COVID19 - RACmonitor
November 19, 2020
By Marvin D Mitchell, RN, BSN, MBA CoP Compliance in the Face of COVID 19: No Time to Cut Corners: Part 2
Now more than ever it’s no time to cut corners. EDITOR’S NOTE: This article is an expansion of the original piece, “CoP Compliance in the Face of COVID-19: No Time to Cut Corners,” originally published April 1, 2020. Recent articles by Marie Stinebuck, Edward Hu, MD, and Stefani Daniels touch…
November 19, 2020
By Matthew Albright Moving Forward with a Plan for Covid
President-Elect Joe Biden forms covid10 task force. President-Elect Joe Biden says getting COVID-19 under control is his administration’s first priority. This past week, Biden named a COVID-19 task force and a broader COVID transition team. The board’s three co-chairs are Marcella Nunez-Smith, a physician and researcher at Yale; Vivek Murthy,…
November 12, 2020
By Matthew Albright 2020: The only Certainty is Uncertainty
Expect to see legislation on bipartisan issues, such as drug pricing and balance billing. The Associated Press and broadcast networks announced on Saturday that former Vice President Joe Biden has won the 2020 presidential election. The Trump campaign and Republican groups have initiated a number of election-related lawsuits across the…
November 12, 2020
By Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP Unemployment, COVID-19, and Testing Claims
America’s new normal. Unemployed, uninsured, unbelievable! The U.S. Bureau of Labor Statistics indicates that 12.6 million Americans are on unemployment rosters around the country; 32.5 percent of the adult population has been jobless for over five months. Of those who are jobless, many remain uninsured. What happens when these individuals…
November 5, 2020
By Knicole C. Emanuel Esq. The Definition of Medical Necessity in the Era of COVID
Sometimes, in an audit, it comes down to the definition of “medical necessity.” While the coronavirus pandemic is horrible already, it seems to be getting worse. But COVID has forced slight, positive changes in the telehealth arena – and, perhaps, in the widening of the ambiguous definition of “medical necessity”…
November 5, 2020
By Edward Hu, MD and Charles Locke, MD Post-acute Waivers Urgently Needed
Time to bring back post-acute waiversThe average American’s response to the COVID-19 public health emergency (PHE) in the spring of 2020 was swift and rapid, with personal mobility quickly reduced by over 50 percent and millions of people newly working from home. The actions of America’s hospitals were similarly rapid,…
October 29, 2020
By Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP RWJBH Launches New Program to Manage the SDoH
The first end-to-end, universally applied, culturally tailored, and fully integrated SDoH program in the country. COVID-19 has widened the gaps between the have’s and have-nots, increased health and behavioral disparities, and driven up costs for healthcare organizations. Each day brings no fewer than five reports, white papers, or issue briefs.…
October 26, 2020
By Day Egusquiza Idaho Reaches Critical Levels of COVID Patients
Newly released data reveals that positivity rate for Idaho is now at 23.22, putting the Gem state in the top three of the nation. The impact of the coronavirus on rural hospitals and regional medical centers in Idaho reached critical levels Friday, resulting in the diverting of patients. All Idaho…
October 21, 2020
By Matthew Albright COVID-19 Relief Package Still in Flux
There is hope for a resolution before the Nov. 3 election. Watching negotiations for the next federal COVID-19 relief package for the past two weeks has been a bit like watching a tennis match from front-row seats. President Trump tweeted a week and a half ago that negotiations were over,…
October 21, 2020
By Chuck Buck Updates on COVID-19 Billing and CS Modifier Audits
The pandemic continues to impact Medicare reimbursement. COVID-19 continues to make news on the regulatory front with two new directives from the Centers for Medicare & Medicaid Services (CMS), centering on testing for the deadly coronavirus and formal coding edits for the Medicare Administrative Contractors (MACs) on payments with the…
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