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Talk Ten Tuesdays

Where Are the Best Coders? Part II

·29 min·2 clips
What if the solution to healthcare's coding workforce challenges has been hiding in plain sight?
The episode begins with hosts Chuck Buck and Penny Jefferson introducing the show and noting that Tammy McMasters Gomez will return later to continue a series on finding the best coders. Tim Powell anchors the news desk, explaining how hospitals in the 340B drug pricing program face a reimbursement squeeze when using rural reclassification to maintain eligibility, losing mandatory discounts for orphan drugs like gene therapies costing millions. Christine Geiger provides a coding report on PDPM audits in skilled nursing facilities, where the OIG found nearly all sampled claims non-compliant, leading to over $31.2 million in estimated Medicare overpayments and issues with sepsis coding. Tiffany Ferguson covers the social determinants of health, discussing the $50 billion Rural Health Transformation Program and its challenge in offsetting potential $911 billion Medicaid cuts over ten years, highlighting funding mismatches for rural systems. Cheryl Erickson delivers the CDI report on how ambient AI and EMR-embedded automation complicate provider documentation, with SNOMED-CT mapping leading to inaccurate diagnoses and the need for AI to improve diagnostic accuracy. Penny Jefferson presents her point of view on new OIG compliance guidance for Medicare Advantage, emphasizing a shift from coding accuracy to documentation defensibility and data integrity for providers. The episode concludes with Chuck thanking the panelists and teasing Tammy McMasters Gomez's return for part two on finding the best coders.

As heard by us

A live coding workforce episode widens into rural health policy, documentation, and compliant care operations.

Where healthcare finds its coders shapes this live Talk Ten Tuesdays episode, even as the planned second part of the workforce series waits for Tammy McMaster-Gomez's return.

Read the full review in PlayNext →

Why you'd press play

You want a live Talk 10 Tuesday catch-up that teases the coding-workforce question, then moves into coding news, rural health policy, and documentation pressure points.

Read the full recommendation in PlayNext →
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