In today's episode, we have a captivating discussion about a groundbreaking book that turns our understanding of healthcare as we know it today. Joining us is the esteemed Dr. Henry Buchwald, a seasoned healthcare professional who has witnessed the transformation of healthcare over the past 50 years. Drawing from his vast experience and keen observations, Dr. Buchwald offers a unique perspective on the current state of healthcare in the United States. Dr. Buchwald unveils a startling truth—that our healthcare system has strayed from its core purpose of prioritizing patient well-being. Instead, it seems to cater more to administrators and bureaucracy, resulting in an expensive and impersonal system that may not truly serve the best interests of the nation or its people. Dr. Buchwald fearlessly addresses the broken doctor-patient relationship and explores the profound effects of pandemics like COVID-19 on our healthcare system. He leaves us with his vision for the future and the areas where he believes our healthcare efforts should be focused. Prepare to have your perspectives challenged and your curiosity ignited as we venture into the world of "Healthcare Upside Down" with Dr. Henry Buchwald. So, grab a cup of coffee, sit back, and get ready to reexamine what you thought you knew about healthcare Grab a copy of this transformative masterpiece Now by visiting https://www.amazon.com/Healthcare-Upside-Down-Critical-Examination/dp/303107162X --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

In this episode we delve into the critical issue of healthcare cybersecurity and its increasingly vital role in protecting sensitive patient data. As digital transformation accelerates within the healthcare industry, the risks and challenges associated with cybersecurity have become more pronounced. Join our expert guest, Britton Burton with Corl Technologies. Britton is a cybersecurity specialist in the healthcare sector. He shares invaluable insights and practical advice on fortifying healthcare systems against cyber threats. Britton brings a wealth of experience in safeguarding patient privacy, mitigating vulnerabilities, and implementing effective cybersecurity strategies. During this engaging conversation, we explore the evolving landscape of healthcare cybersecurity, highlighting the following key topics: The Current Threat LandscapeEmerging Cybersecurity TechnologiesBest Practices for Healthcare OrganizationsThe Human Factor Join us for this eye-opening episode as we unpack the challenges and opportunities within healthcare cybersecurity and discover practical strategies to safeguard patient data and maintain trust in the digital era. --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

In this captivating episode, we delve into the realm of digital transformation in healthcare and explore its profound impact on patient care. Our expert guest in digital transformation Unmesh Srivastava, will shed light on various facets of this transformation, including the adoption of value-based care, harnessing the power of AI technology, and the crucial aspect of cultural sensitivity. Join us as we uncover how healthcare providers are redefining their practices to prioritize value-based care. Discover how value-based care not only improves patient satisfaction but also enhances overall health outcomes while reducing costs. We then delve into the vast potential of AI technology in revolutionizing healthcare. We will discuss cutting-edge applications, such as predictive analytics, machine learning, and natural language processing, which are transforming the way healthcare is delivered. Learn how AI-powered systems can streamline diagnosis, personalize treatment plans, and optimize resource allocation, ultimately leading to improved patient care and more efficient healthcare workflows. But amidst the rapid technological advancements, our discussion takes a thoughtful turn towards cultural sensitivity in healthcare. We explore the importance of recognizing and respecting diverse cultural backgrounds, beliefs, and practices in the context of patient care. Our guests highlight the need for healthcare organizations to foster cultural competence, train their staff, and leverage technology to bridge cultural gaps, ensuring equitable and inclusive healthcare for all. Learn more about what Clever Healthcare is doing to advance digital transformation in healthcare. --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

