Podcast appearances and mentions of ellen fink samnick

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Best podcasts about ellen fink samnick

Latest podcast episodes about ellen fink samnick

Disruptors at Work: An Integrated Care Podcast

In today's episode, we'll be talking about toxic healthcare environments, and connecting these to the mass resignation in healthcare today which has brought national attention to the staffing crises our hospitals and community practices are now facing. What often happens in healthcare is that the providers shoulder all of the blame, and the public believes that doctors and nurses should be perfect. The same toxic beliefs underlie the mass resignation in K-12 education today. The sacrificial lambs of our society: healthcare workers, educators, and mothers, have taken note of society's unwillingness to do what we can to support them so they can keep supporting us. The mass resignation isn't a surprise to any educator, healthcare worker, or mother I've spoken to since 2020. Sadly, though, healthcare executives, leaders, and managers are often poorly trained in identifying toxic workplace behaviors and cultural practices and in adequately holding toxic employees accountable. Today we'll talk about how toxic behavior at any company yields bad results, but having it on the hospital floor can have serious consequences. Guest bios: Pauline Tolentino Pablo, MA, BCBA, IBA, DBH-C is a Board Certified Behavior Analyst and International Behavior Analyst who specializes in providing Applied Behavior Analysis (ABA) services to individuals diagnosed with developmental disabilities and/or developmental delays. Pauline co-founded Symphony Behavioral Health Inc., a clinician owned ABA practice alongside her husband who is a nurse consultant. You may find them at www.symphonybh.com. Pauline is also the co-founder of Asian & Pacific Islander Association for Behavior Analysis www.apiaba.org. This group aims to disseminate the science of ABA within the Asian and Pacific Islander population, as well as promote diversity within the field to better serve diverse clients. Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CCPT, CRP, DBH-C serves as a national expert on SDoH, currently serve as the chair of the annual RISE Summit on Social Determinants of Health. Ellen's experience with occupational trauma dates to her first job as a social worker in East New York in the mid-1980s at the cusp of AIDS and HIV. Ellen's company, EFS Supervision Strategies, LLC, offers organizational training, mentoring, and consultation services to empower the interprofessional workforce. Ellen is a prolific writer, a sought-after speaker for national conferences, and is the recipient of numerous awards, including the National Award of Service Excellence (2016) from the Case Management Society of America (CMSA). LinkedIn: Ellen's Ethical Lens; Twitter:@epflcswccm; Blog: Ellen's Ethical Lens Links and Resources: Pablo, P. (2021). What my experience taught me about psychological safety. Blog post: https://www.symphonybh.com/post/psychological-safety Fink-Samnick E. (2015). The new age of bullying and violence in health care: the interprofessional impact. Professional case management, 20(4), 165–176. https://doi.org/10.1097/NCM.0000000000000099 --- Support this podcast: https://anchor.fm/disruptors-at-work/support

Monitor Mondays
2022: Look Out, Look Ahead

Monitor Mondays

Play Episode Listen Later Jan 10, 2022 59:27


With the calamitous year of 2021 now in the rearview mirror, slowly receding from view, its legacy is expected to have a haunting effect, now and in the future, on America's system of healthcare. And decisions being made in Washington, D.C. will impact every practice, facility, and health system for months or even years to come.With so many major changes expected to take place in 2022, you need to stay informed and alert – and RACmonitor and Monitor Mondays will help you stay out in front of the issues that will alter the delivery of healthcare, both now and throughout a new year that has arrived amid a time of unprecedented uncertainty.During the next edition of Monitor Mondays, broadcast host and RACmonitor Publisher Chuck Buck will have an all-star lineup of experts on hand to tell you what to watch out for, marking the 2022 premiere for the weekly Internet broadcast, which is celebrating 12 years of live programs.Segments to be featured during the live broadcast include the following:Coronavirus Update: Frontline physician Dr. John Foggle will provide a real-time update on the mysterious omicron, the extraordinarily contagious variant of the coronavirus that has gripped the nation.Home Health and Hospice: William Dombi, president of the National Association of Home Care and Hospice, will report on the impact of COVID-19 and the public health emergency (PHE) on his Association's members.Medicare Advantage Report: Medicare Advantage (MA) auditors are being called, by some, nothing short of bullies. Senior vice president of clinical and regulatory affairs for Versulas Health, will report why this bulling behavior exists and how providers should deal with this ongoing issue.IRF: One of the nation's foremost authorities on inpatient rehabilitation facility (IRF) services, Angela Phillips will return to report on the resumption of IRF reviews by Recovery Audit Contractors (RACs).The Special Report: Who really does own the medical record? Dr. John Zelem, founder and CEO for Streamline Solutions Consulting, will report on this controversial issue, seeking to perhaps finally resolve the decade-old mystery.The Roche Report: RACmonitor investigative reporter Edward C. Roche will return with an exclusive story he's uncovered while monitoring audit misbehavior nationwide from his perch in the Big Apple.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications of the recently passed surprise billing law.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the status of healthcare legislation associated with the current COVID-19 pandemic.SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will make her Monitor Mondays debut appearance, filling the shoes of Ellen Fink-Samnick, who has long reported on this timely topic with clarity and insight, but will be leaving her post as she completes her doctorate degree. Ferguson will report on the news that's happening at the intersection of the coronavirus and the SDoH.

