- 17
- Episodes
- 5
- Ratings
- 2020
- First episode
About Includes Podcast
Proximal Edge's Includes Podcast with Marlegny Mourino was created for all professionals supporting the business of Healthcare, "Includes Podcast" covers topics on medical billing, medical coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more. From experts to newly certified, or just starting your Healthcare career, this Podcast is for you! ***Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer***
- Publisher
- Marlegny Mourino
- Category
- business
- Language
- en
- Explicit
- No
- First episode
- 6 Feb 2020
- Latest episode
- 14 Jun 2022
Latest episodes
17 episodes in the feed.
14 Jun 2022
S3E1#17 Interview with Sarah Ragan COC, CPC, CPMA, CRC, CFPC, AAPC Approved Instructor! Part 1!
Welcome to Proximal Edge Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have our second interview with my friend Sarah Ragan COC, CPC, CPMA, CRC, CFPC, AAPC Approved Instructor. She is a dedicated medical coder with more than 8 years of experience analyzing patient charts for clean billing. Implementing her passion as a coder to segue into educating as a virtual speaker and instructor. She values education, training, proficiency, and compliance. In the first part of our interview, some of the things we discuss are: How she got started in Healthcare, from clinical to coding Common myths about the profession Resources that have helped her along the way The three people who have been the most influential to her both personally and professionally Please make sure to find and follow Sarah below is her LinkedIn Profile: LinkedIn: https://www.linkedin.com/in/sarah-ragan-coc-cpc-cpma-crc-cfpc-aapc-approved-instructor-65987a91/ (https://www.linkedin.com/in/sarah-ragan-coc-cpc-cpma-crc-cfpc-aapc-approved-instructor-65987a91/) Our Webpage: https://www.proximaledge.com/ (https://www.proximaledge.com/) Todo Incluido Podcast: https://anchor.fm/todo-incluido (https://anchor.fm/todo-incluido) Email: IncludesPodcast@gmail.com (mailto:IncludesPodcast@gmail.com) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
22 Apr 2021
S2E3#16 Interview with Brian Cui, RHIA, CDIP! Part 2!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have part 2 of my very first interview with my friend from Medical Coding Geeks and Not Elsewhere Classified Podcast "Brian Cui, RHIA, CDIP". He is an HIM professional with more than 18 years of experience in a variety of roles in health information technology, clinical documentation improvement, adult education, and auditing. Brian is the Facebook group administrator of Medical Coding Geeks, RHIT & RHIA Exam Support, and the Clinical Documentation Improvement Network. In 2017 he became the creator and host of Not Elsewhere Classified, a podcast created to share stories and insights from professionals in the medical coding, HIM, and CDI community. He is an advocate for HIM professionals in the Clinical Documentation Improvement Industry. He serves as a mentor for the American Health Information Management Association. In the first part of our interview, some of the things we discuss are: His favorite past times Advice in maintaining work and life balance What is in store for Brian Cui for the next couple of years What he would tell his young self if he could go back in time and visit with him Advice to new coders or people that want to be coders What would he have asked himself during the interview that I did not ask him Please make sure to find and follow Brian, also subscribe and listen to his podcast "Not Elsewhere Classified". The links are below: Not Elsewhere Classified Podcast: https://podcasts.apple.com/us/podcast/not-elsewhere-classified/id1255756755 (https://podcasts.apple.com/us/podcast/not-elsewhere-classified/id1255756755) Medical Coding Geek: https://www.medicalcodinggeek.com/ (https://www.medicalcodinggeek.com/) Medical Coding Geek YouTube Channel: https://www.youtube.com/c/MedicalCodingGeekVideos/featured (https://www.youtube.com/c/MedicalCodingGeekVideos/featured) Our Webpage: https://www.proximaledge.com/ (https://www.proximaledge.com/) Todo Incluido Podcast: https://anchor.fm/todo-incluido (https://anchor.fm/todo-incluido) Email: IncludesPodcast@gmail.com Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