This episode will discuss how to build meaningful relationships with patients, caregivers, and healthcare professionals. You will learn to build strong relationships with your teams, peers and external stakeholders. We will provide insights on how to build and maintain relationships that are beneficial to the organization as a whole. We will interview Jennifer Krippner Chief Experience Officer at the Institute for Healthcare Excellence Developing trust, communication, accountability, feedback and teamwork. Impacts that health care organizations have on the broader community, which will help leaders better understand the big picture. Valuable lessons that will equip and empower leaders to improve their relationships. Guest Jennifer Krippner Chief Experience Officer The Institute for Healthcare Excellence Jennifer Krippner is a leading expert on patient experience and relationship centered care. Jennifer has more than 20 years of expertise in strategic planning, patient experience, physician development and employee/community engagement. Prior to her lead role at The Institute for Healthcare Excellence, she was director of physician development and guest relations at Maple Grove Hospital in Minnesota. While there, she led staff-driven patient experience advisory teams and developed projects that directly contributed to consistent top tier performance in key patient and staff satisfaction results. --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

In this podcast episode, we sit down with Joey Dizenhouse, an expert in pharmacy benefit management (PBM). We explore the latest data trends in the PBM market, including rising healthcare costs. We also delve into the growing importance of data analytics and technology in managing pharmacy benefits and improving patient outcomes. Throughout the episode, Joey shares his experiences and observations from his work in the PBM industry and as a patient advocate, offering valuable insights into the challenges and opportunities facing patients, providers, and PBMs in today's rapidly evolving healthcare landscape. Whether you're a healthcare professional, patient, or simply interested in the latest trends and developments in the pharmacy benefit management industry, this podcast episode is a must-listen. Rising Healthcare Costs Growing importance of data tracking for improved patient outcomes Benefits and Challenges of Increased use of technology Focus on patient engagement Impact and lessons learned since Covid19 Patient Advocacy and Copay Assistance Programs Ale.desjean@healthtrustpg.com and todd.devree@healthtrustpg.com https://healthtrustpg.com/thesource/candid-conversations/inflation-reduction-act/ https://healthtrustpg.com/ihp/human-capital/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

In this episode, we are showing our support for primary care physicians and how we can help them improve documentation.Primary care physicians are the backbone of our healthcare system. They provide comprehensive health care services to patients and serve as the first line of defense against illness and disease. Unfortunately, primary care physicians often struggle to keep up with the mountain of documentation requirements required which means that their time spent with patients is diminished, resulting in less efficient patient care. That’s why we are here today, to discuss ways that primary care physicians can improve their documentation without sacrificing the quality of their patient care. We will chat with our special guest, national speaker, and risk adjustment expert Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I Let's break down HCC and documentation areas of concern to improve efficiency, and calculation of true patient risk and help improve the quality of care. Direct Supervision and Telehealth post-PHE What is extended until 2024? Proper telehealth communication post-PHE Documentation that supports clinical indicators --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