Talk Ten Tuesdays
The Dilemma of Coding Mental Health

Talk Ten Tuesdays

Play Episode Listen Later Oct 5, 2021 30:26


The COVID-19 pandemic rages on, exposing huge gaps in America's vulnerable healthcare system, posing life-or-death questions that tear at our collective subconsciousness.There's also the constant drumbeat of headline news: vaccination mandates versus personal freedom, for example. Are two shots sufficient, or are three better? Should young children be vaccinated or not? With staff shortages and the rationing of care, who gets an inpatient bed and who doesn't?Today, as never before, mental stress is the new norm. And with the pandemic pandemonium comes the annual National Mental Health Awareness Week, sponsored by the National Alliance on Mental Health (NAMI). At this intersection is the tragic reality that millions of Americans are living with some form of mental health condition.Reporting on mental health during the next edition of Talk Ten Tuesdays will be Dr. H. Steven Moffic, an award-winning author who is considered by many to be among America's most prominent psychiatrists.The live broadcast will also feature these other segments:The Coding Report: In keeping with the broadcast's theme, Laurie Johnson will report on the new psychiatric codes for fiscal year 2022.Tuesday Focus: Author and consultant Ellen Fink-Samnick will return to the broadcast to report on workplace trauma, noting how trauma has gripped the national workforce, with an intense collective induced stress felt by professionals, patients, and then experienced by frontline practitioners.RegWatch: Stanley Nachimson, former Centers for Medicare & Medicaid Services (CMS) career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc., and Talk Ten Tuesdays co-host, will report on a subject that has caught her attention during her popular segment.

Monitor Mondays
Rampant RACs: Auditor Industry Profiting at Providers' Expense

Monitor Mondays

Play Episode Listen Later Jul 19, 2021 30:32


SPECIAL GUESTEdward Roche, JD, PhDDirector, Scientific Intelligence, Barraclough NY LLCALSO FEATURINGMatthew Albright; Knicole Emanuel, Esq.; Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP;David Glaser, Esq.; and Ronald Hirsch, MD, FACP, CHCQRACmonitor investigative reporter Ed Roche is intimately familiar with what he describes as the blatant abuse directed at healthcare providers by overzealous (and, in some cases, incompetent) auditors.Relying on scant evidence of actual fraud, the auditors, working in what Roche describes as a giant industry, deny claims while ignoring more the egregious cases of premeditated fraud and abuse. During the next live edition of Monitor Mondays, Roche will be calling for major reform of these auditing practices, claiming in an exclusive segment that the sprawling industry of coding experts, consultants, lawyers, and statisticians seldom catch the real perpetrators of fraud and abuse.Other segments to be featured during the live broadcast include the following:Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will return to make his Monday Rounds with another installment of his popular segment.RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications facing healthcare providers.Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the latest healthcare regulatory news coming out of Washington, D.C.SDoH Report: Ellen Fink-Samnick,anationally recognized expert on the social determinants of health (SDoH), will have the latest news on this trending topic that is attracting significant media attention. Ellen will also conduct the Monitor Mondays Listeners Survey.