1 Apr 2021
S2E2#15 Interview with Brian Cui, RHIA, CDIP! Part 1!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! In this episode, I have our very first interview with my friend from Medical Coding Geeks and Not Elsewhere Classified Podcast "Brian Cui, RHIA, CDIP". He is an HIM professional with more than 18 years of experience in a variety of roles in health information technology, clinical documentation improvement, adult education, and auditing. Brian is the Facebook group administrator of Medical Coding Geeks, RHIT & RHIA Exam Support, and the Clinical Documentation Improvement Network. In 2017 he became the creator and host of Not Elsewhere Classified, a podcast created to share stories and insights from professionals in the medical coding, HIM, and CDI community. He is an advocate for HIM professionals in the Clinical Documentation Improvement Industry. He serves as a mentor for the American Health Information Management Association. In the first part of our interview, some of the things we discuss are: How he got started in Healthcare CDI How can a coder transition into CDI? A day like in his shoes Common myths about the CDI profession Resources that have helped him along the way The three people who have been the most influential to him both personally and professionally Please make sure to find and follow Brian, also subscribe and listen to his podcast "Not Elsewhere Classified". The links are below: Not Elsewhere Classified Podcast: https://podcasts.apple.com/us/podcast/not-elsewhere-classified/id1255756755 (https://podcasts.apple.com/us/podcast/not-elsewhere-classified/id1255756755) Medical Coding Geek: https://www.medicalcodinggeek.com/ (https://www.medicalcodinggeek.com/) Our Webpage: https://www.proximaledge.com/ (https://www.proximaledge.com/) Todo Incluido Podcast: https://anchor.fm/todo-incluido (https://anchor.fm/todo-incluido) Email: IncludesPodcast@gmail.com (mailto:IncludesPodcast@gmail.com) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
13 Jan 2021
S2E1#14 New Year Goals and Motivation!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! I hope you had a great Christmas and New years! In this episode I opened up a little bit about my family, shared my 2020 goals and how to get started this 2021! If you need a little motivation to get started or keep on going on, this episode will definitely give you a little extra push. If you need more motivation and more information on creating SMART goals, please take some time to review the reference links in the episode description below: 1. Todo Incluido Podcast: https://anchor.fm/todo-incluido (https://anchor.fm/todo-incluido) 2. Webpage: https://www.proximaledge.com/ (https://www.proximaledge.com/) 3. Email: IncludesPodcast@gmail.com (mailto:IncludesPodcast@gmail.com) 4. The Substance Abuse and Mental Health Services Administration (SAMHSA): https://www.samhsa.gov/find-help/national-helpline (https://www.samhsa.gov/find-help/national-helpline) 5. Smart Goals: https://www.mindtools.com/pages/article/smart-goals.htm (https://www.mindtools.com/pages/article/smart-goals.htm) 6. The Greatness Within: https://www.youtube.com/watch?v=HiyYEVcU1tI&list=PLkdxgc6x3C6Kv4cdzJnjes3sM_QbB5BJT&index=1 (https://www.youtube.com/watch?v=HiyYEVcU1tI&list=PLkdxgc6x3C6Kv4cdzJnjes3sM_QbB5BJT&index=1) 7. Audiobook No Excuses Free: https://www.youtube.com/watch?v=4D-eGgB5lvA (https://www.youtube.com/watch?v=4D-eGgB5lvA) 8. Audiobook Awaken the Giant Within book Part I: https://www.youtube.com/watch?v=H6UtuuDr3eo (https://www.youtube.com/watch?v=H6UtuuDr3eo) 9. Audiobook Awaken the Giant Within book Part II: https://www.youtube.com/watch?v=xJVmLXUHzpo (https://www.youtube.com/watch?v=xJVmLXUHzpo) 10. Audiobook Awaken the Giant Within book Part III: https://www.youtube.com/watch?v=-J9Ai2tgdU4 (https://www.youtube.com/watch?v=-J9Ai2tgdU4) 11. https://www.ted.com/talks/amy_cuddy_your_body_language_may_shape_who_you_are?language=en (https://www.ted.com/talks/amy_cuddy_your_body_language_may_shape_who_you_are?language=en) 12. https://www.youtube.com/watch?v=UFKCLjhO2bo (https://www.youtube.com/watch?v=UFKCLjhO2bo) 13. https://www.youtube.com/channel/UC5QsW5oHau40D3UrdHy1YSw (https://www.youtube.com/channel/UC5QsW5oHau40D3UrdHy1YSw) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
