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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

00:53:19

The Downgrade Era: How Payers Are Changing the Game...

Off the Record with Brian Murphy ·

2026/04/06

Payers are constantly shifting tactics to find new and creative ways to do their favorite thing: Not pay claims. And if you can’t deny? Downgrade! We’re seeing a lot of new patterns and tactics on this front, especially on the Medicare Advantage/private payer side of the house. And so it was time to take a look at where we are on the state of denials, with just the right person: Richelle Marting of Marting Law, LLC. Richelle has guested on OTR twice previously, the last time in January

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00:49:19

ChatGPT to Chart Review: AI use cases in the...

Off the Record with Brian Murphy ·

2026/03/25

AI feels like a bubble. A bubble that keeps expanding until it fills the entire room—including the Off the Record podcast studio. I remain bullish about some aspects of this game-changing technology and intensely skeptical of others. Which makes it a fascinating topic. Worthy of a fascinating guest, who not only has opinions but has real-world applications for the tech you might not have thought of. Sharon Easterling has a towering, all-consuming passion for AI, specifically bridging the gap between

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00:53:04

Beyond the Dashboard: Tiara Minor on Mentorship and...

Off the Record with Brian Murphy ·

2026/03/11

In a day and age where we’re too often looking in the mirror and focused on our own problems and successes, Tiara Minor is all about empowering others. As the Director of CDI for University of Miami Health system Tiara makes things happen for her team, because she’s all about sharing her expertise and education, growing her staff, and now the CDI profession itself. She’s giving back on the broader stage as an ACDIS advisory board member, conference speaker, and now biggest achievement—guest on Off

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01:00:03

Risk Adjustment Reality Check: What’s Working—and...

Off the Record with Brian Murphy ·

2026/02/25

This year has been something of a reckoning for Medicare Advantage. Senator Grassley’s scathing report of UHG’s risk adjustment practices, and the Kaiser $556 million settlement to resolve False Claims Act allegations of upcoding, opened eyes, and got many in the industry talking. I wanted to get someone on the show with opinions, unafraid to speak their mind and share their perspective. I’ve found that person. Betty Stump is Senior Solution Consultant for Edifecs, a Cotiviti Business. She is in the

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00:52:04

A reckoning for Medicare Advantage: Inside the Kaiser...

Off the Record with Brian Murphy ·

2026/02/11

Medicare Advantage is undergoing a reckoning ... and that reckoning is coming from within. In January Kaiser Permanente affiliates agreed to pay $556 million to resolve allegations that it violated the False Claims Act by submitting invalid diagnosis codes for their MA Plan enrollees in order to receive higher payments from the government. The case was instigated by what is known as whistleblowers. Regular listeners might recall my podcast on this topic back in January 2025 with Mary Inman, a

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00:55:23

From Encephalopathy to Edema: Talking chart review...

Off the Record with Brian Murphy ·

2026/01/28

I’m consistently surprised at how few CDI or IP coding professionals talk about their most basic job function. The very reason they are hired, and what most do for eight hours a day: I'm talking about chart review. Go on Linkedin or Facebook and it’s rarely discussed. Yet it’s ... everything. Nuanced, complex, clinical, critical to the quality of financial health of hospitals. It’s how patient acuity is expressed in coded data, how hospitals get paid, and why CDI and coding professionals are

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00:57:21

From Risk to Revenue Clarity: How One Health System...

Off the Record with Brian Murphy ·

2026/01/14

And we’re off! The first episode of #OTR of 2026, From Risk to Revenue Clarity: How One Health System Transformed OP CDI Performance.I continue to beat the drum of outpatient CDI because I believe in it. Risk adjustment and capitated payments are a superior reimbursement mechanism than fee-for-service. Certainly not perfect, but I believe they are better aligned with keeping patients healthy.It’s also an exciting new avenue for CDI and coding professionals to work.Making it work isn’t easy. Success

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00:20:32

Closing out 2025 with its biggest story: Artificial...

Off the Record with Brian Murphy ·

2025/12/19

Here we are, our last episode of Off the Record this year. I hope you’ve had a great 2025. Just my voice today. I’m ending with a solocast, a reading/summary of a paper about the biggest news story of the year: The explosive growth and proliferation of artificial intelligence, or AI. You might recall my poll from a couple weeks ago; you all confirmed it. Where do people fit with this tech? None of us really know, but I offer my opinion here.

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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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