to healthcare professionals and facilities, but one type of audit has gained particular attention in recent years: the clinical validation audit. 

Clinical validation audits ultimately lead to a downgrade of a hospital’s diagnostic-related group (DRG) payment, but the process by which they reach that result makes them particularly curious. 

During utilization review, health plans make decisions about the patient’s care and, in the case of clinical validation audits, actually make determinations about whether documented medical diagnoses are “clinically valid”. Join us to hear how clinical validation audits work and the rise in provider disputes involving clinical validation audits.

Broadcast segments will also include these instantly recognizable panelists, who will report more news during their segments:

·      POV: Penny Jefferson, Director of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.

·      CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

·      SDoH Report: Tiffany Ferguson, CEO for Phoenix Medical Management, reports on the news that’s occurring at the intersection of medical records and federal regulations.

·      The Coding Report: Christine Geiger will report on the latest coding news.

It’s huge, and serious.

Its implications may impact millions, even beyond the halls of healthcare. In fact, it’s the eighth-largest healthcare-related cybersecurity breach in U.S. history.

In Texas alone, 15.4 million residents were involved – nearly half the state’s population. Oregon reports another 10.5 million. Other states are still notifying residents. The final number may climb even higher. The stolen data reportedly includes names, Social Security Numbers, medical information, and health insurance details.

Reporting the details of this enormous data breach during the next episode of Talk Ten Tuesdays will be the legendary Rose Dunn, former president of the American Health Information Management Association (AHIMA).

Broadcast segments will also include these instantly recognizable panelists, who will report more news during their segments:

• POV: Penny Jefferson, Director of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.
• CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).
• The Coding Report: Christine Geiger will report on the latest coding news.
• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Part II of the groundbreaking Talk Ten Tuesday series concludes as Tami McMasters Gomez returns to share the real-world impact of UC Davis Health’s neurodiversity coding internship.

In this powerful follow-up, Tami moves beyond the vision and into outcomes — workforce transformation, productivity gains, retention success, and the measurable value of inclusive hiring in HIM.

This isn’t a theory. It’s operational innovation in action.
If you care about strengthening the coding workforce, expanding talent pipelines, and redefining what excellence looks like in the healthcare revenue cycle, you won’t want to miss this conversation.

Broadcast segments will also include these instantly recognizable panelists, who will report more news during their segments:

• POV: Penny Jefferson, Director of CDI Services at the University of California, Davis Medical Center, will share her point of view during the broadcast.

• SDoH Report: Marie Stinebuck, CEO for Phoenix Medical Management, will report on the latest news concerning the social determinants of health (SDoH).

• CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

• The Coding Report: Christine Geiger will report on the latest coding news.

• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

Once a relic symbolic of earlier times in medicine, the Inpatient-Only (IPO) List has been added to the junkyard of outdated medical processes and practices. And if you and your team fail to plan and align your system appropriately, you risk major financial, operational, and compliance consequences.

The good news: during the next live edition of Monitor Mondays, you’ll learn why inpatient status is no longer guaranteed by procedure. You’ll also learn how the burden of proof for inpatient care now rests in your documentation, along with what you and your team must do to protect appropriate inpatient admissions. 

Join us when Dr. Stephanie Van Zandt reveals practical strategies to navigate this new landscape and stay ahead of the curve.

Broadcast segments will also include these instantly recognizablepanelists, who will report more news during their segments:

·      POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.

·      CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

·      The Coding Report: Christine Geiger will report on the latest coding news.

·      News Desk: Juliet Ugarte Hopkins, MD will anchor the Talk Ten Tuesdays News Desk.

What if the solution to healthcare’s coding workforce challenges has been hiding in plain sight?

The conversation doesn’t end with rethinking who can succeed in medical coding. In Part II of this special Talk Ten Tuesday series, the focus is on how healthcare organizations can get involved.

This broadcast will highlight a growing partnership with the American Health Information Management Association (AHIMA), and outlines how organizations can participate in a neurodiversity-focused coding internship model.

Learn what it means to host interns, support neurodiverse candidates, and create structured, sustainable pathways into health information management (HIM) careers.