8 Dec 2020
S1E11#13 E&M 2021 Updates!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "The E&M 2021 changes" Significant changes have been made to the E/M codes and guidelines for 99202-99215, these changes will replace our 1995 and 1997 guidelines and will be taking effect January 2021. History and exam are still important parts of the note and may contribute to the time and medical decision making; medical necessity is still the overarching criterion for code selection. The time in the code descriptors will change from “typical” to “minimum”. MDM is the other criteria we can use, instead of using time to select the E&M code. New Code: 99417 for prolonged services, reported with 99205 or 99215, if the codes were selected based on the time alone and if services take longer than what is outlined on the code (99205 & 99215). Note: Please check with your payer for specific time needed to be able to use code 99417. The AMA has provided a table with their definitions and instructions in selecting the level: https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf (https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf) Join me in this episode as I discuss these upcoming changes for E&M! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com (https://IncludesPodcast@gmail.com/) 2. https://www.aapc.com/evaluation-management/em-codes-changes-2021.aspx (https://www.aapc.com/evaluation-management/em-codes-changes-2021.aspx) 3. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes (https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes) 4. https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know (https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know) 5. https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set (https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set) 6. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf (https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf) 7. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training ) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
10 Nov 2020
S1E10#12 Overview of CPT 2021 Updates!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "CPT 2021 changes"! 2021 is right around the corner. Did you order your new CPT book? Changes to CPT® for 2021 include 329 editorial changes these changes are: 206 new codes; 69 revised code descriptors; and 54 deleted codes. Join me in this episode as I discuss these upcoming changes for CPT...! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com (//IncludesPodcast@gmail.com) 2. https://www.aapc.com/resources/medical-coding/cpt.aspx (https://www.aapc.com/resources/medical-coding/cpt.aspx ) 3. https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set (https://www.ama-assn.org/press-center/press-releases/ama-releases-2021-cpt-code-set ) 4. https://www.ama-assn.org/system/files/2020-10/coronavirus-long-descriptors.pdf (https://www.ama-assn.org/system/files/2020-10/coronavirus-long-descriptors.pdf ) 5. https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf (https://www.ama-assn.org/system/files/2019-06/cpt-office-prolonged-svs-code-changes.pdf ) 6. https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know (https://www.ama-assn.org/practice-management/cpt/em-office-visit-changes-track-2021-what-doctors-must-know ) 7. https://www.ama-assn.org/practice-management/cpt/2021-cpt-code-set-reflects-tech-innovation-covid-19-response (https://www.ama-assn.org/practice-management/cpt/2021-cpt-code-set-reflects-tech-innovation-covid-19-response) 8. https://www.ama-assn.org/practice-management/cpt/new-cpt-codes-published-sars-cov-2-multiplex-assays (https://www.ama-assn.org/practice-management/cpt/new-cpt-codes-published-sars-cov-2-multiplex-assays ) 9. https://www.ama-assn.org/practice-management/cpt/cpt-codes-new-coronavirus-vaccines-what-you-need-know (https://www.ama-assn.org/practice-management/cpt/cpt-codes-new-coronavirus-vaccines-what-you-need-know 10. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes ) 10. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes (https://www.ama-assn.org/practice-management/cpt/cpt-codes-new-coronavirus-vaccines-what-you-need-know 10. https://www.ama-assn.org/practice-management/cpt/10-tips-prepare-your-practice-em-office-visit-changes ) 11. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training ) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
27 Oct 2020
S1E9#11 Part 2! ICD-10-CM 2021 Updates! Chapters 12-22!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode “Includes”, an overview of all of the changes that took effect on October 1st, 2020 for ICD-10-CM chapters 12-22. So, have you picked up your new 2021 ICD-10-CM book? Have you pulled up these changes in the CMS or CDC website? What are the changes? If you have not or if you have, you have come to the right place. Keep listening....! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com (https://www.proximaledge.com/cpc-online-course) 2. https://www.cms.gov/medicare/icd-10/2021-icd-10-cm (https://www.aapc.com/certification/cpc/) 3. https://www.cdc.gov/nchs/icd/icd10cm.htm#FY%202020%20release%20of%20ICD-10-CM (https://www.aapc.com/certification/cpc/) 4. https://www.cdc.gov/nchs/icd/icd10cm.htm (https://www.aapc.com/certification/cpc/) 5. https://www.icd10monitor.com/overview-of-icd-10-cm-and-pcs-coding-guideline-changes-for-2021 (https://www.aapc.com/certification/cpc/) 6. https://www.aapc.com/blog/51606-see-whats-new-for-icd-10-cm-2021/ (https://www.aapc.com/certification/cpc/) 7. https://www.aapc.com/blog/51117-sneak-a-peek-at-icd-10-cm-2021/ (https://www.aapc.com/certification/cpc/) 8. https://www.proximaledge.com/cpc-online-review (https://www.proximaledge.com/cpc-online-review) 9. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
13 Oct 2020
S1E8#10 Part 1! ICD-10-CM 2021 Updates! Chapters 1-11!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "ICD-10-CM Changes", October is here! Our new ICD-10-CM is out! This episode “Includes”, an overview of all of the changes that took effect on October 1st, 2020 for ICD-10-CM chapters 1-11. So, have you picked up your new 2021 ICD-10-CM book? Have you pulled up these changes in the CMS or CDC website? What are the changes? If you have not or if you have, you have come to the right place. Keep listening....! Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com (https://www.proximaledge.com/cpc-online-course) 2. https://www.cms.gov/medicare/icd-10/2021-icd-10-cm (https://www.aapc.com/certification/cpc/) 3. https://www.cdc.gov/nchs/icd/icd10cm.htm#FY%202020%20release%20of%20ICD-10-CM (https://www.aapc.com/certification/cpc/) 4. https://www.cdc.gov/nchs/icd/icd10cm.htm (https://www.aapc.com/certification/cpc/) 5. https://www.icd10monitor.com/overview-of-icd-10-cm-and-pcs-coding-guideline-changes-for-2021 (https://www.aapc.com/certification/cpc/) 6. https://www.aapc.com/blog/51606-see-whats-new-for-icd-10-cm-2021/ (https://www.aapc.com/certification/cpc/) 7. https://www.aapc.com/blog/51117-sneak-a-peek-at-icd-10-cm-2021/ (https://www.aapc.com/certification/cpc/) 8. https://www.proximaledge.com/cpc-online-review (https://www.proximaledge.com/cpc-online-review) 9. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
9 Sept 2020
