Talk Ten Tuesdays

The Center for Disease Control and Prevention (CDC) along with the National Center for Health Statistics (NCHS) jointly announced the agenda of its September 15-16, 2026, Coordination and Maintenance committee meeting.

During the live event, the public can view and provide feedback on proposed amendments to the International Classification of Diseases, 10th Edition (ICD-10), Clinical Modification (CM), and the HIPPA-sanction...

Like the virtual line between actors and the audience, an invisible line exists between doctors and patients.

Yet, Dr. Juliet B. Ugarte Hopkins will explore the sharp contrast in how pediatric and adult medicine address patient pain and fear. Reflecting on her own career choices and a lifelong needle phobia stemming from childhood medical experiences, Dr. Ugarte Hopkins will highlight how pediatric care could (and should) routinely ...

The recent $14.1 million False Claims Act settlement against Complete Health Partners Holdings, a management services organization operating provider groups in Florida, Alabama, and Colorado, brings to light the role coders can play in False Claims Act cases.

In this instance, it was alleged that Complete Health Partners Holdings directed physicians to add high-value, risk-adjusting codes for Drug and Alcohol Dependence and Major De...

Utilization managers (UMs) have long served as a resource for clinicians determining the appropriate patient status.

Key considerations include which clinicians are involved, how communication occurs, and how status orders are entered.

Because these processes can vary widely, it is essential to understand what is compliant, what carries risk, and what is simply not allowed.

That’s why it’s essential to stay current on the ...

Tuesday, July 28 marks the 700th live edition of the commemorative Talk Ten Tuesdays broadcast. And in honor of this celebration, the ICD10monitor producers of the popular news and information service have invited Dennis Jones, the assistant vice president of revenue cycle for Jefferson Health, to be the guest host.

During the first half of the broadcast, our other well-known subject-matter experts will also join the broadcast with ...

The squeeze is on.

Federal enforcement is intensifying, with behavioral health agencies facing heightened scrutiny following revealing reports from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). According to the OIG, there have been numerous fraud cases involving false claims and falsified documentation.

But among this emerging sturm und drang, there is a critical role that health in...

The secondary review: Corrective Backup? Or a layer of quality assurance?

Given that clinical documentation integrity (CDI) invariably has interpretative variability, a secondary review is intended to bring consistency to complex issues, according to the Talk Ten Tuesday special guest, Mary McGrady, vice president of CDI for Accuity Health. During the next live edition of the popular Internet broadcast, Mary McGrady will clear up th...

What happens when the Inpatient-Only (IPO) List goes away?

The entire list is expected to be eliminated Jan. 1, 2028.

This will necessitate careful, patient-specific status determinations, rather than automatic assumptions based only on the procedure being performed.

The removal of a procedure from the IPO list does not mean that every such procedure must be classified as “outpatient.” Instead, the clinical team must evalu...

Public comments have closed on the 2026 AHIMA-ACDIS Query Practice Brief.

In other words, the time to talk is over, and the time to listen has begun.

During the next live edition of the popular Internet broadcast Talk Ten Tuesdays, produced by ICD10monitor, you can hear out senior healthcare attorney Richelle Marting as she leads a reflection session to review key themes from the Brief.

She will also share her ...

After a two-year hiatus, the PEPPER (Program for Evaluating Payment Patterns Electronic Report) is back. It’s now available to all acute care hospitals and critical access hospitals. 

During the next live edition of Talk Ten Tuesday, Dr. Ronald Hirsch will share some insights that listeners can get from their PEPPER to improve their hospital’s compliance, quality, and revenue. 
 
To learn mor...

Nearly every American hospital has at least one physician advisor.

So, how does the physician advisor at your facility measure up? We reached out to longtime physician advisor Dr. Juliet Ugarte Hopkins to address this issue in her capacity as the special guest for the upcoming live edition of the popular Talk Ten Tuesday broadcast.

According to Dr. Ugarte Hopkins, also the chief medical officer for Phoenix Medical Man...

There’s a quiet battle taking place, with no field hospitals for the sick and wounded, and no bloodshed.

But the stakes are high, and the losses are unforgiving.

It’s the battle of algorithms.

Employed by both payers and providers, the ultimate prize: money, in the form of reimbursement from submitted claims for medical care. Payers deny and recoup. Providers bill as margins shrink.

During the next live edition of the ever-...

Although one could conclude that artificial intelligence (AI) is a relatively new technology in healthcare, the reality is that AI has been silently working in the shadows for a while now.

During the next live edition of the popular Talk Ten Tuesdays broadcast, you’ll hear how AI is guiding the technology of the automated query technology at HITEKS, under the supervision of Gerasimos Petratos, founder and CEO.

And what about th...

At last, the secrets of healthcare technology will be revealed during a fresh new two-part series, especially written for the accomplished healthcare professional who wants a refresher course on the latest developments that are quickly enveloping healthcare.

Coders, clinical documentation integrity specialists (CDISs), and Revenue Cycle professionals who comprise the Talk Ten Tuesday (TTT) audience and who live inside the chart and ...

The role of physician advisor began as a friendly clinical champion for case/utilization management and clinical documentation integrity (CDI) teams. Today, the role has evolved into a catchall profession within hospitals.  

With a scope that encompasses multiple departments within revenue cycle, quality, and hospital utilization, it has becoming increasingly difficult for single individuals to successfully engage with and meet...

What’s new for the proposed 2026 American Health Information Management Association/Association of Clinical Documentation Integrity Specialists (AHIMA-ACDIS) Practice Brief?

What’s unchanged? And what does it really mean to issue a “compliant” query in today’s healthcare landscape?

According to healthcare attorney Richelle Martin, the special guest for the next live edition of the popular Internet broadc...

Learning how daily payer logs can help you and your utilization review (UR) team identify denials earlier, strengthen communication between UR and clinical documentation integrity (CDI), and improve the defensibility of medical necessity carries the potential to be a game-changer for healthcare professionals.

During the next episode of Talk Ten Tuesday, Teri Rice, a regulatory specialist with HCPro, will highlight actionable strateg...

The Association of Clinical Documentation Integrity Specialists (ACDIS) will conclude the formal agenda of its Annual Conference at the close of business next Tuesday in Chicago, but not before the preeminent Dr. James S. Kennedy reports on the highlights of the 2027 Inpatient Prospective Payment System (IPPS) Proposed Rule.

Kennedy, no stranger to the Talk Ten Tuesday audience, will be the special guest during the next live edition...

Many of you dedicated healthcare professionals no doubt often find yourselves wearing many different hats, as does Penny Jefferson, cohost of the long-running Talk Ten Tuesdays weekly national podcast.

During the next live edition of the popular Internet program, Jefferson will serve as our special guest.

Jefferson is expected to report on the recent guidance and enforcement from the U.S. Department of Health and Human Services (HHS)...