The Episodes

John Smith and the team behind The Podcast Show talks about your main topic here— the most popular crime podcast in history — and its social and political impact in America.

Unraveling Evaluation and Management : Documenting the Cheif Complaint

The documentation of the chief complaint is a crucial part of a patient's medical record. The chief complaint is the primary reason why a patient seeks medical attention, and it[...]

00:20:03

Breaking down CDI

In this episode, we are joined by our friend Glenn Krauss from CORE-CDI. Glenn and I had the opportunity to sit down and review[...]

00:35:32

Unraveling Evaluation and Management: Individual Patient Risk

In the second installment of our series on Evaluation and Management, we dive into the importance of two keys areas

Prescription Drug Management
Major vs Minor surgery

There[...]

00:47:08

Organized Healthcare Chaos with Jordan Johnson

The world of healthcare is in a state of chaos. With the rising costs of medical care, the increasing complexity of healthcare systems, and the changing landscape of insurance and[...]

00:30:53

Unraveling Evaluation and Management: Understanding a patients’ condition

In this exciting three-part series we will hear from our advisors all about how to unravel the E/M guidelines and how to interpret areas of documentation. In this episode, we[...]

00:36:34

Navigating the Minefield of Compliance

In our first episode of Season two, we start out with a very important topic that affects all in healthcare-Compliance!

It's more than understanding what it is, but also how[...]

00:35:26

Reboot: Are you a Patient Advocate?

In this final episode of 2022, we are bringing back a fan favorite and a very important topic. We must continue advocating for improved access to care, a better quality[...]

00:22:11

Improving Patient Communication

Do you communicate effectively with your patients? Is your business staff up to the challenge of the necessary communication needed to keep your patients happy?

Let's chat about necessary conversations[...]

00:24:14

Conversation with a Surgeon: Does your patient come first?

In this episode I had the privilege of interviewing my friend Dr. Michael Cross. Conversation with a Surgeon: Does your patient come first? -Unique challenges in Breast Oncology -Burdens physicians[...]

00:41:36

Diabetes Awareness Month: Documentation and Risk

In this episode we discuss Diabetes. November is Diabetes awareness month and we want to understand the impact on patient care and reimbursement and the cost of treating the condition.

[...]

00:35:17

What is your Linkedin Profile saying?

We have a bonus episode this week, to take a look at how we portray ourselves on Linkedin. Do we understand the proper etiquette? Have we made our profile attractive[...]

00:12:25

Value Based Care Mindset

In this episode we discuss the importance developing a Value Based Care Mindset. What can we do to improve in documentation in light of the new EM Revisions for 2023[...]

00:25:31

Physician and Coder: The Dynamic Duo

In this episode, we sit down with my friend and fellow podcaster Terry Fletcher and discuss the relationship between Physicians and coders. This is a significant relationship that helps utilize[...]

00:32:11

Decreasing the Prior Authorization Burdens

Are you feeling burdened down with the Prior Authorization processes? You are not alone.

In this episode we will chat with Manish Jain, Co-Founder and VP, Business[...]

00:32:36

Behind the Curtain with an Auditor

Join me and special guest Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI as we look "Behind the curtain with an Auditor"

[...]

00:44:21

MPFS Indicators

Check out me with my friend Pam Vanderbilt as we talk about Medicare and Modifiers. We will discuss the MPFS Indicators and why all in the Revenue Cycle need to[...]

00:45:40

Communication Barriers in the Business of Healthcare

Join me and my special guest Leslie Boles, BA, CCS, CPC, CPMA, CHC, CPC-I, CRC as we discuss the shift that needs to happen in the Business[...]

00:49:32

Are you just a Medical Coder?

This week we dive into the Revenue Cycle as it relates to Medical Coding. We encourage all to think about how their role as a Medical Coder is a peice[...]

00:31:30

Breaking Down the Global Package for ENT Services

In this special episode I am joined by my friend Barbara Cobuzzi MBA CPC COC CPC-P CPC-I CPCO CENTC CMCS. We will catch up with her and see what she's[...]

55:59

Unpacking the Global Package

In this weeks episode we continue our discussion from last week and discuss the purpose of the Global Surgical Package. It is a lot to discuss so we will break[...]

24:13

Modifier 25: A Story of Compliance

In this weeks episode we are joined by Sonal Patel, CPMA, CPC, CMC, ICDCM. She is a repeat guest and we are very excited to discuss Modifier 25. It has[...]