S1E7#9 In Depth Look at the CPC Exam, Tips, Test Taking Strategies, and More!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "Everything you need to about how to prepare for the CPC Exam"! This episode “Includes”, a breakdown of the CPC exam, how to prepare for the exam, both online and physical testing options, testing strategies, removing the apprentice designation (CPC versus CPC-A), as well as Practicode and Project Xtern. Please join me in this episode as I discuss the everything you need to get started with your certification process and get closer to your career goals. Here are my references for this episode: 1. Email: IncludesPodcast@gmail.com (https://www.proximaledge.com/cpc-online-course) 2. https://www.proximaledge.com/cpc-online-review (https://www.proximaledge.com/cpc-online-review) 3. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training) 4. https://www.aapc.com/training/ (https://www.aapc.com/training/) 5. https://www.aapc.com/certification/cpc/ (https://www.aapc.com/certification/cpc/) 6. https://www.aapc.com/certification/cpc/#tab-2 (https://www.aapc.com/certification/cpc/) 7. https://www.aapc.com/certification/cpc/#tab-3 (https://www.aapc.com/certification/cpc/) 8. https://www.aapc.com/certification/cpc/#tab-4 (https://www.aapc.com/certification/cpc/) 9. https://www.aapc.com/certification/cpc/#tab-5 (https://www.aapc.com/certification/cpc/) 10. https://www.aapc.com/certification/cpc/#tab-2 (https://www.aapc.com/certification/cpc/) 11. https://www.aapc.com/apprentice/applied-experience.aspx (https://www.aapc.com/certification/medical-coding-certification.aspx) 12. https://www.aapc.com/medical-coding-jobs/project-xtern/ (https://www.aapc.com/medical-coding-jobs/project-xtern/) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
11 Aug 2020
S1E6#8 So......You Want to be a Coder? You Can Be & Do Anything You Set Your Mind To!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "Everything you need to know about becoming a coder"! Including the job roles for both billers and coders, as well the program expectations, Certifications and different certifying organization. Please join me in this episode as I discuss the questions and research that you need to do to ensure you meet your career goals. Here are my references for this episode: 1. https://www.proximaledge.com/cpc-online-course (https://www.proximaledge.com/cpc-online-course) 2. https://www.proximaledge.com/cpc-online-review (https://www.proximaledge.com/cpc-online-review) 3. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training) 4. https://www.aapc.com/training/ (https://www.aapc.com/training/) 5. https://www.aapc.com/certification/cpc/ (https://www.aapc.com/certification/cpc/) 6. https://www.aapc.com/certification/medical-coding-certification.aspx (https://www.aapc.com/certification/medical-coding-certification.aspx) 7. https://www.aapc.com/medical-coding-jobs/project-xtern/ (https://www.aapc.com/medical-coding-jobs/project-xtern/) 8. https://www.ahima.org/certification-careers/certifications-overview/ (https://www.ahima.org/certification-careers/certifications-overview/) 9. https://www.americanmedicalbillingassociation.com/cmrs-information (https://www.americanmedicalbillingassociation.com/cmrs-information) 10. https://www.ncctinc.com/certifications/ins (https://www.ncctinc.com/certifications/ins) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
14 Jul 2020
S1E5#7 Auditing, Goals, Reasons, Types, and Call to Action!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers the "Ins and Outs of Auditing"! We know that the business of medicine is highly complex, ever changing, and tightly regulated, Hospitals, clinics, and private physicians’ practices must contend with many issues to stay in business. Auditing not only plays a vital role in keeping healthcare organizations in compliance with the necessary legal requirements and regulations but also in improving the quality of patient care and services. Please join me in this episode as I discuss the goals of medical audit, reasons to perform an audit, the types of audits and steps to conduct an audit, as well as a call to action for all coders, auditors, supervisor, managers, and directors. Here are my references for this episode: 1. http://OIG.HHS.Gov (http://oig.hhs.gov/) 2. http://OIG.HHS.Gov/compliance/rat-stats/index.asp (http://oig.hhs.gov/compliance/rat-stats/index.asp) 