PREFLIGHT BLOG FOR HOSPITAL REVENUE CYCLE PROFESSIONALS
Briefings on topics we think about and think you should think about...
Wiser Wednesday Podcasts now produced by Brian Cui from MedicalCodingGeek.com
Wiser Wednesdsay - Experience Speaks: John Zelem, MD, FACS and Joe Crea, DO
John Zelem, MD, FACS is the president and owner of Streamline Solutions Consulting, Inc. He is a Board-Certified general surgeon with more than 25 years of clinical experience, has transitioned out of clinical practice into Healthcare Executive Leadership. Dr. Zelem is a renowned industry author who has published many books and is a well-known motivational speaker and presents often to professional and public/patient audiences on health and wellness, personal development, and leadership and success. Joe Crea, DO is the medical director for Advisory Services for Sound Physicians. He brings a decade of physician advisory experience to this position as well as extensive experience in both clinical and academic settings. He holds a Health Care Quality & Management Physician Advisor certification. Dr. Crea considers himself an "amateur chef," and loves to cook in his spare time. He is an avid traveler who loves to experience new places and is looking forward to becoming a part of...
Wiser Wednesdsay - Experience Speaks: Eric Rubenstein
Eric Rubenstein is a seasoned federal law enforcement officer (25 years), specializing in white-collar crime investigations. Wide-ranging experience involving federal healthcare programs, with an emphasis on crimes involving the Medicare and Medicaid programs by health care providers, including physicians, pharmacies and health care entities. He is currently the Director of Litigation Fraud Waste and Abuse Support for Advize Health.
Eric Rubenstein on LinkedIn: https://www.linkedin.com/in/eric-rubenstein-oig/
Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/
Core-CDI: CDI Consulting: https://www.core-cdi.com/
Top Gun Audit School: http://www.topgunauditschool.com/
This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com
Wiser Wednesdsay - Experience Speaks: Mary-Claire Cotner
Mary-Claire is dedicated to her passion for health care & medicine. She has a unique background in health care. Over the years, she has contributed to clinical research & assumed leadership roles. She is currently completing her graduate medical education. Here she aims to obtain excellent medical & professional competencies. She considers herself a lifelong learner & is committed to engendering a culture of excellence wherever she goes.
Mary-Claire Cotner on LinkedIn: https://www.linkedin.com/in/maryclairecotner/
Glenn Krauss on LinkedIn: https://www.linkedin.com/in/glenn-krauss-93521a19/
Core-CDI: CDI Consulting: https://www.core-cdi.com/
Top Gun Audit School: http://www.topgunauditschool.com/
This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com
Wiser Wednesdsay - Experience Speaks: Noelle Dale-Brown
Noelle Dale-Brown is an experienced RHIA and RMA in both post-acute and acute care. She is Scrum Master/Lean Six Sigma Green Belt certified, and skilled in record management workflow assessment and redesign using methodologies to achieve productivity and efficiency.
Noelle Dale-Brown on LinkedIn: https://www.linkedin.com/in/noelle-dale-brown-bshiim-rma-rhia-smc%C2%AE-a15a73132/
Core-CDI: CDI Consulting: https://www.core-cdi.com/
Top Gun Audit School: http://www.topgunauditschool.com/
This podcast was edited and mixed by Brian Cui from MedicalCodingGeek.com
Wiser Wednesdsay - Experience Speaks: Sonal Patel and Toni Elhoms
Sonal Patel, CPMA, CPC, CMC is the healthcare coding and compliance consultant at the law firm of Nexsen Pruet, LLC. She has over 10 years of experience in multi-specialty healthcare coding, auditing and compliance. She provides reimbursement investigations for Parts A and B providers. Ms. Patel delivers healthcare lawyers with strategies and analyses to overturn denials with private and government payers. She is a member of the AAPC Northbrook, Ill., local chapter, AMBA (American Medical Billing Association), PMI (Practice Management Institute), and NCMGMA (North Carolina Medical Group Management Association). Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD10-CM/PCS Trainer is a nationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy...
Wiser Wednesday: It's Time to Leverage Data, Advanced Analytics and Performance Monitoring
Terrance Govender, MD is currently the Vice President of Medical Affairs for ClinIntell, Inc. He has many years of clinical and healthcare management experience that goes beyond the borders of the United States, having also practice in the United Kingdom and South Africa. After being introduced to the concept of CDI early on in his non-clinical career, he realized that we still have a lot to accomplish as an industry.
Terrance’s passion lies in the ability to empower physicians, who want to do the right thing, by providing them the shortest distance between two points with regards to CDI.
This approach can take on many forms and the exact solution may vary depending on different cultures, but Terrance believes that its time to leverage data, advanced analytics and performance monitoring to affect long term change in physician behavior.
Terrance Govender, MD on LinkedIn
This podcast was...
Wiser Wednesday: No Shortcuts to Uniting CDI, Coding & Physicians!
January's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests:
- Dr. Vedi Patel, a practicing hospitalist in Chicago
- Elaine Maldonado, a 30+ year Coding Manager from California
They share their thoughts on the role of documentation, especially in relation to communicating the patient's story, and what the effect of CDI work is on effective coding.
Wiser Wednesday: EHRs - What is their purpose, anyway?
November's Wiser Wednesday-Experience Speaks podcast where Glenn Krauss invites our Special Guests:
- Craig Mills, Business Development Director for MBOS and
- Dr. Doug Cutler, a practicing hospitalist at Yavapai Medical Center
They share their thoughts on why the EHR must be thought of as a communication tool rather than just a reimbursement tool.
What should CDI be accomplishing to help facilitate recognition of the EHR as a communication tool that benefits the patient, the physician and all healthcare stakeholders. If the record is treated as a communication first and foremost, optimal reimbursement will be forthcoming.
Wiser Wednesday: KPIs for CDI Programs - What do they measure and why?
Our inaugural show was moderated by Glenn Krauss, CEO & Founder of Core-CDI with Special Guests:
- Terrance Govender, VP of Medical Affairs for ClinIntell
- Heidi Hillstrom, CDI Professional at St. Luke’s Hospital, Duluth, MN
They discuss KPIs for CDI programs as they are commonly being used today…
- Do current KPIs in CDI accurately and dependably measure true performance of a CDI program?
- Are these current measures valid and reliable? If so, to what purpose?
- What constitutes valid and reliable measures of CDI performance for driving and achieving continual documentation improvement?
Listen in to hear the scoop on the current state of affairs in CDI when it comes to KPI measures and understand why the profession is simply measuring the wrong indicators, continuing to go down the wrong path using the wrong approach to achieving documentation improvement.
