News

The absence of a physician’s signature should not result in denial of a Medicare claim. As a regulatory and compliance officer, I often have the privilege of working with some of the best and most respected attorneys in the industry, and Monday, during Monitor Mondays, was no exception. Attorney David…
CMS’s IMM sends mixed messages to providers. The Important Message from Medicare (IMM) has changed significantly in its latest reiteration, and the IMM now must be presented to both Medicare and Medicare Advantage patients, according to Ronald Hirsch, MD, who explained during Monday’s edition of Monitor Mondays that both patient…
Report provides a sobering look at human hardships.  A new report from the Robert Wood Johnson Foundation, NPR, and Harvard T.H. Chan School of Public Health was released last week. The outcomes revealed have every industry stakeholder talking: populations, providers, practitioners, and their patients. The report entitled, Life Experiences and Income Inequality…
340B Health president was a recent guest on Monitor Monday. The following are edited remarks of her presentation.  2019 was another very busy year for people involved in the 340B drug pricing program. And it marked the end of a remarkable decade of progress and challenges. One of the most…
High Court ruling raises questions concerning ALJ appointments. A sneaky and under-publicized matter, which will affect every one of you reading this, slid into common law last year with a very recent case, dated Jan. 9, 2020, upholding and expanding the findings of a 2018 case, Lucia v. SEC, 138…
CMS is expected to release instructions and sub-regulatory guidance in 2020. It was way back in 2015 when the Centers for Medicare & Medicaid Services (CMS) proposed changes to the discharge planning conditions of participation. Their goal was noble; they understood that because discharge planning is a complex process, a…
Monitor Monday's listeners polled for proposed solutions. 2020 began as it ended, with the healthcare industry fixation on every nook and cranny of the social determinants of health (SDoH). Many experts are still reeling from allegations of inherent bias in algorithms used across the nation. And a new study involving…
Same old New MOON, but potential problems appear in two of the other three new forms. All federal forms require periodic review and reapproval by the Office of Management and Budget (OMB). The approval is indicated on the form by a unique number and an expiration date. The Centers for…