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PODCAST

Off the Record with Brian Murphy

The only show where today’s top mid-revenue cycle leaders share the personal stories, struggles, and successes that you won’t hear on the big stage—but made them who they are today. Join host Brian Murphy as he interviews leaders and interesting personalities from HIM/coding, clinical documentation integrity (CDI), case management, and related healthcare fields about their origins, current challenges and successes, and lessons that you can apply to grow your own career.

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All Episodes

00:51:31

Antarctic Anecdotes: The real-life adventure of...

Off the Record with Brian Murphy ·

2023/06/06

There comes a point in our life when we all need to take an adventure. For most that means a vacation to an exotic faraway continent. For others, that might mean taking a new job, or changing careers altogether. Or starting a family. All of these are adventures of one sort or another. All are wonderful. But then there is Howard Rodenberg. Howard decided at age 60 to take a real-life adventure. To the South Pole, where today he is serving as a physician at the Amundsen-Scott South Pole Station

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00:50:13

Back from ACDIS, talking value-based care and...

Off the Record with Brian Murphy ·

2023/05/22

After a short break that was not really a break because we were on the road at ACDIS 2023 we're back with another episode of Off the Record. Today I’m joined by fellow conference-goer, presenter, and colleague Jason Jobes, senior vice president of solutions at Norwood. On this show we dive into the recently concluded ACDIS 2023 national conference in Chicago, which was my 15th (yes, I’ve been to every single one from 2008-present, not including the virtual event of 2020, and I think I’m the

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00:41:21

Payer perspective: A conversation with Colleen...

Off the Record with Brian Murphy ·

2023/05/03

CDI and coding professionals typically recoil from the dreaded word, “payer.” After all, provider-payer relationships are often adversarial at best, hostile at worst. Clarify the diagnosis or procedure with the physician, apply the medical code … only to have the payer downcode or outright deny the claim. My guest on today’s podcast understands the frustration because she once worked in the hospital setting. Today she works on the payer side. But here’s where things get interesting. New

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00:49:16

CDI-ing like its 1999: A conversation with Atrium...

Off the Record with Brian Murphy ·

2023/04/19

How long have you been in CDI, oh listener? Three years, five, 10? Maybe as many as 16, if you started back when CMS adopted MS-DRGs and ACDIS began, in the hazy, pre-Tik-Tok days of 2007? My most recent guest on Off the Record has been in CDI for 24 years, starting in 1999. Longer than she served at the bedside as a nurse. It’s possible some of my listeners are 24. She’s been there, done that, but still driving her program forward, never settling. Tamara Hicks is the Director of Clinical

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00:26:07

Legal eagle: Healthcare denials through the eyes of...

Off the Record with Brian Murphy ·

2023/04/05

Denials are a reality of life in the mid-revenue cycle. And they're not going anywhere. As Medicare Advantage (MA) grows—MA Organizations statistically deny more care than traditional Medicare—the volume of denied claims will only keep growing. I wanted to talk about this subject with someone who not only understands the current mine-filled landscape, but knows how to overturn a denial like a lawyer—because she happens to be one. Sarah Mendiola is the senior vice president of denials

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00:36:55

Banner Health’s Jami Woebkenberg: Managing the...

Off the Record with Brian Murphy ·

2023/03/22

“The pessimist complains about the wind. The optimist expects it to change. The leader adjusts the sails.” – John C. Maxwell It’s been said that there is no constant in life except for change. Jami Woebkenberg is proof. Jami is the Senior Director of HIM operations at Banner Health. Or at least, that’s her title now. She has had a few twists and turns over 19 years at the organization, which recently acquired a couple hospitals and clinics and added them to the system’s EMR last September

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00:33:04

What Would Nick Do? On building relationships and...

Off the Record with Brian Murphy ·

2023/03/08

When I started Off the Record, I wanted to launch a program that served the broader industry that serves the health record. That means, most of my guests work in the HIM/coding, CDI, case management, and trauma/oncology registry fields. But I also host folks who support the mid-revenue cycle—consulting, staffing, sales, legal, tech, and from time-to-time, members of my own company. And share their personal stories, too. On the latest episode of OTR Mike Behringer and I start with his unique take on

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00:57:31

Boston strong: Climbing the U.S. News and World...

Off the Record with Brian Murphy ·

2023/02/22

Since taking on the CDI director role at Brigham at Women’s Hospital in October 2017, Deb Jones has made big changes with big impact. These include: A deep focus on risk adjustment and mortality reviews. Boston is an incredibly competitive healthcare environment with 25 hospitals operating within the city. Patients have a choice of where to shop for care, which makes rankings in the likes of U.S. News and World Report absolutely critical for survival. In a 2022, Brigham made the honor roll by

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00:58:41

Always learning, always growing: Meet Keisha Downes,...

Off the Record with Brian Murphy ·

2023/02/08

CDI Director for Tufts Medicine. Recently went back to school to earn her MBA. Contributor to, and co-author of, the latest ACDIS-AHIMA physician query practice brief. Speaker at the upcoming ACDIS conference. And all-around cool person. Keisha Downes, BSN, RN, CCDS, CCS, joined me recently to talk about her impressive career in healthcare, a path that started from humble beginnings at Wal-Mart, then to nursing, travel nursing, and finally CDI, which took her from her home state of Virginia to my

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01:04:23

An EPIC discussion with Chris Petrilli, MD: Talking...

