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Today's episode is special because it is both a Flash Back Friday and a 10th episode as well. Today's Flash Back Friday comes from Episode 390, originally published last July 24, 2014. Eve Wright is the Vice President and Associate General Counsel for The HEAT Group (Miami Heat basketball team). She is the author of, “LIFE AT THE SPEED OF PASSION: Create a Life of Intention, Purpose, and Integrity.” The WEALTH TRANSFER is happening FAST! Protect your financial future now! Did you know that 25% to 40% of all dollars ever created were dumped into the economy last year??? This will be devastating to some and an opportunity to others, be sure you're on the right side of this massive wealth transfer. Learn from our experiences, maximize your ROI and avoid regrets. Free Mini-Book on Pandemic Investing: https://www.PandemicInvesting.com Jason's TV Clips: https://vimeo.com/549444172 Asset Protection, Tax Savings & Estate Planning: http://JasonHartman.com/Protect What do Jason's clients say? http://JasonHartmanTestimonials.com Easily get up to $250,000 in funding for real estate, business or anything else http://JasonHartman.com/Fund Call our Investment Counselors at: 1-800-HARTMAN (US) or visit https://www.jasonhartman.com/ Guided Visualization for Investors: http://jasonhartman.com/visualization Eve Wright is the Vice President and Associate General Counsel for The HEAT Group (Miami Heat basketball team). She is the author of, “LIFE AT THE SPEED OF PASSION: Create a Life of Intention, Purpose, and Integrity.” Wright joins the show to discuss how people can cut the emotional “fat” from their lives and refine themselves everyday. She also explains what it really means to be happy. Wright then talks about how people can take calculated risks and re-learn risk-taking to achieve ROI. She thinks everyone can overcome their fears of failure. Key Takeaways: (1:18) Median housing prices in San Francisco (5:27) What $1 million will buy you around the world (18:20) A few words on the upcoming Little Rock property tour (19:25) Introducing Eve Wright (20:02) The inspiration behind the book Life at the Speed of Passion (21:00) Tools and techniques for achieving success (21:50) Cutting the emotional fat out of your life (26:13) How to refine oneself every day & some podcast recommendations (29:02) What does it mean to be happy? (32:18) Overcoming the fear of failure (33:25) Closing comments & contact information Links: For more information about Eve Wright: EveWright.us. Website of the Miami Heat: www.heat.com The Spark, an Executive Development Program for Women: www.thesparkhq.com Life at the Speed of Passion: the book: www.LifeSpeedPassion.com Bio: In her position, Wright advises the HEAT on a wide variety of legal issues pertaining to marketing and promotions, concerts and events, corporate sales, merchandising initiatives and player-related matters. Prior to joining the HEAT, Wright served as the Senior Director of Business and Legal Affairs for the Ladies Professional Golf Association (LPGA) where she helped to develop sports marketing opportunities for corporate sponsors, managed the LPGA's international trademark portfolio and retail licensing business as well as advised the Association on all legal matters. Prior to her tenure with the LPGA, the former associate in the Minneapolis, Minnesota office of Fredrikson & Byron, P.A. worked in the E-Business and Corporate Transactions groups. An avid supporter of community development initiatives, Ms. Wright has served in various capacities on the boards of regional civic organizations. In addition to civic organizations, she is currently a member of the ACC professional organization as well as serves on the Board of Directors for BESLA and Advisory Board for the Corporate Counsel Women of Color. Ms. Wright is a graduate of DePauw University, where she received a Bachelor of Arts in Economics and International Business. She earned her Doctor of Jurisprudence from Indiana University School of Law and participated in the Consortium Program at Howard University School of Law. She and her husband, Ken, live in Bay Harbor Island.