Disruptors at Work: An Integrated Care Podcast
Collective Occupational Trauma with Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP

Disruptors at Work: An Integrated Care Podcast

Play Episode Listen Later Apr 29, 2021 70:27


Dr. Cara English, DBH speaks with Ellen Fink-Samnick MSW, ACSW, LCSW, CCM, CRP on tackling collective occupational trauma in healthcare environments as well as non-healthcare environments. Collective occupational trauma refers to what happens when we are forced to push through stressful and traumatic daily work experiences, including exposure to, hearing, or seeing others in pain, fear, and terror. They discuss how the COVID-19 pandemic and national civil unrest due to gross inequities people of color are facing on a day-to-day basis have introduced even higher levels of stress for healthcare providers and what happens during a trauma tsunami, when patient and provider boundaries are muddy. Ellen Fink-Samnick is an award-winning industry thought leader who empowers healthcare's transdisciplinary workforce. Known and highly respected as 'The Ethical Compass of Professional Case Management', she is a sought out professional speaker and author, with hundreds of offerings and publications to her credit. Ellen is a Licensed Clinical Social Worker, Board-certified Case Manager, Certified Clinical Trauma Professional, and Certified Rehabilitation Provider. Her academic affiliations include roles as subject matter expert for Western Governors University, and adjunct faculty for the University of Buffalo's School of Social Work, and George Mason University's Department of Social Work. She is also a Doctor in Behavioral Health candidate at Cummings Graduate Institute of Behavioral Health Studies. Connect with Ellen on twitter: https://twitter.com/epflcswccm. Learn more about Ellen and her research: http://www.efssupervisionstrategies.com/. --- Support this podcast: https://anchor.fm/disruptors-at-work/support

Monitor Mondays
New Proposal for Dual-Eligibility Beneficiaries: Good Intentions or Cost Cutting?

Monitor Mondays

Play Episode Listen Later May 6, 2019 29:40


The Centers for Medicare & Medicaid Services (CMS) is inviting state Medicaid directors to partner with them to test new approaches to better serve those who are dually eligible for Medicare and Medicaid.More than $300 billion is spent annually by CMS and states to care for the dual-eligibles, and many of the 12 million of those beneficiaries have multiple chronic conditions, and often have socioeconomic risk factors that can lead to poor outcomes. Could the CMS initiative suggest cost-cutting, administrative burden reductions, or true innovation? RACmonitor national correspondent J. Paul Spencer, a senior health consultant for DoctorsManagement, reports our lead story during this edition of the long-running Monitor Mondays live broadcast.Other segments to appear on the broadcast include:Court Report: Famed whistleblower attorney Mary Inman reports on the guilty verdict handed down Thursday by a federal grand jury in Boston that found Insys Therapeutics founder John Kapoor and four other executives guilty of criminal racketeering in bribing physicians to prescribe powerful opioids to patients who didn’t need them. Inman is a partner in the London office of Constantine Cannon.2020 IPPS Proposed Rule: Social determinants of health (SdoH) are back in the news, since CMS is proposing to make homelessness a CC (complication and comorbidity) for the purposes of Inpatient Prospective Payment System (IPPS) coding. Does the CMS action signal that SDoH are a growing concern in the nation’s healthcare landscape? Continuing our reporting on this hot topic is nationally recognized SDoH authority and author Ellen Fink-Samnick.Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, will report on all the latest hot topics and will also conduct the Monitor Mondays Listener Survey. Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.

ceo md medicare proposal centers associates dual whistleblowers medicaid cc cms eligibility good intentions beneficiaries inman sdoh medicaid services cms cost cutting ipps paul spencer insys therapeutics constantine cannon david glaser john kapoor doctorsmanagement racmonitor nancy beckley ellen fink samnick
Monitor Mondays
Observation and Outpatient Status: Heading for Another Court Fight

Monitor Mondays

Play Episode Listen Later Apr 7, 2019 31:01


The use and apparent abuse of observation and outpatient status are expected to have its day in court – again. That’s because a federal judge has denied the government’s bid to put a stop to a landmark class-action lawsuit centering on patient status, paving the way for a trial expected to begin later this year. As reported by RACmonitor, in the court case Alexander v. Azar, the plaintiffs allege they were forced to pay up to $30,000 apiece for skilled nursing facility (SNF) care after being designated outpatients in observation status rather than inpatients, according to a press release on the matter by the Center for Medicare Advocacy (CMA). Reporting on this important story during this edition of Monitor Mondays will be Judith A. Stein, the founder of CMA. She has extensive experience with Medicare advocacy projects, representing Medicare beneficiaries, producing educational materials, teaching, and consulting. She has been lead or co-counsel in numerous federal class-action and individual cases challenging improper Medicare policies and denials.Other segments to appear on the broadcast include:Monday Focus: The Medicare Home Health Review Choice Demonstration is expected to start in Illinois on June 1. The president and CEO for the National Association of Home Care and Hospice, William Dombi, reports on this latest news, which was announced on Wednesday. Social Determinants of Health: A nationally recognized authority on the social determinants of health (SdoH), Ellen Fink-Samnick, returns to Monitor Mondays to report on the American Medical Association (AMA) and UnitedHealthcare agreeing to work together to support creating 23 new ICD-10 codes to report SDoH needs. Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers. Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.

