Learning a new culture requires one’s attitude towards the change
Culture is something that we are exposed to everyday no matter what age we are, the field we work in, and life in general. It has been defined as all the ways of life including arts, the beliefs and institutions of a population that has been passed down from those prior to us. It includes language, customs, and beliefs about roles and relationships.
We want to fit into society, our jobs and professions, and everyplace that we go. That can be challenging as we are subject to the various differing cultures as they exist where we are going. Culture is learned; it is not taught. When we leave one culture and move into another, it may take up to six months to learn a new culture. There is one very important aspect that needs to be considered with learning a new culture and that is one’s attitude towards the change.
Many of us, if not all of us, have experienced a job or profession change. The job part itself was easy as there is usually a description that one can view to see if it is a fit. The next part, the interview, is the next challenge. Are you a fit for the organization and is the organization a fit for you? The final step in that process is acceptance or rejection from you or the organization. What may even add to the complexity is if you were hired to change the culture.
Here is where the rubber meets the road.
Much of this has helped me initially and everyday as I work at two culturally different hospitals, and I need to make mental paradigm shifts frequently. Neither culture is wrong, and I must remember that there may be parts of a culture one may dislike or disapprove of, but these are part of a broader social system, and therefore make more sense inside that system.
That doesn’t mean that process changes cannot be changed or improved but it must be done in a manner that respects the organizational culture which may also need change in the long run.
Chances are that you have been in similar situations within your organization depending on your position and role. Here is one important principle to keep forefront in your mind: maintain a mind-set of open-mindedness and a curiosity to learn. Adjusting to a new culture doesn’t mean that you must change your own values, but to my previous point, it must be done with respect. Maintain an attitude of positivity and not one of this is how I’ve always done it with no intention to change.
In summary, remember, culture is not taught, it is learned!
Programming note: Listen to Dr. John Zelem Tuesdays on Talk Ten Tuesdays, with Dr. Erica Remer and Chuck Buck, 10 Eastern.
Anyone who has worked within the scope of hospital case/utilization management for any period of time has heard of the Centers for Medicare & Medicaid
The U.S. Department of Education’s implementation of President Trump’s One Big Beautiful Bill Act (OBBBA) has triggered one of the most consequential – and controversial
Please log in to your account to comment on this article.
Accurately determining the principal diagnosis is critical for compliant billing, appropriate reimbursement, and valid quality reporting — yet it remains one of the most subjective and error-prone areas in inpatient coding. In this expert-led session, Cheryl Ericson, RN, MS, CCDS, CDIP, demystifies the complexities of principal diagnosis assignment, bridging the gap between coding rules and clinical reality. Learn how to strengthen your organization’s coding accuracy, reduce denials, and ensure your documentation supports true medical necessity.
Denials continue to delay reimbursement, increase administrative burden, and threaten financial stability across healthcare organizations. This essential webcast tackles the root causes—rising payer scrutiny, fragmented workflows, inconsistent documentation, and underused analytics—and offers proven, data-driven strategies to prevent and overturn denials. Attendees will gain practical tools to strengthen documentation and coding accuracy, engage clinicians effectively, and leverage predictive analytics and AI to identify risks before they impact revenue. Through real-world case examples and actionable guidance, this session empowers coding, CDI, and revenue cycle professionals to shift from reactive appeals to proactive denial prevention and revenue protection.
Sepsis remains one of the most frequently denied and contested diagnoses, creating costly revenue loss and compliance risks. In this webcast, Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, provides practical, real-world strategies to align documentation with coding guidelines, reconcile Sepsis-2 and Sepsis-3 definitions, and apply compliant queries. You’ll learn how to identify and address documentation gaps, strengthen provider engagement, and defend diagnoses against payer scrutiny—equipping you to protect reimbursement, improve SOI/ROM capture, and reduce audit vulnerability in this high-risk area.
Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY26 IPPS, including new ICD-10-CM/PCS codes, CCs/MCCs, and MS-DRGs, plus insights, analysis and answers to your questions from two of the country’s most respected subject matter experts.
As AI reshapes healthcare compliance, the risk of biased outputs and opaque decision-making grows. This webcast, led by Frank Cohen, delivers a practical Four-Pillar Governance Framework—Transparency, Accountability, Fairness, and Explainability—to help you govern AI-driven claim auditing with confidence. Learn how to identify and mitigate bias, implement robust human oversight, and document defensible AI review processes that regulators and auditors will accept. Discover concrete remedies, from rotation protocols to uncertainty scoring, and actionable steps to evaluate vendors before contracts are signed. In a regulatory landscape that moves faster than ever, gain the tools to stay compliant, defend your processes, and reduce liability while maintaining operational effectiveness.
Get clear, practical answers to Medicare’s most confusing regulations. Join Dr. Ronald Hirsch as he breaks down real-world compliance challenges and shares guidance your team can apply right away.
Federal auditors are zeroing in on Inpatient Rehabilitation Facility (IRF) and hospital rehab unit services, with OIG and CERT audits leading to millions in penalties—often due to documentation and administrative errors, not quality of care. Join compliance expert Michael Calahan, PA, MBA, to learn the five clinical “pillars” of IRF-PPS admissions, key documentation requirements, and real-life case lessons to help protect your revenue.
During this essential RACmonitor webcast Michael Calahan, PA, MBA Certified Compliance Officer, will clarify the rules, dispel common misconceptions, and equip you with practical strategies to code, document, and bill high-risk split/shared, incident-to & critical care E/M services with confidence. Don’t let audit risks or revenue losses catch your organization off guard — learn exactly what federal auditors are looking for and how to ensure your documentation and reporting stand up to scrutiny.
Prepare for the 2025 CMS IPPS Final Rule with ICD10monitor’s IPPSPalooza! Click HERE to learn more
Get 15% OFF on all educational webcasts at ICD10monitor with code JULYFOURTH24 until July 4, 2024—start learning today!
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 1 with code CYBER25
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
