Talk Ten Tuesdays

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 ...

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...

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 ...

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.<...

Once a relic symbolic of earlier times in medicine, the Inpatient-Only (IPO) List has been added to the junkyard of outdated medical processes and practices.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....

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 organiz...

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 Ca...

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 t...

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 p...

Are you wondering what connects the nouns in the headline together?

It’s a Medicare cognitive screening devise. Look at these words and commit them to memory. Try to repeat back this list of words twice a day, from memory: Apple, Chair, Ocean, Book, and Clock.  

During the next live edition of the popular Talk Ten Tuesday live Internet broadcast, Gloryanne Bryant will report on what 
some medical experts say a...

Anyone who has been working within the scope of hospital case/utilization management for any period of time has heard of the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation.

But are you familiar with the CMS Conditions for Coverage?  Sometimes referred to as “conditions of payment,” these requirements must be met in order for federal health plans to pay a healthcare facility for a submitted claim.

Welcome...

They were once called “clinical documentation improvement” specialists, charged with correcting the medical record to identify an overlooked diagnosis that carried the potential to increase revenue. Later, the description was changed to clinical documentation “integrity” (CDI) specialists. 

But that was then. This is now.

Today, the job description continues to change. CDI professionals are being asked to take on more and more respon...

Since 80 percent of a person’s health is influenced by factors outside of medical care, it is critical that a healthcare system has an understanding and appreciation for the circumstances of patients’ daily lives that impact their health outcomes, referred to as the social determinants of health (SDoH). 

During the next live edition of Talk Ten Tuesday, Lauren Montwill, Vice President of Community Health and Social Impact ...

It’s often said that “words matter.”

And hospital patient status assignment is no exception. 

What do your teams say when a patient is in inpatient status which isn’t supported?  How about the reverse: when a patient is in outpatient status with observation services. Can your team change to inpatient? 

Words matter, and Dr. Juliet Ugarte Hopkins, chief medical officer for Phoenix Medical Management, Inc., will explain precisely how im...

A new version of the Sequential Organ Failure Assessment (SOFA) score, has been introduced.

The new revision aligns the organ dysfunction measurement in critically ill adults with current clinical practices, especially those diagnosed with sepsis.

Published Oct. 29 in Journal of the American Medical Association (JAMA) and is available here https://jamanetwork.com/journals/jama/fullarticle/2840822.

During the next live edition of Talk ...

Welcome to “Is Ambient Listening Right for You?” Or, in the alternative, “Free AI Tools and Other Expensive Mistakes.”

Nick van Terheyden, MD, the special guest during the next live edition of Talk Ten Tuesdays, says he has seen enough of artificial intelligence (AI) “helpers” turn doctors into unpaid editors and part-time exorcists for hallucinating software.

“Clinicians signed up to heal humans, not debug bots,” Dr. Nick said. “Yet...

H.R. 1, known as the One Big Beautiful Bill Act (OBBBA), is set to reshape hospital finances by cutting an estimated $840 billion from Medicaid and Patient Protection and Affordable Care Act (PPACA) funding. As hospitals absorb these losses, many are tightening budgets, reducing staff, and facing renewed labor tensions.

For the first time, clinical documentation integrity (CDI) teams are part of this unionized landscape, connecting ...

Have you been told that Medicare and Medicare Advantage (MA) patients who have difficulties with activities of daily living (ADLs) are appropriate for inpatient status if their hospital stay crosses a second midnight? 

What direction have you received about “discharge effectuation?” 

Are your physicians keen on placing the majority of their patients into inpatient status because they want to prevent delivery of an expensive hospital ...

Join us this coming Tuesday, Oct. 14, when Talk Ten Tuesday will bring you an exclusive interview with two nationally recognized healthcare leaders: Thea Campbell and Mackenzie Higgins. Thea Campbell is the 2026 AHIMA President-Elect and Mackenzie Higgins is the 2025 AHIMA Emerging Star award recipient.

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