Global Conversations DIGITAL: The Coldest War – Great Power Competition in the Arctic International Registration Media reports of rumors that the United States might purchase Greenland from Denmark left many scratching their heads. While any potential deal seems unlikely, such rumors demonstrate the fluidity of opinion toward the Arctic region. Talk of new policies toward drilling for oil and natural gas, and concerns over climate and arctic ice melting, coincide with comparisons between the United States, Russian, and Chinese strategies in the Arctic region. What lies ahead for this critical environmental gem? Join a discussion with Heather A. Conley, Senior Vice President for Europe, Eurasia, and the Arctic; and Director, Europe Program at the Center for Strategic and International Studies (CSIS) as she examines the future of the Arctic. About the Speaker Heather A. Conley is Senior Vice President for Europe, Eurasia, and the Arctic and Director of the Europe Program at CSIS. Prior to joining CSIS, she served as Executive Director of the Office of the Chairman of the Board at the American National Red Cross; Deputy Assistant Secretary of State in the Bureau of European and Eurasian Affairs with responsibilities for U.S. bilateral relations with the countries of Northern and Central Europe; and Senior Associate with an international consulting firm. Heather began her career in the Bureau of Political-Military Affairs at the U.S. Department of State and was selected to serve as Special Assistant to the coordinator of U.S. assistance to the newly independent states of the former Soviet Union. She has received two State Department Meritorious Honor Awards. Heather is frequently featured as a foreign policy analyst and Europe expert on CNN, MSNBC, BBC, NPR, and PBS, among other media outlets. She received a B.A. in international studies from West Virginia Wesleyan College and an M.A. in international relations from the Johns Hopkins University School of Advanced International Studies (SAIS). Sponsored by Fredrikson & Byron, P.A. Presented in partnership with the Friends of the Minneapolis Central Library, Hennepin County Library – Minneapolis Central, Landmark Center, Edina Senior Center, Friends of the Edina Library, Minneapolis Public Schools Community Education, Plymouth Library, and Washburn Library.
On Episode 61, Kevin and Jac welcome Kevin Spreng and David Winkler from Fredrikson & Byron to talk startup law. This is a Special Sponsor Episode with Fredrikson & Byron Fredrikson & Byron has built a reputation as the firm “where law and business meet” by bringing business acumen and entrepreneurial thinking to our work with clients and by operating as business advisors and strategic partners as well as legal counselors. The Fredrikson & Byron SURGE group works specifically with startups and growing companies in technology, healthcare and life sciences, energy, consumer goods, and social entrepreneurs. To learn more about how the SURGE team can help your company reach its business goals, contact SURGElaw@fredlaw.com and visit fredlaw.com. Socials tech.mn on TwitterKevin McArdle on TwitterFredrikson & Byron on Twitter Links Fredrikson & Byron Website
With its dramatically increased investment and trade with Latin America, how is China positioned to affect opportunities for U.S. businesses in the region following the economic disruption of the COVID-19 pandemic? Whose economic rules will apply, what are the implications for intellectual property protection, and how will private sector companies from the U.S. compete with their state-owned counterparts from China? Listen to a webinar conversation as industry experts give insight into the economic role China will play in the critical post-COVID-19 recovery period. Webinar Speakers: Margaret Myers, Director of the Asia and Latin America program at the Inter-American Dialogue Amy P. Celico, Principal at Albright Stonebridge Group Joyce Chang, Managing Director and Chair of Global Research at J.P. Morgan Patrick J. Kelly, Chair of the Latin America Practice Group at Fredrikson & Byron, P.A.