3. https://www.aapc.com/medical-auditing/medical-auditing.aspx (https://www.aapc.com/medical-auditing/medical-auditing.aspx) 4. National Alliance of Medical Auditing Specialists - https://namas.co/ (https://namas.co/) 5. American Association of Medical Audit Specialists - https://www.aamas.org/ (https://www.aamas.org/) 6. https://my.ahima.org/careermap/index.html?id=64 (https://my.ahima.org/careermap/index.html?id=64) 7. https://namas.co/auditing-services/ (https://namas.co/auditing-services/) 8. https://www.ama-assn.org/practice-management/cpt/13-reasons-your-practice-should-have-medical-record-audit (https://www.ama-assn.org/practice-management/cpt/13-reasons-your-practice-should-have-medical-record-audit) 9. https://www.medicalbillersandcoders.com/blog/what-is-medical-auditing-how-it-can-be-performed/ (https://www.medicalbillersandcoders.com/blog/what-is-medical-auditing-how-it-can-be-performed/) 10. https://blog.mgallp.com/types-of-healthcare-audits-and-the-benefits (https://blog.mgallp.com/types-of-healthcare-audits-and-the-benefits) 11. https://www.foxgrp.com/hipaa-compliance/healthcare-compliance-audits-variety/ (https://www.foxgrp.com/hipaa-compliance/healthcare-compliance-audits-variety/) 12. https://www.meremhealth.com/medical-auditing/ (https://www.meremhealth.com/medical-auditing/) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
9 Jun 2020
S1E4#6 Federally Qualified Health Centers, Everything you Need to Know!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers "Federally Qualified Health Centers"! Federally Qualified Health Centers (FQHC) trace their history back to the Neighborhood Health Centers that emerged from the Lyndon Johnson administration’s War on Poverty in 1965. FQHCs are “safety net” providers, they may be Community Health Centers, Migrant Health Centers, Health Care for the Homeless, Health Centers for Residents of Public Housing, and Outpatient Health Programs funded by the Indian Health Service. The main purpose of the FQHC Program is to enhance the provision of primary care services in underserved urban and rural communities. Please accompany me in this episode where I cover the history, what they are, what they do, and briefly cover to how to code and bill for Medicare and Medicaid visits. Here are my references for this episode: 1. https://findahealthcenter.hrsa.gov/ (https://findahealthcenter.hrsa.gov/) 2. https://www.fqhc.org/ (https://www.fqhc.org/what-is-an-fqhc)what-is-an-fqhc (https://www.fqhc.org/what-is-an-fqhc) 3. https (https://www.raconline.org/topics/federally-qualified-health-centers)://www.raconline.org/topics/federally-qualified-health-centers# (https://www.raconline.org/topics/federally-qualified-health-centers)benefits (https://www.raconline.org/topics/federally-qualified-health-centers) 4. http (http://www.nachc.com/client/documents/America%27s%20Health%20Centers%20Fact%20Sheet%20August%202011.pdf)://www.nachc.com/client/documents/America%27s%20Health%20Centers%20Fact%20Sheet%20August%202011. (http://www.nachc.com/client/documents/America%27s%20Health%20Centers%20Fact%20Sheet%20August%202011.pdf)pdf (http://www.nachc.com/client/documents/America%27s%20Health%20Centers%20Fact%20Sheet%20August%202011.pdf) 5. https (https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html)://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html (https://www.hrsa.gov/opa/eligibility-and-registration/health-centers/fqhc/index.html) 6. http://www.nachc.org/wp-content/uploads/2017/06/Chartbook2017.pdf (http://www.nachc.org/wp-content/uploads/2017/06/Chartbook2017.pdf) 7. https (https://physicianservicesusa.com/fqhc-billing-101/)://physicianservicesusa.com/fqhc-billing-101/ (https://physicianservicesusa.com/fqhc-billing-101/) 8. https://www.aapc.com/blog/43060-learn-how-to-avoid-fqhc-billing-roadblocks/ (https://www.aapc.com/blog/43060-learn-how-to-avoid-fqhc-billing-roadblocks/) 9. https (https://www.fachc.org/health-center-compliance)://www.fachc.org/health-center-compliance (https://www.fachc.org/health-center-compliance) 10. https://www.chcchronicles.org/histories (https://www.chcchronicles.org/histories) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