For healthcare leaders facing persistent workforce shortages, accuracy concerns, and burnout, this discussion will move from inspiration to implementation – showing how inclusive workforce strategies can strengthen coding operations while expanding opportunities.

If you’re ready to move beyond awareness and explore practical ways to build a more resilient, forward-thinking coding workforce, this is for you.

The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:

• POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view during the broadcast.
• CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).
• The Coding Report: Christine Geiger will report on the latest coding news.
• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

What if the solution to healthcare’s coding workforce challenges has been hiding in plain sight?

During this special two-part Talk Ten Tuesday series, UC Davis Health shares how an innovative neurodiversity-focused coding internship is redefining how talent is identified, trained, and retained. 

Join Tami McMasters Gomez, Executive Director, for the Mid-Revenue Cycle, Enterprise-Wide Coding and CDI Operations for the University of California Davis Medical Center, when she reports on how this program is unlocking untapped strengths, improving accuracy, and building a more resilient health information (HIM) workforce.

This unique conversation will challenge long-standing assumptions about who succeeds in medical coding.

If you were responsible for the coding operations of a complex medical center, would you build tomorrow’s workforce the same way you do today? Be sure to listen and learn.

This popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:

·      POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, will share her point of view (POV) during the broadcast.

·      CDI Report: Cheryl Ericson will provide an update on clinical documentation integrity (CDI).

·      The Coding Report: Legendary Rose Dunn, COO for First Class Solutions, will handle the coding report for Christine Geiger. Rose will report on the latest False Claims Act (FCA) settlement.

·      News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.

While many of you might have been enjoying the holiday season, the
beat of healthcare keeps on beating.
Much has happened in the world of medical coding and that is why
the producers of Talk Ten Tuesday are dedicating the next live
edition of the popular national Internet broadcast to the topic of
coding.

And that’s why Dr. James S. Kennedy, a trained medical professional
who loves coding, will be the Talk Ten Tuesday special guest.
The popular Internet broadcast will also feature these additional
instantly recognizable panelists, who will report more news during
their segments:

• POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis
  Medical Center, is the new cohost of Talk Ten Tuesday. She
  will share her point of view (POV) during the broadcast.
• The Coding Report: Christine Geiger, Assistant Vice President
  of Acute and Post-Acute Coding Services for First Class
  Solutions, will report on the latest coding news.
• Social Determinants of Health: Tiffany Ferguson, CEO for
  Phoenix Medical Management, Inc., will report on the news that
  is happening at the intersection of medical record auditing and
  the SDoH.
• CDI Report: Cheryl Ericson, Director of Clinical Documentation
  Integrity (CDI) for the vaunted Brundage Group, will have the
  latest CDI updates.
• The Coding Report: Christine Geiger, Assistant Vice President
  of Acute and Post-Acute Coding Services for First Class
  Solutions, will report on the latest coding news.
• News Desk: Timothy Powell, ICD10monitor national
  correspondent, will anchor the Talk Ten Tuesdays News Desk.

What’s new when it comes to artificial intelligence (AI) and coding?

Listen to the next edition of the long-running and popular Talk Ten Tuesday and learn from longtime RACmonitor and ICD10monitor contributing author Sharon Easterling.

Sharon Easterling will continue her editorial series on artificial intelligence and medical record coding. The potential for AI in health information is both exciting and daunting as you’ll learn.

The popular Internet broadcast will also feature these additional instantly recognizable panelists, who will report more news during their segments:

• POV: Penny Jefferson, Manager of Coding & Clinical Documentation Integrity Services for the University of Davis Medical Center, is the new cohost of Talk Ten Tuesday. She will share her point of view (POV) during the broadcast.
• CDI Report: James S. Kennedy, president of CDIMD, will substitute for Cheryl Ericson and will provide an update on clinical documentation integrity (CDI).
• The Coding Report: Christine Geiger, Assistant Vice President of Acute and Post-Acute Coding Services for First Class Solutions, will report on the latest coding news.
• News Desk: Timothy Powell, ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.