Rich Bracken is the Director of Business Development at Minneapolis-headquartered law firm Fredrikson & Byron. He's also a thought leader and content creator in multiple domains, including podcasting, television, and on-stage as a public speaker. On this episode, Jay and Tom talk to Rich about a range of topics, including: Why it's so important to focus on the fundamentals of marketing and business development How lawyers can achieve business development success in a complex world by keeping it simple Why creating memorable client-service moments is a competitive advantage How to authentically and effective connect with your audience through your content
The National Institutes of Health (NIH)is expected to receive an additional $500 million to spend annually on pain management and opioid use. On Tuesday, the agency published details as to how the infusion of additional money will be used as part of a program titled “Helping to End Addiction Long Term (HEAL)." Earlier this week, the Centers for Medicare & Medicaid Services (CMS) approved facet joint injections for auditing, warning that auditors will review medical documentation to determine that services were medically reasonable and necessary. Reporting on this latest development will be American Medical Association (AMA) author and consultant Deborah Grider. Grider will also preview her upcoming webcast on the coding and documentation of pain management injections to avoid audits and takebacks. Other segments to be featured on the broadcast include: 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 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. Special Assignment:Senior healthcare analyst Frank Cohen will return to the broadcast to continue his reporting of alleged bias he is uncovering in extrapolation audits Monitor with us™
Not unexpected but widely feared among healthcare providers, regulations setting 340B ceiling prices and establishing civil monetary penalties for drug manufacturers that knowingly and intentionally exceed those limits were delayed for the fifth time, until 2019, by the Trump Administration in a final rule published on Tuesday, June 5 in the Federal Register. As the dust settles, America’s rural hospitals are expected to be impacted the most by an apparent lack of government enforcement, as the savings they receive from their participation in the 340B program —savings that are intended to keep doors open and allow for the provision of care for low-income and rural patients—are crucial to their survival. Reporting on this developing story during the next edition of Monitor Mondays will be Maureen Testoni, Interim President and Chief Executive Officer for 340B Health, a nonprofit organization of more than 1,300 hospitals and health systems participating in the federal 340B drug pricing program. Other segments to be featured on the broadcast 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. Special Assignment: Senior healthcare analyst Frank Cohen will return to the broadcast to continue his reporting of alleged bias he is uncovering in extrapolation audits. Cohen is expected to report on how a Zone Program Integrity Contractor (ZPIC) turned a $4,000 overpayment into a $3 million overpayment using extrapolation. Monday Focus: Nationally recognized whistleblower attorney Mary A. Inman, partner at Constantine Cannon’s London office, will have an update on the major whistleblower case that is pitting Aetna against CVS for price spreading—this at a time when the two entities are trying to merge. Risky Business: Healthcare attorney David Glaser, with Fredrikson & Byron, will report 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, will continue to report on the vexing issue of Medicare Advantage. Monitor with us™
“Literally billions of dollars a year are being extorted from healthcare providers due to a system of rules, regulations, and guidelines that are not outdated, but just plain wrong,” writes senior healthcare analyst Frank Cohen, director of analytics and business Intelligence for DoctorsManagement in the current edition of the RACmonitor e-News. Cohen joined the Monitor Mondays broadcast to make his case and suggest strategies for improving what he believes is a flawed system of medical record auditing. Other segments to be featured on the broadcast include: Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. OMHA Report: Healthcare attorney Andrew Wachler, managing partner at Wachler & Associates, reports on the long-awaited expansion to the Settlement Conference Facilitation (SCF) program. Details were released last week by the Office of Medicare Hearings and Appeals. Audit Report: Monitor Mondays national correspondent Knicole Emanuel, Esq., partner at the Potomac Law Group, reports on the latest activities by healthcare auditors. Risky Business: Healthcare attorney David Glaser, with Fredrikson & Byron, reports 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, senior healthcare consultant for DoctorsManagement, continues to report on the vexing issue of Medicare Advantage. Monitor with us™