19 May 2020
S1E3.5#5 Apology and Compliance Summary!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! I created this episode to apologize to all of my listeners because our last episode did not include the correct audio file, although I rectify this issue and I know you have already listened to the correct audio file, I still felt the need to make a public apology and will ensure that this does not happen again. Also, in this episode you will find a short summary of compliance and the steps of the compliance plan. Please make sure to listen to our previous episode to learn about these concepts more in depth. As promised here are my references: 1. https://oig.hhs.gov/compliance/index.asp (https://oig.hhs.gov/compliance/index.asp) 2. https://oig.hhs.gov/compliance/compliance-resource-portal/ (https://oig.hhs.gov/compliance/compliance-resource-portal/) 3. https://www.hcca-info.org/ (https://www.hcca-info.org/) 4. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance) 5. https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance (https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance) 6. https://oig.hhs.gov/compliance/compliance-guidance/index.asp (https://oig.hhs.gov/compliance/compliance-guidance/index.asp) 7. https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp (https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp) 8. https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx (https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx) 9. https://www.aapc.com/healthcare-compliance/faq/ (https://www.aapc.com/healthcare-compliance/faq/) 10. https://namas.co/ (https://namas.co/) 11. https://www.doctors-management.com/dm-blog/sean-m-weiss/ (https://www.doctors-management.com/dm-blog/sean-m-weiss/) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
13 May 2020
S1E3#4 The Ins and Outs of Compliance and the Role of the Compliance Officer!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers the "Ins and Outs of Compliance and the Role of the Compliance Officer"! Healthcare compliance is the process of following rules, regulations, and laws that relate to healthcare practices. In general, compliance means conforming to a rule, such as a specification, policy, standard or law. Every healthcare organization must have some level of compliance in order to operate effectively. Ultimately, healthcare compliance is about providing safe, high-quality patient care. Here are my references for this episode: 1. https://oig.hhs.gov/compliance/index.asp (https://oig.hhs.gov/compliance/index.asp) 2. https://oig.hhs.gov/compliance/compliance-resource-portal/ (https://oig.hhs.gov/compliance/compliance-resource-portal/) 3. https://www.hcca-info.org/ (https://www.hcca-info.org/) 4. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance (https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/ProviderCompliance) 5. https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance (https://www.cms.gov/Medicare/Compliance-and-Audits/Part-C-and-Part-D-Compliance-and-Audits/ComplianceProgramPolicyandGuidance) 6. https://oig.hhs.gov/compliance/compliance-guidance/index.asp (https://oig.hhs.gov/compliance/compliance-guidance/index.asp) 7. https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp (https://oig.hhs.gov/compliance/compliance-guidance/compliance-resource-material.asp) 8. https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx (https://www.aapc.com/healthcare-compliance/healthcare-compliance.aspx) 9. https://www.aapc.com/healthcare-compliance/faq/ (https://www.aapc.com/healthcare-compliance/faq/) 10. https://namas.co/ (https://namas.co/) 11. https://www.doctors-management.com/dm-blog/sean-m-weiss/ (https://www.doctors-management.com/dm-blog/sean-m-weiss/) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
15 Apr 2020
S1E2#3 COVID-19 Background, Coding, and How to Stay Busy and Calm During the Quarantine!
