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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

00:55:54

Outpatient OG: Amy Campbell on Pre-Visit Reviews, Pet...

Off the Record with Brian Murphy ·

2025/12/05

Outpatient CDI is still in its pioneer-”ish” stage. Why do I say that? Per the most recent ACDIS survey data, only 31% of respondents indicated their organization had a dedicated OP CDI program. Progress, but not enough, and still a minority. So when you find an “OG” who has been working in risk adjustment for well over a decade, you need to pay attention. Odds are they’ve got some lessons to share and wisdom to confer. That certainly describes Amy Campbell, Director of Outpatient CDI for LifePoint

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00:40:29

From Resistance to Results: Provider engagement from...

Off the Record with Brian Murphy ·

2025/11/17

No matter how great your CDI program is—its spectacular workflow, outstanding chart review team, on-point KPIs, shiny new AI tools—nothing works if you don’t have engaged physicians. It still all comes down to provider engagement. Without a physician staff who is bought in and willing to participate and document with specificity in the health record, all these efforts are for naught. But with great engagement, great things are possible. So where are we today with the big daddy of all CDI topics

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00:39:11

Coaching Clinicians, Convincing Crowds: Susanna...

Off the Record with Brian Murphy ·

2025/10/29

Fans of Off the Record may recall my recent episode with Chris Petrilli, Director of Revenue Cycle of Operations at NYU Langone, who joined me to discuss his experience delivering a TEDx Talk on artificial intelligence. Chris was well prepared and delivered a great lecture, which you should definitely check out on YouTube. And on the podcast he sang the praises of a coach brought in to prep him and other NYU Langone staff for the big day on the big stage. My wheels started to spin, I reached out..

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00:54:15

Documentation with a Pulse: Erin Kreider on ethics,...

Off the Record with Brian Murphy ·

2025/10/15

Erin Kreider gives me hope for the future of the CDI profession. That’s a pretty positive first impression for someone I recently met. Why do I say this? Erin is a newly-minted clinician who returned to medical school after nursing and CDI to become a nurse practitioner (NP), and now sees patients once a week. Her “welcome mat” on LinkedIn lists her core passions, which include clinical honesty and ethical integrity in the final code set, advocating for patients’ rights and best interests, and

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00:59:48

The ROI of Outpatient CDI

Off the Record with Brian Murphy ·

2025/10/01

Many healthcare organizations know they need an outpatient CDI program, but are tripped up by the most fundamental question: What is the expected return on investment after a considerable upfront investment of time, human capital, training, and technology? Discover the tangible impact of outpatient CDI on revenue, risk capture, provider alignment, and compliance in this special session of Off the Record. Jason Jobes, Senior Vice President, Solutions, Norwood, and Carol Ann Hudson, AVP of Quality and

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00:48:45

Retiring, But Not Quietly: Fran Jurcak on Tech,...

Off the Record with Brian Murphy ·

2025/09/18

If you’ve been in the CDI space for any length of time you probably know the name Fran Jurcak. After a memorable stint as an ER/trauma nurse, CDI and then consulting, Fran made an impact in ACDIS, serving on the CCDS certification committee and later the ACDIS advisory board. She authored and continues to author the CCDS Exam Study Guide. But what makes Fran unique is that she’s never afraid to share her opinion—or make a big career move. Fran made the successful leap from traditional consulting

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00:56:58

Rethinking Rankings: A Smarter Approach to Hospital...

Off the Record with Brian Murphy ·

2025/08/28

Cheryl Manchenton and I go back a long way—I once took a ride from a Las Vegas casino to the airport with her after an ACDIS conference well over a decade ago. And I’ve learned over the years she also happens to be as sharp—and as outspoken—as anyone I’ve ever met regarding the subject of healthcare quality, specifically measuring hospital quality with coded or abstracted data and how it all relates to the work of mid-revenue cycle professionals. I think we even talked quality on the way to the

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00:43:00

From NYU to TEDx: Chris Petrilli on Tech, Trust, and...

Off the Record with Brian Murphy ·

2025/08/11

Some of us dream of being able to say, “Thank you for Coming to my Ted Talk.” Others wilt at the thought of getting on stage to deliver not just a lecture on a complicated or sensitive topic, but a performance. My guest today Dr. Chris Petrilli has delivered. My first Ted Talk alumni on Off the Record (of which I’m aware) recently presented How AI could help doctors detect patterns before a Ted Talk audience. This show delves behind the scenes of a Ted Talk. But it does a lot more: We get deeply

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00:53:59

From Coding to Cabo: Following your bliss with...

Off the Record with Brian Murphy ·

2025/07/23

I don’t know this with certainty, but I probably have more than one listener dreaming of starting their own business, in the mid-revenue or elsewhere. Others might be content in their current roles as CDI, coding, or mid-revenue cycle professionals, but are also looking forward to their big trip in August. Today’s guest is living the best of both worlds. Melanie Kiss started Chicas Abroad in 2021 with a small group of friends who shared a joint love for travel and adventure. Prior to that she had

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01:05:04

Code Red: Aligning Risk Adjustment with CMS’s New...

Off the Record with Brian Murphy ·

2025/07/09

For this week’s episode I’m bringing you something a little different, but of such importance that I had to share it with my Off the Record audience: The massive audit expansion of Medicare Advantage announced by CMS. In case you missed it, CMS in May rocked the mid-revenue cycle industry with the unveiling of a startling mandate. It will hire 2000 medical coders, beef up its audit technology, and expand its current limited auditing scope from 60 Medicare Advantage Plans to some 550 plans nationwide

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00:42:20

Anybody Listening? Ambient AI and the Future of...