52:21

Replay: Telehealth challenges during the PHE and Beyond

We are on Vacation this week. Check out a replay of one of my favorite episodes with my dear friend Christine Hall --- Send in a voice message: https://anchor.fm/lifeasacoder/message Support[...]

45:40

Are you a Patient Advocate?

In this episode we will chat with Jared Walker, Founder at Dollar For where the goal is Advocating for patients to eliminate medical debt.[...]

25:24

Podiatry 101

We have a great Bonus Episode for everyone with my special guest Jessyka Burke. We discuss the ins and outs of Podiatry Billing and Coding Challenges.

Routine Footcare
NCCI

58:31

Are you a Healthcare Advocate?

In this episode we highlight why we are all here in the Business of Healthcare. To provide access to care for the patient population. It doesn’t matter what our role[...]

42:48

Is your staff up to the Challenge?

In this week's episode I dig into the heart of getting your providers paid. Many of the breakdown starts with the data collected at the time of the appointment. In[...]

37:38

What’s the Law got to do with it?

In this Bonus episode I am joined by Kimberly Clayson of Jaffe Raitt Heuer & Weiss as we give you a preview of the legal issues facing the industry and[...]

25:47

What Triggers a Behavioral Health Audit?

Welcome to Episode 1 of Season 6!

We are happy to invite our first guest of the Season Laurie Bouzarelos MHA,CPC on the show today to talk[...]

58:18

The Who, What, Where, When, Why and How of LCD Policies 1 CEU

In todays episode we dive into LCD policies, Coverage and Evaluation and Management tips for Diagnosis Documentation. It is so important to understand the impact that Medical Necessity and Coverage[...]

49:07

The Who, What, Where, When, Why and How of LCD Policies

In todays episode we dive into LCD policies, Coverage and Evaluation and Management tips for Diagnosis Documentation. It is so important to understand the impact that Medical Necessity and Coverage[...]

49:07

So you Wanna be a Medical Coder

In this Episode I welcome my colleague and Fellow Physician Educator Crystal Watters. Remote vs Onsite jobs Passing an exam doesn't guarantee a job Social media ettiqite True value of[...]

57:46

The Truth about Anxiety stress and success

In this final episode of our 4 part series with Behavioral Health I wanted to close out with awareness of Stress and Anxiety awareness.

April is #stressawarenessmonth and we[...]

25:29

The Clinical Side of Behavioral Health

Let's discuss the Clinical side of Personality Disorders. I have a special guest Paul Sheesley MA, LPC,LCPC,LCADC a clinical Psychotherapist and Consultant specializing in Personality disorders[...]

34:35

The Behavioral Health Crisis: Social Determinants of Health and Risk 1 CEU

In this episode I am joined by my colleague and friend Barbara Shaw, CPC, CPCO, CDEO, CRC, CEDC . W will discuss Risk adjustment and Social Determinants[...]

55:59

The Behavioral Health Crisis in the Workplace

In this episode we begin our four part series on the Behavioral Health Crisis. I will be sharing my thoughts on mental health in the workplace. I share what I[...]

28:17

The Behavioral Health Crisis PART 1

In this episode we begin our four part series on the Behavioral Health Crisis. I will be sharing my story that begins with my struggles with mental health. Through this[...]

37:40

Virtual Education is here to Stay

In this Episode I'm joined by Sarah Ragan. A seasoned coder and auditor. She's a great educator and mentor. Today we talk about the benefits of Virtual Education and why[...]

39:43

Oncology Discussion: Surgical, Medical and Radiation

Join me and my special guest Stephanie Thebarge CPC, CPMA, CPPM, CPB, CEMC, CHONC, PESC talking about all things #Oncology

We discuss the differences in Surgical Oncology,[...]

45:53

March Madness and Modifiers

In this Bonus Episode Kimberly Jolivette Williams CPC CPB CPMA CANPC CCC CEMC is my special guest. Its March Madness with Modifiers and we are here to talk about our[...]

1:12:02

March Madness and Modifiers 1 CEU

In this Bonus Episode Kimberly Jolivette Williams CPC CPB CPMA CANPC CCC CEMC is my special guest.

Its March Madness with Modifiers and we are here to talk about our[...]

