Time to Junk the Peer-to-Peer Process?

Monday, Feb. 26, 2018
Trending Topic Broadcast
10-10:30 a.m. EST; 7-7:30 a.m. PST


Duane Abbey, PhD; Nancy Beckley, MS, MBA, CHC; 
David Glaser, Esq.; Ronald Hirsch, MD, FACP, CHCQM; 
Juliet Ugarte Hopkins, MD, CHCQM-PHYADV; 
and Theresa Forster, BA


“The peer-to-peer (P2P) process is a particularly abhorrent chore for physicians,” reports Juliet Ugarte Hopkins, MD, a physician advisor for case management, utilization, and clinical documentation at ProHealth Care, Inc. in Wisconsin. “These phone conversations are generally offered by commercial and managed insurance plans when their clinical case manager or medical director does not feel that inpatient status is supported for a particular patient.”

Listen to Monitor Mondays this coming Monday to hear Dr. Hopkins make the case for abandoning your P2P process if the results are not satisfactory. Might the pressure of P2Ps even be contributing to some physicians considering opting out of Medicare? Joining the discussion on the broadcast will be Duane Abbey, PhD, author, educator, and consultant. Professor Abbey, president of Abbey and Abbey Consultants, Inc., will review the complexities of compliance facing physicians and practitioners who might consider throwing in the towel.

The broadcast rundown also will include:

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, will be making his Monday Rounds with another installment of his popular segment.

  • Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO for Nancy Beckley and Associates, will have all the latest developments on the therapy caps. She will also have the Monitor Mondays Listener Survey.

  • Hospice Report: Theresa Forster, BA, vice president for hospice policy and programs for the National Association of Home Care and Hospice, will be reporting on changes to the CMS Hospice Compare program announced Thursday.

  • Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron will report on a recent memo from the U.S. Department of Justice offering good news for some providers.


Register now for this trending hot topics broadcast coming up at 10 a.m. EST on Monday, Feb. 26.

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