Monitor Mondays Podcasts

On the next edition of Monitor Mondays, Mary Beth Pace, vice president of care management at Trinity Health, will share how her health system is traversing the new compliance landscape of the MOON: the Medicare Outpatient Observation Notice, which became effective March 8. What are they discovering, and how are they seeking to comply with this latest directive from the Centers for Medicare & Medicaid Services (CMS)? What lessons are they learning that they can share with others? Join us for the next edition of our weekly Internet broadcast to learn more. 

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Early warning signs have revealed that the Centers for Medicare & Medicaid Services (CMS) will soon be launching an audit program for compliance with administrative simplification, according to Monitor Mondays special guest Matthew Albright, former director of the CMS Administrative Simplification Group, now vice president of legislative affairs for Zelis Healthcare. 

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The Medicare Recovery Audit Contractors (RACs) are becoming increasingly involved with Medicare Advantage Organizations (MAOs), identifying and correcting possible overpayments and underpayments associated with diagnosis data submitted by MAOs. On the next edition of Monitor Mondays, Dr. Larry Field will report on this, our lead story, along with Duane Abbey and J. Paul Spencer.

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Providers and suppliers appealing Medicare, Medicare Advantage or Medicare Prescription Drug claims are confronting the new rules of engagement as healthcare attorney Andrew Wachler of Wachler & Associates will explain during the next edition of Monitor Mondays.

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Former Centers for Medicare & Medicaid Services (CMS) official Stanley Sokolove will explain how the CMS final rule, along with the recently passed 21st Century Cures Act, will impact provider-based revenue—a development that has been controversial.

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