1:12:02

From Coder to Instructor and our CPC Exam Tips

In this episode we will be joined by our special guest Mia Reddick-Smith, PMP, MBA, CPC-I. She has over 16 years’ experience working in healthcare revenue integrity and project management[...]

53:32

Be Successful in your Appeals Process

In this Episode I invite back my friend and fellow Podcaster Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM. She is the[...]

44:09

Navigating Workers Compensation, Tricare and Auto Insurance Billing

Join me and my Special Guest Jessyka Burke, BSHA, CPC, COSC, CASCC as we dive into the world of billing for Workers Compensation, Tricare and Auto Insurance[...]

40:09

Your Role in the Revenue Cycle

Everyone has a role to play in the Revenue Cycle. Its important that we understand each other's role to work better as a team. Join Vanessa Moldovan and myself as[...]

52:14

Surgery Coding: Dissecting an Operative Note

I get many questions about how to read and dissect an operative report. In an effort to answer some of those questions I have decided to talk about the process[...]

42:10

Telehealth challenges during the PHE and Beyond 1 CEU available

During the Public Health Emergency our world in the Business of Healthcare is constantly changing. One area we see constant movement in is Telehealth Services. Today my special guest Christine[...]

47:56

Be successful with Evaluation and Management in 2022

I'm going to make E/M coding easy for you in 2022 and review how to use the official AMA®️ MDM Table to level your codes. Plus key areas of Strategy[...]

1:08:41

Be successful with Evaluation and Management in 2022 1 CEU Available

I'm going to make E/M coding easy for you in 2022 and review how to use the official AMA®️ MDM Table to level your codes. Plus key areas of Strategy[...]

4121

Risk Adjustment: Data driven Healthcare

In our first episode of Season 5 we are hitting the ground running with a popular topic. Creating a Risk Adjustment Education experience for Coders and Facilities will be so[...]

2305

An Orthopedic Review and what’s new in 2022 1 CEU

There are many new changes to Orthopedic Coding in 2022. I will discuss those changes and how to be successful in reimbursement for these services. I will talk about the[...]

48:38

Stay Compliant with Copay Collections

Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and[...]

2066

Radiology Reimbursement: Documentation and Modifiers

Today we will discuss the various guidelines for reporting diagnostic services, Radiology Documentation requirements and Common Modifiers

Objective:

Section IV of the Official ICD10-CM Guidelines

CMS IOM 100 Guidelines for[...]

2616

Navigating the Credentialing Maze

Today we discuss the Maze of Provider Credentialing and Important reasons to Credential your Facility and Provider with an Insurance company.

Objective:

Using PECOS and CAQH

Importance of Payer Contract[...]

1854

Know your EOB and Denial Codes

Do you struggle with EOB Language and Denial Codes? Do you know how to understand the NCCI Manual or how to use an Encoder? All of these things are crucial[...]

3369

The Anatomy of the Medical Coding Career

Today I will be talking about my career path and how to navigate your career path in a similar way. I give you my take on the main Coding Certifying[...]

2844

Bonus: Maternity Global Billing and Anesthesia

Listen to our Bonus Episode of healthcarecrossroads featuring the one and only Kimberly Jolivette Williams CPC CPB CPMA CANPC CCC CEMC as we discuss Maternity Billing and Anesthesia. There will[...]

3468

Interview with Tech Giant Bettina Hein

Join me as I Interview Bettina Hein Bettina is a serial tech entrepreneur and founder of Pixability, which is a text-to-speech software that lives on in all Android phones and[...]

24:16

Spinal Fusion Coding CPT and PCS

Spinal Fusion coding can be complex especially if we do not understand Spinal Anatomy, Coding Guidelines and Payer Requirements. CMS and AMA can differ in their interpretation of documentation and[...]

44:40

Global Billing, Modifiers and GI Examples 1 CEU

Modifiers can be confusing since we have so many of them. There are CPT® modifiers and Payer specific ones to navigate through. Today we will focus in the most commonly[...]

48:02

Getting to Know your ICD10-CM Manual and No surprise Billing

As a Coder or Biller it is very important that we all understand the proper use of or Coding Manuals as the improper use of them can impact claims payment[...]

49:04

Bonus: Coding with Authority and Orthopedic Reminders 1 CEU

In this episode we will talk about coding with Authority and the importance of using the right resources when we do research and when we educate physicians. We will[...]