Talk Ten Tuesdays
Advocating for CDI

Talk Ten Tuesdays

Play Episode Listen Later Mar 4, 2019 30:11


As the clinical documentation integrity (CDI) industry continues to grow beyond the traditional inpatient setting, the American Health Information Management Association (AHIMA) is working to provide best-practice resources to provider stakeholders from across the continuum of care. Sharing an update on AHIMA’s advocacy during this edition of Talk Ten Tuesdays will be Tammy Combs, the Association’s director of HIM practice excellence.The live broadcast will also feature these other segments:The ICD-10 Coding Report: Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on the proceedings taking place during the first day of the Centers for Medicare & Medicaid Services (CMS) Coordination and Maintenance Committee meeting, which was scheduled to get underway Tuesday morning at CMS headquarters in Baltimore.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.SDoH Update: Returning to the Talk Ten Tuesdays broadcast to report on the developing story of social determinants of health (SDoH) will be nationally recognized SDoH authority, author, and educator Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, the founder of EFS Supervision Strategies, LLC.TalkBack: Erica Remer, MD, FACEP, CCDS, founder and president of Erica Remer, MD, Inc. and Talk Ten Tuesdays co-host, reports on a current healthcare issue that has caught her attention during her popular TalkBack segment.

Talk Ten Tuesdays
Social Determinants of Health: Healthcare Issues Outside Your Hospital Are Affecting What Happens Inside

Talk Ten Tuesdays

Play Episode Listen Later Jan 14, 2019 28:13


Social determinants of health (SdoH) are swamping hospitals like rising rivers following a storm. A reported $1.7 trillion in healthcare costs are now attributed to 5 percent of the nation’s population, with a majority of that sum related to the SdoH. And while the focus has been largely on the most vulnerable and disenfranchised members of populations, the new face of SDoH is evolving as a consequence of an increase of natural and manmade disasters, as well as new attention being given to longstanding issues such as rural health, human trafficking, business closures, and loss of pensions for an increasing number of older adults.Returning to Talk Ten Tuesdays to report on this developing story is nationally recognized SDoH authority, author, and educator Ellen Fink-Samnick, MSW, ACSW, LCSW, CCM, CRP, the founder of EFS Supervision Strategies, LLC.Other segments to be featured on the broadcast include:Coding Report: Coders will be dealing with new payment models in 2019, including one for skilled nursing facilities (SNFs) expected to be released on Oct. 1. Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports this developing story.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.RegWatch: Leading healthcare technology consultant Stanley Nachimson returns with his popular segment, RegWatch, through which he reports on the latest regulatory changes coming out of Washington, D.C.DocTalk: Talk Ten Tuesdays guest co-host Juliet Ugarte Hopkins, MD, CHCQM, physician advisor of case management, utilization, and clinical documentation at ProHealth Care, reports on the collaboration between coding, clinical documentation integrity, and physician advisors when facing clinical validation denials.

Monitor Mondays
CMS Proposes to Implement Home Health Pre-Claim Review Demonstration