The documentation of the chief complaint is a crucial part of a patient's medical record. The chief complaint is the primary reason a patient seeks medical attention, and it is important to document it accurately to ensure proper diagnosis and treatment. In this episode, we will discuss Documentation vs Guidelines What the payers are saying There is a level of critical thinking needed by coders and auditors. Our advisors will discuss these areas in detail Let's tune in to our advisors Jennifer McNamara CCS,CPC,CDEO,CPMA,CRC,CGSC,COPC AAPC Approved Instructor Email Jennifer at ⁠jmcnamara@oncospark.com⁠ Visit her website: ⁠https://www.sparkadvise.com⁠ Hear her speak at RevCycle Symposium and AAPC Healthcon Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM Email Terry at ⁠terryfletchercpc@aol.com⁠ Visit her website: ⁠http://www.terryfletcher.net/⁠ Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I Email Christine at ⁠christine.hall.guru@gmail.com⁠ Visit her website: ⁠https://www.stirlingglobalsolutions.com/⁠ Hear her speak at various ⁠Oncospark Conferences⁠ Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI Email Betty at ⁠bettyhovey@chcs.consulting⁠ Visit her website: ⁠https://chcs.consulting/⁠ Follow Betty to a location near you: ⁠https://chcs.consulting/events/⁠ Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Email Sonal at ⁠paintthemedicalpicturepodcast@gmail.com  --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 the CDI programs for Inpatient and Outpatient and how important CDI is to the healthcare industry. We will discuss the following: The medical record as a communication tool versus a reimbursement tool Physician documentation improvement must be physician-centric and physician driven Compliance and ethics in Physician Documentation Improvement must be an integral part of any program Can CDI programs elevate compliance risk unknowingly without proper precautions being taken? Find Glenn at the upcoming Pain Management Compliance Symposium on April 13 and CDI Symposium 2023 on September 13-14 --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 is a level of critical thinking needed by coders and auditors. Our advisors will discuss these areas in detail Let's tune in to our advisors Jennifer McNamara CCS,CPC,CPMA,CRC,CGSC,COPC AAPC Approved Instructor Email Jennifer at jmcnamara@oncospark.com Visit her website: https://www.sparkadvise.com Hear her speak at RevCycle Symposium and AAPC Healthcon Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM Email Terry at terryfletchercpc@aol.com Visit her website: http://www.terryfletcher.net/ Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I Email Christine at christine.hall.guru@gmail.com Visit her website: https://www.stirlingglobalsolutions.com/ Hear her speak at RevCycle Symposium Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI Email Betty at bettyhovey@chcs.consulting Visit her website: https://chcs.consulting/ Follow Betty to a location near you: https://chcs.consulting/events/ Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Email Sonal at paintthemedicalpicturepodcast@gmail.com  She is  speaking  @1pm EST on February 20 and 21, 2023 at Assent Global on Auditing in 2023 Part I: Focus on New E/M Standards in the Office/Outpatient Setting; and Auditing in 2023 Part II: Focus on New E/M Standards in the Inpatient Setting, respectively. She has a weekly Compliance & Auditing Tip for NAMAS® on 2/23/2023 titled, Dawning of a New Era: The Sun Rises on New E/M Standards in 2023 and Beyond. --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 payment options, it can be difficult for patients and providers to navigate the system. While there are some efforts to organize healthcare chaos, there is still much work to be done. In this episode, we sit down with Healthcare data and expert Jordan Johnson, MSHA, iMPaCT to discuss: Staff Shortages ️SDOH ️Population Health ️Coding and Billing Challenges Learn more at the RevCycle Symposium on Feb 23, 2023  Grab Tickets HERE --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 will look at how to interpret some key definitions in the MDM  that affect a patient's condition. The meaning of acute vs chronic Exacerbated conditions vs severe exacerbations Complicated vs uncomplicated conditions There are many areas to dissect and you simply cannot do it without research, communication, and a good understanding of anatomy and disease processes. . Let's tune in to our advisors  Jennifer McNamara CCS,CPC,CPMA,CRC,CGSC,COPC AAPC Approved Instructor Email Jennifer at jmcnamara@oncospark.com Visit her website: https://www.sparkadvise.com Hear her speak at RevCycle Symposium and AAPC Healthcon Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM Email Terry at terryfletchercpc@aol.com Visit her website: http://www.terryfletcher.net/ Christine Hall CHC(AAPC Instructor) CPC,CPB,CPMA,CRC,CEMC,CPC-I Email Christine at christine.hall.guru@gmail.com Visit her website: https://www.stirlingglobalsolutions.com/ Hear her speak at RevCycle Symposium Betty Hovey, BSHAM CCS-P CDIP CPC COC CPMA CPCD CPB CPCI Email Betty at bettyhovey@chcs.consulting Visit her website: https://chcs.consulting/ Follow Betty to a location near you: https://chcs.consulting/events/ Sonal Patel, BA, CPMA, CPC, CMC, ICDCM Email Sonal at paintthemedicalpicturepodcast@gmail.com  She is  speaking  @1pm EST on February 20 and 21, 2023 at Assent Global on Auditing in 2023  Part I: Focus on New E/M Standards in the Office/Outpatient Setting; and Auditing in 2023  Part II: Focus on New E/M Standards in the Inpatient Setting, respectively. She has a weekly Compliance & Auditing Tip for NAMAS® on 2/23/2023 titled, Dawning of a New Era: The Sun Rises on New E/M Standards in 2023 and Beyond. --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 we view it and how we navigate the many levels.  Today we sit down and chat with Compliance and Legal expert Susan Walberg JD, a consultant, and writer in all things compliance.   Susan will tell us all about her latest Compliance Books and Non-Fiction books that are designed to shed light on meeting industry standards and navigating the legal minefields in healthcare. We will discuss  What compliance is and why we need it  Areas of Compliance concern Better communication skills are needed between clinical and business teams  Compliance hot topics such as Privacy/Security and OSHA  Compliance and Technology concerns  Prepare your practice and facility for compliance challenges and jump over to Amazon to check out all things Compliance with Susan Walberg Susan Walberg Books on Amazon : Insiders Guide to Compliance for Physician Practices Paperback – November 28, 2019  Insider's Guide to Compliance: Real-World Advice for Building a Successful Compliance Program Paperback – February 20, 2018 --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 of care, and better patient rights and protections. We sat down with Jared Walker the Founder of Dollar For and we dig into the importance of hospitals being transparent about their charity programs and empowering patients to take control of their healthcare Dollar For is a program that provides financial assistance to individuals advocating for themselves or their loved ones in the healthcare system. Dollar For offers financial assistance to help cover the cost of medical bills, medications, and other expenses associated with medical bills. The program also provides resources and support to help individuals navigate the healthcare system and make informed decisions. Learn how you can help others by volunteering and becoming a patient advocate Volunteer as a Patient Advocate at https://dollarfor.org/get-involved/ Apply for assistance at https://forms.dollarfor.org/ Do you need education for your facility on how to improve your patient advocacy and improving in your billing and communication process?  Sign up for the Rev Cycle Symposium to be held virtually on Feb 23, 2023 Tickets are on Sale Now!  Visit https://www.eventbrite.com/e/revcycle-symposium-tickets-482774289897 --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 that require communication Explaining Financial responsibility Communication regarding Prior Authorizations Effectively communicating prior to the patient appointment Legal requirements for Copays Join us fo the RevCycle Symposium February 23, 2023 Online and On Demand  --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 face -Communication with teams -Patient education -Preventative measures and cost --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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.  How Diabetes affects Cost in Value-Based Care ICD10-CM Coding Guidelines Documentation and Risk Learn more by scheduling an onsite review and education session with your physicians - Contact our Advisory Network  --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 to a future or current employer? Let's take a break and get Linkedin Savvy! --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 that now encompasses Hospital Charges? Do we understand basic definitions and how they will affect Value Based Care payments? Do we understand basic documentation guidelines? Contact jmcnamara@oncospark.com to schedule your physicians annual Value Based Care training.  --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