51:45

Prior Authorization Transparency and Effectiveness

Learn the importance of Prior Authorizations and how to protect your practice revenue as well as help ensure your patients are taken care of. We will discuss: Common Pitfalls Need[...]

19:52

Keep your Eye on Ophthalmology and Optometry Reimbursement

Ophthalmology and Optometry Coding and Billing has its own little niche that has many areas to be aware of: Coding and Billing CPT/ICD10-CM Injections EM vs Ophthalmic Eye Codes Surgical[...]

00:47:38

Keep your Eye on Ophthalmology and Optometry Reimbursement 1 CEU

Ophthalmology and Optometry Coding and Billing has its own little niche that has many areas to be aware of:

Coding and Billing CPT/ICD10-CM
Injections
EM vs Ophthalmic Eye Codes

47:03

Breaking down Evaluation and Management 2021 with Betty Hovey

We want to introduce our special Guest Betty Hovey Of Compliant Healthcare Solutions. She has over 30 years in the healthcare field, working with small and large facilities. Betty[...]

55:07

Bonus: Risk Adjustment Exam Tips

We will review the different areas of the Risk Adjustment Exam and how to network to get your first Risk Coding Job Objective: How to Become a Remote Risk Adjustment[...]

00:50:44

Bonus: Risk Adjustment Exam Tips 1 CEU

We will review the different areas of the Risk Adjustment Exam and how to network to get your first Risk Coding Job

Objective:

How to Become a Remote Risk[...]

50:10

ICD10-PCS Basic Structure

Let's learn the basic Structure of ICD10-PCS. It's so fun to code PCS. ● Root operations ● Approach ● Device and Qualifiers ● Examples Want to learn more? Join myself[...]

40:46

Cardiovascular Coding: ICD’s, LCD’s and the Dialysis Circuit 1CEU

In this episode we will break down the coding guidelines and discuss examples for Pacemaker and Defibrillator coding. We will also talk about the NCD/LCD policy for AICD and of[...]

55:02

Industry Perceptions with Dr Hale Hedley

In this episode I decided to Interview a Physician. Dr Hale Hedley is a Physician and Entrepreneur. Dr. Hale E. Hedley received an undergraduate degree in business with high honors[...]

32:40

BONUS: Vaccination Station and What’s New in 2022

We have our first Bonus episode talking about common coding areas that are misinterpreted for coding exams and common denials. Plus Join us as we dig into some new guidelines[...]

00:49:34

BONUS: Vaccination Station and What’s New in 2022 1 CEU

We have our first Bonus episode talking about common coding areas that are misinterpreted for coding exams and common denials. Plus Join us as we dig into some new guidelines[...]

48:59

Vaccination Station and What’s New in 2022

We have our first Bonus episode talking about common coding areas that are misinterpreted for coding exams and common denials. Plus Join us as we dig into some new guidelines[...]

48:06

Step outside 2021 Evaluation and Management

Let’s discuss the other areas of E/M that may have been forgotten by many in 2021. We have been overloaded with 2021 E/M guidelines but let's not forget those other[...]

38:02

Is Working from Home Working?

Many work from home and can be very productive. Some employers have concerns about moving to this platform

What the Data shows
Not all are cut out for Remote[...]

34:24

E/M 6 Month Checkup 1 CEU

Let’s do our 6 month Check up and see how we are doing with the New 2021 Guidelines Review: •Differences in Data Elements for each Level •Provider Education •Interpreting Minor[...]

50:49

Are you Following LCD Policies?

Are you familiar with how to use LCD Policies?

Review:

•Using your MAC Carrier

•Provider Education

•Examples of what is in a Policy

•Coding Articles

Become a Patron and[...]

19:46

E/M 6 Month Checkup

Let’s do our 6 month Check up and see how we are doing with the New 2021 Guidelines

Review:

•Differences in Data Elements for each Level

•Provider Education

•Interpreting Minor[...]

51:05

Creating a Culture of Compliance

Are you creating a Culture of Compliance? Join me and my special guest Mr Jose Delgado of EPI Compliance. EPI has an excellent program and service to help practices[...]

30:55

My favorite ICD10-CM Guidelines

I am a very passionate coder and I absolutely love ICD10! Today I will break down some of my favorite tips and guidelines. Our Agenda: Guideline Sections Diabetes Guidelines Coding[...]

36:39

Medical Coding Career Tips from a Recruiter Point of View

We have a very Special Guest Interview with Kyle Johnston, VP Client Services, Weller Healthcare IT Services that is here to help all Coding Professionals enhance their career and to[...]