Monitor Mondays

Play Episode Listen Later Sep 30, 2018 32:44


Home health providers are now on alert following an announcement on Wednesday that the Centers for Medicare and Medicaid Services (CMS) intends to implement in December its Home Health Pre-Claim Review demonstration in Illinois, Ohio, North Carolina, Florida, and Texas. In its announcement, CMS issued a notice for a 30-day public comment period. Reporting this developing story during this edition of Monitor Mondays will be William A. Dombi, president of the National Association for Home Care and Hospice. The broadcast rundown also will include: Monday Focus: The newest compliance issue to gain national attention involves the T codes. As of Oct. 1, providers are required to document clients who might be at risk of sex and labor exploitation. Reporting on this story is nationally recognized authority on the social determinants of health (SdoH), Ellen Fink-Samnick. Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on the latest hot topics. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility. Medicare Payment Report: Are small, independent providers being forced by CMS to increase their size so that there is enough activity to have the averaged national payments break even, or be profitable? Author, educator, and consultant Duane Abbey, president of Abbey and Abbey Consultants, Inc., reports on this timely issue. The Hospice Report: Are referrals to hospice frequently the result of misunderstandings of the purpose of hospice? And why the rush to hospice if death is imminent? Marvin D. Mitchell, director of case management and social services at San Gorgonio Memorial Hospital in California, reports on this critically important subject.

Monitor Mondays
Compliance During Adversity: Hurricane Florence

Monitor Mondays

Play Episode Listen Later Sep 16, 2018 30:54


As bands of rain and wind from Hurricane Florence are lashing North Carolina, hospitals, health systems, and physician practices are preparing for what is being called the “storm of a lifetime.” Earlier this week, U.S. Department of Health and Human Services (HHS) Secretary Alex Azar declared public health emergencies in North and South Carolina. Such a designation makes it easier to ensure that Medicaid and Medicare beneficiaries have access to medical care despite the storm, according to a posting on the HHS website. HHS also said it has positioned about 230 medical personnel in North Carolina and Maryland to help communities that may need extra medical support. In addition, HHS reported that it is working to make more ambulances available to help evacuate hospitals and nursing homes. During this edition of Monitor Mondays: Reporting live from Charlotte, North Carolina will be Sharon Easterling, CEO for Recovery Analytics, LLC. Also on the broadcast will be Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health and former emergency department and intensive care unit case manager. The broadcast rundown also will include: Monday Rounds: Daniel Zirkman, MD makes his monday rounds from his facility, CarolinaEast Health System in New Bern, North Carolina where he is the chief physician advisor. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on all the latest hot topics. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility. Compliance Report: Regulatory expert Timothy Powell, CPA, RACmonitor national correspondent, reports on compliance issues surrounding hospital readmissions. Monitor with us™

Monitor Mondays
Last Chance to Take a Stand: Comment Period for Proposed E&M Changes Ends

Monitor Mondays

Play Episode Listen Later Sep 9, 2018 30:28


Few proposals from the Centers for Medicare and Medicaid Services (CMS) have generated such a plethora of opposition from concerned stakeholders as the agency’s recent proposed evaluation and management (E and M) reimbursement changes in the 2019 Medicare Physician Fee Schedule. The outrage has been intense over the plan to reimburse new patient visits at a single flat rate for codes 99202-99205 (99201 would be paid at a lower rate), while a corresponding, lower flat rate would apply to established patient visit codes 99212-99215. Code 99211 would also be paid a lower rate. The level 1 codes don’t get the flat rate, because they don’t require the presence of a physician. Making a final stand in opposition to the proposed changes during this edition of Monitor Mondays will Dr. Steven J. Meyerson, board-certified in internal medicine and geriatrics, and Holly Louie, past president of the Healthcare Business and Management Association. The broadcast rundown also will include: Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. Monday Focus: Social Determinants of Health (SdoH) are coming into sharp focus, as Tropical Gordon impacted parts of the Central Gulf Coast this week. It brought with it memories of Hurricane Harvey and its impact that is still being experienced in Houston, especially among the poor, the unemployed, and the disenfranchised – those who are predisposed to SDoH. Reporting on the compliance issues surrounding SDoH will be nationally recognized topic authority Ellen Fink-Samnick. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on all the latest hot topics. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility. Monitor with us™