Off the Record with Brian Murphy ·

2025/06/25

In 1990 the heavy metal band Queensryche asked its listeners, “Is there anybody listening?”, a lament for not being heard in a world of overstimulation, noise and artificially. In healthcare in 2025, the answer is yes: someone is listening. But the listener just might be a machine. Ambient AI is one of the most promising applications of the recent AI wave, in my opinion anyway and possibly that of my guest, Dr. David Canes. Dr. Canes is a Boston-area urologist, owner of WellPrept, and a

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00:49:04

Rising from ruin and talking telehealth, SDOH with...

Off the Record with Brian Murphy ·

2025/06/11

Regular listeners of Off the Record will recall Keisha Wilson, whom I hosted on the program in June 2024 to talk about telehealth as well as her story of entrepreneurship. She was a bright light and a great guest, so I asked her to return to the show a couple months ago. Keisha accepted, and is here today, but it’s a near miracle. Eight months ago Keisha suffered an unimaginable tragedy, the loss of her home following a gas explosion and subsequent fire at a neighbor’s home. This included the loss

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00:33:00

An urgent issue: How admit type can skew quality metrics

Off the Record with Brian Murphy ·

2025/05/28

I’m recently back from the 2025 ACDIS national conference, and as usual flush with the latest in CDI trends, education, and breaking news. And right at the top of my takeaways is a seemingly innocuous classification with big ramifications: admit type. What makes this a big deal? Some hospitals appear to be playing a bit fast and loose with guidance from the National Uniform Billing Committee (NUBC) in order to classify surgical admits as “urgent” rather than the more accurate “elective.” Doing so

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00:55:44

Work-Life Wins with A.J. Hegg: New Essentia Health...

Off the Record with Brian Murphy ·

2025/05/09

Until about 6-7 years ago A.J. Hegg had little idea what the acronyms CDI or UM were, much less what they did or how they helped hospitals. Today the Essentia Health hospitalist is leading a new physician advisor program and making a big impact on his organization. Both from a quality and financial perspective, but also on the personal lives of a diverse team of physician advisors who have managed to incorporate life balance into their work. Listen in as we cover: Hegg’s origin story into CDI,

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00:43:36

Transcription to Trailblazer: Glenda Bocskovits’...

Off the Record with Brian Murphy ·

2025/04/18

Outpatient CDI is not a traditional discipline—and so it stands to reason that its practitioners don’t always hail from traditional backgrounds. One such person is Glenda Bocskovits. I’d call her a former transcriptionist, but she still practices that craft with the Mayo Clinic. But Glenda has since expanded her career into cutting edge practice as an outpatient CDI specialist with Catholic Health. We get into Glenda’s unique career path, the obstacles of breaking into CDI as a non-clinician, and

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00:51:02

Mission-Driven Medicine: Dr. Pablo Buitron de la...

Off the Record with Brian Murphy ·

2025/04/02

Social Determinants of Health, or SDOH, are a buzzword these days—but often little more. We acknowledge their importance, but actual progress on capture (and subsequent patient support) has been slow. To be fair real barriers including technological limitations and limited financial incentives stand in the way. But my current guest understands better than most the major role SDOH play in patient health. He and his organization have developed a digital tool to facilitate capture and improve the lives

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00:54:42

Cracking the Code: Victoria Vo’s Path to...

Off the Record with Brian Murphy ·

2025/03/12

I’ve been in the coding and CDI worlds since 2004, and in that time watched the rise of Facebook, YouTube and other social media. And as early 2011 or so I began to wonder, will anyone pair these two together? When will see our first social media creator in the world of medical coding, making it his or her full-time gig? I’m pleased to say that the day has arrived. Victoria Vo is a Medical Coding Educator, Auditor, YouTuber, Entrepreneur, and founder of Contempo Coding, LLC. Her YouTube channel has

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00:48:37

One More Round: Sheila Duhon’s Unexpected Return to...

Off the Record with Brian Murphy ·

2025/02/26

Even if you’ve never seen The Godfather, you've probably heard its iconic line: “Just when I thought I was out, they pull me back in!" That certainly applies to Sheila Duhon, National Director of Clinical Documentation Integrity for Steward Health Care. A year ago Sheila was headed toward semi-retirement, but changing events on the ground in the beleaguered healthcare system prompted her to get back into the game with her old organization. Sheila is a 2022 CDI Professional of the Year

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00:50:46

Codes, Coverage & Capitol Hill: Fighting for CAR-T...

Off the Record with Brian Murphy ·

2025/02/12

We all get excited—and rightfully so—at the rapid advance of clinical medicine. New treatments, therapies, and drugs save lives. But when you work in the revenue cycle, you know that payment mechanisms can significantly lag new technologies.When codes don’t exist, or reimbursement is woefully inadequate, you have to take action. Petition, sometimes at the highest levels of government.Jugna Shah is fighting for improved coverage and reimbursement for CAR-T and other cell and gene therapies, a trip

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00:53:04

Qui Tam Confidential: An Insider’s Look at...

Off the Record with Brian Murphy ·

2025/01/29

We hear about lawsuits and false claims acts regularly, but did you know that many of these begin with someone working from inside the organization? Calling out bad behavior or noncompliance, sometimes again and again without being heard—before deciding to call on a third party for help? You might have seen the recent headlines about New York insurer Independent Health, which agreed in December to pay $100M to settle allegations it had upcoded claims to inflate Medicare Advantage payment. But did

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80 results

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