41:06

Picking the Correct Textbook/Curriculum for each type of Learner

In this episode we will break down the best textbook and the best curriculum. You might be a little surprised by my answer. We will also break down the seven[...]

23:50

Meet the Instructor in Life as a Coding Instructor

In this episode we introduce the instructor and talk a little bit about the series! Grab a glass of sweet tea or coffee and listen in. --- Send in a[...]

11:16

Getting to know your HCPCS Manual

Get to know the very important HCPCS Level II Code book with us. Getting to know your code books is so important to be an effective coder and biller.

We[...]

23:54

Breaking down the CCS exam with AHIMA

In this episode we will break down the CCS exam from my point of view. I tested and passed at the end of April and I had no Inpatient coding[...]

32:59

Compliance and Risk in a Telehealth World

Listen as we discuss the modern world of Telehealth Services and the concerns over compliance

Objective:

What is Telehealth?
What are the Pros and Cons of Telehealth?
How[...]

19:51

Be Compliance Plan Savvy

Listen as we discuss the 7 key elements of Compliance Plan, There is alot of information out there on compliance plans. We will simplify what new practices need to know.

[...]

13:45

Talk Compliance with your Physician

Listen as we discuss the key elements of Compliance and how to help your Physician understand its importance.

Objective:

What is Compliance?

What are the different Laws in[...]

24:37

Common GI Billing Mistakes

We want to talk today about Common Billing Mistakes encountered when billing for Gastrointestinal Procedures. We will discuss common areas such as:

Modifiers
Coding Bundles
Patient Education
Documentation and[...]

26:04

Enter Health Information Management with the Right Credentials

Which organization fits me best?

Do I want to work for a Facility or Physician Practice?

Do I want to invest in a degree program or an express entry into[...]

37:50

Stressed Out: The Silent Killer

Are you stressed out?

This Month is Stress Awareness Month and has been since 1992. Let’s review why we need to be aware of Stress and its effect on our[...]

25:18

My First AAPC Healthcon

It was my first Healthcon from AAPC and I was invited as a speaker this year. It was a tough year in 2020 but in 2021 we were able to[...]

21:40

Podiatry Challenges with Routine Foot Care

Episode 6:

Routine Footcare is a great reimbursement challenge for many Clinics and Providers for both the Clinical Staff and the Billing Staff. We will discuss what Routine[...]

24:48

Recipe for Successful and Profitable Clinics

Welcome to the healthcarecrossroads Podcast Series brought to you by your friends at Ozark Coding alliance LLC. Discussing your life as a Medical Coder. Offering Coding Tips and Advice for[...]

37:24

Networking skills for Career Development

Welcome to the healthcarecrossroads Podcast Series brought to you by your friends at Ozark Coding alliance LLC. Discussing your life as a Medical Coder. Offering Coding Tips and Advice for[...]

19:16

Career Development Strategy in 2021

Welcome to the healthcarecrossroads Podcast Series brought to you by your friends at Ozark Coding alliance LLC. Discussing your life as a Medical Coder. Offering Coding Tips and Advice for[...]

23:24

Documentation Alert: Time to Sign

Let's get back to Compliance and educate our providers on Signing the Documentation and why it is so important. --- Send in a voice message: https://anchor.fm/jennifer-mcnamara8/message

11:26

MDM: Data Navigation

Join us as we talk about the Data Elements of the New MDM guidelines for 2021. We will review the definitions of each Category and offer tips for success in[...]

11:40

MDM Still drives the Bus

Lets talk about MDM!

• Updated MDM Tables

• New Definitions

• New Categories

New Course on the Upcoming changes by Ozark If you are Interested in Joining our November[...]

20:12

Welcome to ICD-10 CM 2021-Updates and Review

How are you Adjusting to the New Guidelines? Let’s talk about the updates and new codes Guideline Revisions New Codes: 490 Let's Review some of my Favorite New Updates ---[...]

19:30

Employment Opportunities for New Coders

We will discuss some of the challenges for New Coders as they look into the Industry Job Market and What they can do to Improve

• Job Searching Skills

•[...]

11:24

Mental Health in a Remote Role

We are launching our first Episode on the Importance of Mental Health. This is a timely topic as many are experiencing mental health issues related to being isolated more than[...]

12:45

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