In this episode I invite my special guest Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I  to discuss the Global Package. We will discuss the proposed revisions by CMS and the history of it since 1992. Are we ready for a revision? Let's find out What changes have technology and advances in medicine brought us? Are you getting involved and sharing what challenges your practice is facing? Specialty Specific Global Care for Orthopedics and Dermatology Is your EMR up the challenge? Using Subject Matter experts to improve operations and discover missed opportunities costing your practice Could revising the global package lead to better patient care? Check out some great resources: Global Package FAQ Global Surgery Indicators RAND Report CMS-1751-F Contact jmcnamara@oncospark.com for more information on improving your operations with coding and revenue challenges --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support

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 both the clinical and business sides of medicine. This partnership ensures compliance, and accurate revenue and allows the physician to focus on patient care while enabling the coder to make sure the revenue is solid. When physicians keep their hard-earned income, the practice can flourish and patients can continue to receive services. Terry and I will discuss: Expectations of Physicians and Coders Eliminating communication gaps with the assistance of Practice Management Having difficult conversations with physicians How consultants have become effective educators Increase your revenue and decrease denials with an effective denial management program that consists of Data Reviews, Audits, and Education with Oncospark! Contact jmcnamara@oncospark.com for more information. Check out more episodes from our special guest Terry Fletcher at the CodeCast Podcast on Apple, Spotify, Google, and many more platforms --- Send in a voice message: https://podcasters.spotify.com/pod/show/healthcrossroads/message Support this podcast: https://podcasters.spotify.com/pod/show/healthcrossroads/support