Off the Record with Brian Murphy ·

2023/01/25

Chris Petrilli is the Medical Director of Strategic Initiatives and Operations at NYU Langone Health. He’s an Associate Professor of Medicine at the NYU Grossman School of Medicine. … and he happens to have been a one-time stand-up comedian, whose gift for gab and comedic timing I can attest to. And may have been on the butt end of, a time or two. We get into all of this on a memorable episode of Off the Record. One of the reasons I started this podcast was to bring more people, personality, and

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01:02:04

“You need to have a vision”: A conversation with...

Off the Record with Brian Murphy ·

2023/01/11

You’ll find few CDI/coding personalities as big and colorful as Adelaide LaRosa—and fewer still with a broader and bolder vision for what mid-revenue cycle professionals can do, and should do, to improve the quality and financial health of their organizations. Catholic Health’s VP of HIM, CDI, EMPI, and DRG Appeals reordered the entire heart of coding, compliance, and reimbursement at the six-hospital system in New York, consolidating HIM and CDI into a seamless team led by three system director

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01:06:49

2022 in review, 2023 look ahead—and a whole lot in...

Off the Record with Brian Murphy ·

2022/12/21

For our final episode of 2022 we’re going off the record (even for Off the Record) with a couple interesting guests you may recognize from Brian’s home base at Norwood. This week we’re joined by CEO and Founder Justin Satterfield, and VP of Consulting Jason Jobes. As you might expect at the holidays the conversation is reflective, expansive, and personal. We look back at some of the common themes shared by Brian’s guests, including the importance of mentorship, discussing mentors who have made a

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01:02:58

Little-known profession, big organizational impact:...

Off the Record with Brian Murphy ·

2022/12/14

What the heck is a cancer registry professional? How can they impact quality (and even revenue, indirectly) in your hospital? And why do Harley Davidson and Indian owners despise each other (and is it possible to like both brands)? If you’re at all curious about these incongruous questions, the latest episode of Off the Record has answers. This week I’m joined by the one and only Ren Garcia, Oncology Data Manager and Registry Quality Analyst for Norwood. We cover: Why your hospital needs oncology

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01:02:39

RN and HIM can get along, after all: Meet Rebecca...

Off the Record with Brian Murphy ·

2022/11/30

HIM professionals and nurses can get along, after all. There has long been a divide in the clinical documentation integrity (CDI) profession over who can/should serve in the CDI role. Though it has lessened with the passing of years, that divide still exists today. Recent ACDIS survey data shows that 72% of CDI professionals are nurses. Nothing wrong with that; nurses make wonderful CDI professionals. But I know of many fine CDI professionals with HIM/coding backgrounds who have also succeeded in

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01:04:29

Hospitalist, family man, CDI guru of MedTwitter......

Off the Record with Brian Murphy ·

2022/11/16

Twitter is an … interesting place right now, due to the purchase of the platform by the lightning rod known as Elon Musk. Love or hate the platform, there is some great content being produced in some corners. Light, rather than heat. Which speaks to me. One such lantern-bearer in the storm is Dr. Robert Oubre, my guest on this week’s episode of Off the Record. Dr. Oubre is a hospitalist and part-time CDI medical director for 280-bed St. Tammany Parish Hospital in Covington, LA. He’s up to his neck

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01:01:41

A football mindset, delivered with a nurses’ caring:...

Off the Record with Brian Murphy ·

2022/11/02

What prompts a nurse working at the bedside to get into clinical documentation integrity (CDI)? Long, draining shifts, and burnout, are among a few that I’ve heard. Others include a desire to put their clinical acumen and physician communication skills to work in a different, less physically demanding capacity, but one that still engages the intellect. Robin Jones’ origin story is one worth hearing. It’s powerful, the most moving I’ve heard of to date on Off the Record. I won’t spoil it any further,

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00:59:39

"I like unique. Tell me something I don't know." Meet...

Off the Record with Brian Murphy ·

2022/10/19

“I like unique. Tell me something I don’t know.” That certainly describes this week’s guest. Tracy Boldt is the Director of CDI and Utilization Management at Essentia Health in Minnesota. Since September 2016 Boldt’s role has included providing leadership, direction and support in the development and management of CDI and UM at multiple Essentia Health sites. In this role Boldt collaborates closely with the utilization team, physician partners, and coding manager system wide. Recently she helped

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00:59:14

From meeting planner to medical coder ... meet UC...

Off the Record with Brian Murphy ·

2022/10/05

Tami McMasters-Gomez, BS, CCS-P, CDIP, CCDS, (MHL), is the Director of CDI and Coding Operations at UC-Davis Health in California. She has ultimate oversight of 80 employees, a team that is busy querying, coding, and abstracting data for a huge organization that includes its flagship 646-bed multispecialty academic medical center. Tami is a bright light in the field in all respects, and the accolades have been rolling in. This past May she was given the Recognition of Professional Achievement Award

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01:00:15

“To be a good leader you have to get your hands...

Off the Record with Brian Murphy ·

2022/09/20

To say LifePoint Health is a large healthcare system is like saying Nashville has a few good country music bands. Per its website, LifePoint’s healthcare delivery network spans 29 states and includes 62 community hospital campuses, 33 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum including acute rehabilitation units, outpatient centers, and post-acute care facilities. With that size and diversity comes incredible complexity

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01:00:51

CDI, denials, UM, and case management, under one...

Off the Record with Brian Murphy ·

2022/08/25

Susan Fantin, MSA, BSN, RN, CCDS, CDIP, is the Vice President of Integrated Care Management for McLaren Health in Grand Blanc, Michigan. A one sentence description that is a woefully inadequate descriptor of what she does. All of CDI, case management, utilization management, and denials run through Susan’s capable hands. Think, massive responsibilities. A staff of more than 300. Every new initiative, including a recent system-wide reorganization that aligned case management and CDI under one roof,

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