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This episode covers coding and billing during this time has not been easy and with the constant changes it might seem like we cannot keep up. Please join me as I discuss some of the changes which are constantly updating as well as tips on how to stay sane during the quarantine. Here are my references and resources where you can find more information and also keep up to date with new developments and updates: 1. https://donself.com/covid?fbclid=IwAR3v-jwKNgGDV-Gj5udSFPQXjkO9c9dbRZPnKd4pjpuV3Q-1AMKBTGiKmmA ( https://donself.com/covid?fbclid=IwAR3v-jwKNgGDV-Gj5udSFPQXjkO9c9dbRZPnKd4pjpuV3Q-1AMKBTGiKmmA) 2. https://www.who.int/classifications/icd/covid19/en/ (https://www.who.int/classifications/icd/covid19/en/) 3. https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf (https://www.cms.gov/files/document/summary-covid-19-emergency-declaration-waivers.pdf) 4. https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests (https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests) 5. https://www.cms.gov/files/document/03052020-medicare-covid-19-fact-sheet.pdf (https://www.cms.gov/files/document/03052020-medicare-covid-19-fact-sheet.pdf) 6. https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests (https://www.cms.gov/newsroom/press-releases/cms-develops-additional-code-coronavirus-lab-tests) 7. https://www.cdc.gov/coronavirus/2019-ncov/whats-new-all.html (https://www.cdc.gov/coronavirus/2019-ncov/whats-new-all.html) 8. https://www.cdc.gov/coronavirus/types.html (https://www.cdc.gov/coronavirus/types.html) 9. https://www.cdc.gov/coronavirus/2019-ncov/faq.html#Coronavirus-Disease-2019-Basics (https://www.cdc.gov/coronavirus/2019-ncov/faq.html#Coronavirus-Disease-2019-Basics) 10. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html (https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/prevention.html) 11. https://www.cdc.gov/coronavirus/2019-ncov/faq.html#How-COVID-19-Spreads (https://www.cdc.gov/coronavirus/2019-ncov/faq.html#How-COVID-19-Spreads) 12. https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf (https://www.cdc.gov/nchs/data/icd/ICD-10-CM-Official-Coding-Gudance-Interim-Advice-coronavirus-feb-20-2020.pdf) 13. https://www.cdc.gov/nchs/data/icd/Announcement-New-ICD-code-for-coronavirus-3-18-2020.pdf (https://www.cdc.gov/nchs/data/icd/Announcement-New-ICD-code-for-coronavirus-3-18-2020.pdf) 14. https://journal.ahima.org/new-icd-10-cm-code-for-covid-19-becomes-effective-october-1/ (https://journal.ahima.org/new-icd-10-cm-code-for-covid-19-becomes-effective-october-1/) 15. https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html (https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
10 Mar 2020
S1E1#2 Growing your Professional Network - Host/Podcast Background
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer! This first episode covers my background as a coder, biller, compliance, educator, and subject matter expert experience as well as the reason and inspiration for developing this podcast. I also cover information about growing your professional network, as well as companies, people, other podcasts, and YouTube channels to follow. 1. Email: (https://www.proximaledge.com/cpc-online-course)IncludesPodcast@gmail.com (https://IncludesPodcast@gmail.com/) 2. https://www.proximaledge.com (https://www.proximaledge.com/cpc-online-course) 3. https://www.proximaledge.com/revenue-integrity-rcm (https://www.proximaledge.com/revenue-integrity-rcm) 4. https://www.proximaledge.com/cpc-online-course (https://www.proximaledge.com/cpc-online-course) 5. https://www.proximaledge.com/cpc-online-review (https://www.proximaledge.com/cpc-online-review) 6. https://www.proximaledge.com/education-and-training (https://www.proximaledge.com/education-and-training) 7. https://www.proximaledge.com/live-and-on-demand-webinars (https://www.proximaledge.com/live-and-on-demand-webinars) 8. https://www.proximaledge.com/speaking-engagements (https://www.proximaledge.com/speaking-engagements) Join me every month to learn more about billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
6 Feb 2020
S1E0#1 Includes Podcast Trailer
Welcome to Proximal Edge's Includes Podcast series with your host Marlegny Mourino, MHSA, M.Ed, CPC, CPB, CPCO, CIRCC, CPMA, CPC-I, CEMA, CRCR, AHI, CMAS, NCMA, AHIMA Approved ICD-10-CM /PCS Trainer. Join me every month starting on March 2020, where I will cover topics on billing, coding, auditing, compliance, stories of professionals in the field, healthcare industry news, coding updates, career advice, personal development, and so much more! If you would like to be featured on an episode, or would if you would like to become a sponsor of Includes Podcast, as well as getting answers to your questions please contact me by visiting ProximalEdge.com or email me at IncludesPodcast@gmail.com
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