Judge James E. Boasberg of the United States District Court for the District of Columbia has ordered the American Hospital Association (AHA) to propose specific recommendations for reducing the Medicare appeals backlog of appeals at the Administrative Law Judge (ALJ) level. Reporting this developing story is healthcare attorney Andrew Wachler, Esq., managing partner at Wachler and Associates. The episode rundown also includes: 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 for Nancy Beckley and Associates, report on all the latest hot topics and presents 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. Consumer Alert: New Medicare beneficiary identification cards are scheduled to be mailed from the Centers for Medicare & Medicaid Services (CMS) this month to beneficiaries. And with the new cards come new scams. Author, educator, and consultant Duane Abbey will report on the new cards and the expected scams on bilked seniors. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer continues to report on the vexing issue of Medicare Advantage. Spencer is a senior healthcare consultant for DoctorsManagement. Monitor with us™
Telemedicine, considered to be an electronic lifeline for rural healthcare, is a rapidly growing sector of health care in the United States that has recently gone through a significant expansion. Returning to Monitor Mondays to provide an update to his October 2017 report on the CHRONIC Act and MedPac's report on Telemedicine, is attorney Dale C. Van Demark, a partner at McDermott Will & Emery in Washington, D.C. The episode rundown also includes: 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 for Nancy Beckley and Associates, returns to report on all the latest hot topics and 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. 340B Update: Monitor Mondays national correspondent Timothy Powell, CPA, reports on the status of the controversial 340B drug program. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer continues to report on the vexing issue of Medicare Advantage. Spencer is a senior healthcare consultant for DoctorsManagement. Monitor with us™
Diving deep into the datasphere, senior healthcare analyst Frank Cohen comes up for air in order to report on a new approach he and his team of data experts have developed to predict the likelihood of an audit. While he claims that his team is not yet predicting billing errors, he does report that many of the variables being used to do so can also be used to forecast audits. During this episode Cohen, director of analytics and business intelligence for DoctorsManagement, reports on his latest findings, which could help you and your facility ward off an audit. The episode rundown also includes: 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 for Nancy Beckley and Associates, returns to report on all the latest hot topics and 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. IRF Update: Angela Phillips, one of the nation's foremost authorities on inpatient rehabilitation facilities (IRFs), reports on all the buzz about Medicare's most recent clarifications to contracted auditors related to auditing therapy minutes for IRFs. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer continues to report on the vexing issue of Medicare Advantage. Spencer is a senior healthcare consultant for DoctorsManagement. Monitor with us™
Patients and providers are reeling in Ohio, given the new Anthem BlueCross BlueShield emergency department (ED) policy, allowing the payer to decline claims for non-emergency ED visits. Advocates caution that Ohio patients might not visit the ED, fearful of not having their visits covered. Former ED physician-turned healthcare consultant Erica Remer, herself an Ohioan, reports on this developing story. Another headline grabbing story is the reported lawsuit filed by Envision Healthcare against UnitedHealthcare (UHC). Envision is using the giant insurer alleging the UHC "unilaterally" lowered payments of Envision's contracted physicians, according to Axios. Healthcare attorney Mary Inman, a partner at Constantine Cannon, reports on this developing story, calling in from the firm's London office. Yet another story about UHC is reported by Shannon DeConda, founder and president of the National Alliance of Medical Auditing Specialists (NAMAS). UHC, DeConda reports, is cracking down on emergency ED service codes of Level 4 and 5. The episode rundown also includes: 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 for Nancy Beckley and Associates, returns to report on all the latest hot topics and the Monitor Mondays Listener Survey. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on a developing story that some facilities are receiving CERT letters containing misleading information. Monitor with us™