Talk Ten Tuesdays
Stressing Out About the Z Codes: Healthcare’s New Imperative

Talk Ten Tuesdays

Play Episode Listen Later Jul 30, 2018 28:34


Back in February, as reported by ICD10monitor, the American Hospital Association (AHA) changed coding rules, allowing case managers and social workers to assign Z codes—one of 88 assignable ICD-10 codes to report on claims for homelessness, low income, stressful work environment, low literacy, divorce, personal history of abuse, and many more. But not all healthcare professionals—including a number of physicians—are getting the message. To help clear up the confusion, Ellen Fink-Samnick, a nationally recognized expert on social determinants of health (SDoH), will report our lead story. Other segments to be featured on the broadcast include: Talk Ten Tuesday News Desk: Timothy Powell, a nationally recognized expert on regulatory matters including the False Claims Act, ZPIC audits, and the OIG, will return to report on the latest healthcare news. E&M Coding Update: Given the scale and potential impact of major E&M changes in the 2019 Medicare Physician Fee Schedule proposed rule, Grant Huang, director of content for DoctorsManagement, will report on the major overhaul being proposed by the Centers for Medicare & Medicaid Services (CMS). Tuesday Focus: Malnutrition: Severe protein calorie malnutrition is under high scrutiny from CMS, U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG), and commercial insurers. Megan Cortazzo, MD, medical director of clinical documentation improvement and health information management at University of Pittsburg Medical Center, will report on why it is happening and how to ensure hospitals and providers get compensated for the services they are providing. Talk Ten Tuesdays. More than just talk.™

Talk Ten Tuesdays
Reporting Bronchoalveolar Lavage Documentation Nightmare for Docs, Quandary for Coders

Talk Ten Tuesdays

Play Episode Listen Later Jul 23, 2018 28:59


Coding guidelines and advice are taking bronchoalveolar lavage (BAL) to a surgical DRG. Should the body part be the bronchus or the lung? Reporting our lead story is Erica Remer, MD and Inpatient Compliance Specialist Stacey Elliott. Both will discuss their concerns. Other segments to be featured on the broadcast include: Talk Ten Tuesdays News Desk: Timothy Powell, a nationally recognized expert on regulatory matters including the False Claims Act, ZPIC audits, and the OIG, reports on the latest healthcare news. Dateline Washington: Talk Ten Tuesdays legislative analyst Rhonda Taller has the latest news coming out of Washington, D.C. Rhonda is a member of the HIMSS professional development committee. CDI Report: The ICD10monitor contributor Glenn Krauss, the CDI manager at University Health Systems Las Vegas, reports on how CDI supports the revenue cycle. Talk Ten Tuesdays. More than just talk.™ Click here to view handout from Ellen Fink-Samnick on SDoH

Monitor Mondays
The Readmissions Quagmire: Medicaid Work Requirements Pose Audit Risks

Monitor Mondays

Play Episode Listen Later Jul 8, 2018 30:52


The state of Kentucky has introduced Medicaid work requirements. And the trend seems to be proceeding fast and furiously in other states looking to cut health and behavioral health benefits of Medicaid enrollees, with officials saying the costs can’t be met otherwise. Kentucky eliminated vision and dental benefits to 500,000 Medicaid enrollees within 36 hours of the federal decision. Imagine the impact to the readmissions quagmire if benefits continue to be cut for the most vulnerable and disenfranchised members of society, or those most impacted by the social determinants of health (SdoH). These costs are already eye-raising: $1.7 trillion is being spent annually on 5 percent of the population. Readmission penalties are barely being managed across all hospitals, especially the safety net facilities. What will the continued impact of forcing shifts in Medicaid benefits be for the patients who need them most? Reporting on this latest development during the next edition of Monitor Mondays is nationally recognized SDoH expert Ellen Fink-Samnick, author, consultant, and founder of EFS Supervision Strategies, LLC. The broadcast rundown also will include: Monday Focus: Nationally recognized whistleblower attorney Mary A. Inman, partner at Constantine Cannon’s London office, has an update on the largest-ever healthcare bust, involving more than $2 billion in fraudulent billings. According to court documents, the defendants allegedly participated in schemes to submit claims to Medicare, Medicaid, TRICARE, and private insurance companies for treatments that were medically unnecessary and often never provided. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on all the latest hot topics and present the Monitor Mondays Listener Survey. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer, a senior healthcare consultant for DoctorsManagement, continues to report on the vexing issue of Medicare Advantage. Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. Monitor with us™

inSocialWork - The Podcast Series of the University at Buffalo School of Social Work
Episode 162 - Ellen Fink-Samnick: Fostering Professional Resilience: The Professional Resilience Paradigm

inSocialWork - The Podcast Series of the University at Buffalo School of Social Work

Play Episode Listen Later Mar 2, 2015 45:06


In this episode, Ellen Fink-Samnick describes the core components, building blocks, and practical strategies associated with the Professional Resilience Paradigm. This framework provides an operationalized context and a specific set of behaviors that foster professional and personal growth as well as resilience for health and human services professionals.