News

July 23, 2020

SDoH and COVID-19

By Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP
New report addresses unemployment and insurance challenges amid COVID-19 Unemployment is a hot topic amid the ongoing COVID-19 pandemic, especially within the context of who has health insurance. A recent report by the Urban Institute and sponsored by the Robert Wood Johnson Foundation yielded concerning trends during what is now…
The final sum is slightly greater than the FY 2018 total. The federal government won or negotiated more than $2.6 billion in healthcare fraud adjustments and settlements during the course of the 2019 fiscal year, according to an annual report released Wednesday by the U.S. Department of Health and Human…
July 21, 2020

Nursing Homes – It Is All About Case Mix

By Timothy Powell, CPA CHCP
Based on latest filed Medicare cost reports, a little over 12 percent of all skilled nursing facility or “SNF” patients are Medicare recipients. This is excluding Medicare Advantage patients.  By comparison, over 57 percent of patient days were for Medicaid patients.  It is critical to understand that Medicare pays two…
July 16, 2020

RAC Audits Expected During the COVID Pandemic

By Knicole C. Emanuel Esq.
Even though the public health emergency (“PHE”) for the COVID pandemic is scheduled to expire July 24, 2020, all evidence indicates that the PHE will be renewed. I cannot imagine a scenario in which the PHE is not extended, especially with the sudden uptick of COVID. Center for Medicare and…
July 16, 2020

COVID-19, the SDoH, and Payers

By Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP
By now the healthcare industry and every stakeholder knows that the pandemic’s impact will be felt indefinitely. However, with escalating numbers of unemployed, and uninsured, I’ve received countless emails from colleagues and our Monitor Mondays listeners asking about how the payers are stepping up? What’s the status of Medicaid expansion?…
July 16, 2020

The Perils of Email

By David M. Glaser, Esq.
Email is a wonderful thing.  As a kid, or even as an adult, I rarely wrote letters because the act of addressing an envelope was too much for me.  (Please don’t judge me too harshly!) But I whip off emails to friends all the time.  While I love email, it…
Congress has just a few weeks before its August recess to start reaching across the aisles and come together on the next COVID-19 package. House Democrats have already put forward their proposal for $3 trillion in funding, mostly for support of state and local government and individual employees and families,…
The CEO of a health center in central Nebraska needed all hands on deck when the global pandemic hit close to home.   The city of Lexington, Nebraska sits just north of a pair of mighty east-west thoroughfares, U.S. Route 30 and Interstate 80, more or less equidistant from the…