RACmonitor was founded in 2008 to provide news and information for healthcare providers on the emergence of the government’s Recovery Audit Contractor (RAC) program. From a Centers for Medicare & Medicaid Services (CMS) demonstration in that year, and continuing to the national rollout in 2010 (coincidentally, the year of Monitor Mondays’ national debut), we have been reporting on activities not only of the RACs, but also the Medicare Administrative Contractors (MACs), Zone Program Integrity Contractors (ZPICs), and the Quality Improvement Organizations (QIOs). But why, after nearly 10 years, do these auditors still tend to get auditing wrong? Providing insight into this issue during this edition of Monitor Mondays is healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group. The episode rundown also includes: 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 for Nancy Beckley and Associates, returns and reports on all the latest hot topics and the Monitor Mondays Listener Survey. News Update: RACmonitor national correspondent Timothy Powell reports on the move by UnitedHealthCare to adjust or deny emergency department (ED) claims submitted with levels four and five evaluation and management (E&M) codes. RACmonitor broke that story with Dr. Hirsch in December of last year. Auditing Report: Kristi Pollard, senior coding consultant at Haugen Consulting Group, reports on a top audit finding uncovered by her firm: discrepancies in secondary diagnosis assignment on outpatient claims. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron shares another example of a potentially troublesome issue that could pose a risk to your facility. Monitor with us™
"Anthem Blue Cross Blue Shield (BCBS) was set to implement a new processing edit with regard to the use of Modifier 25, effective March 1, 2018, but things didn't go as planned," reports Shannon DeConda, founder and president of the National Alliance of Medical Auditing Specialists (NAMAS), as well as the president of coding and billing services and a partner at DoctorsManagement, LLC. During this episode DeConda explains why Anthem is rescinding the new policy. The episode rundown also includes: Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. IRF Update: Angela Phillips, one of the nation's foremost authorities on inpatient rehabilitation facilities (IRF), reports on Medicare guidelines for an "interrupted stay" in the IRF, and for how services should be billed for these patients. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer continues to report on the vexing issue of Medicare Advantage. Spencer is a senior healthcare consultant for DoctorsManagement. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron shares another example of a potentially troublesome issue that could pose a risk to your facility. Whistleblowers: Nationally recognized whistleblower attorney Mary Inman will reports on current whistleblower cases from the London offices of her firm, Constantine Cannon. Monitor with us™
"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." During this episode of Monitor Mondays Dr. Hopkins makes 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? Duane Abbey, PhD, 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 episode rundown also includes: 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 for Nancy Beckley and Associates, has all the latest developments on the therapy caps as well as 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, reports on changes to the CMS Hospice Compare program announced Thursday. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on a recent memo from the U.S. Department of Justice offering good news for some providers. Monitor with us™
Should total knee replacements (TKRs) be performed as inpatient or outpatient procedures? Some facilities are admitting all of them as inpatient while other facilities take a more conservative approach to admission. How are TKRs being handled at your facility? Mary Beth Pace, vice president of care management at Trinity Health and the special guest on this edition of Monitor Mondays, frames the conundrum as a hypothetical patient/caregiver conversation: "we are going to do major surgery on you, but we are not sure if we will keep you after surgery – and oh, by the way, there will be a copay and deductible either way, we don't know which one. But don't worry, it will be a good thing to have your knee in working order again." Tune in to the podcast as she reports on how TKRs are admitted at Trinity. Also reporting on this timely subject is Jeffrey Pilger, MD, a board-certified lead physician advisor affiliated with St. Elizabeth Healthcare Edgewood in Edgewood, Ky. The episode rundown also includes: 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 for Nancy Beckley and Associates, has all the latest developments on the therapy caps as well as the Monitor Mondays Listener Survey. Office of Civil Rights Report: Rita Bowen, with MRO, is a nationally recognized healthcare privacy expert. Bowen reports on the latest initiatives by the U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR), including updates on the HIPAA Audit Program, patient access guidance, and resolution agreements. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron shares another example of a potentially troublesome issue that could pose a risk to your facility. Prior Authorization: Betty Lengyel-Gomez with the Healthcare Administrative Technology Association (HATA) reports on research HATA has conducted to remove barriers to the adoption of prior authorization transactions. Lengyel-Gomez is the industry relations and regulatory compliance director for MedInformatix. Monitor with us™
Who bears the burden and blame of regulatory noncompliance when your facility relies on non-medical software companies that create electronic medical records? We will continue with the second part of this developing story during this episode of Monitor Mondays, when whistleblower attorney Mary Inman reports on an ongoing qui tam action under the federal False Claims Act through which a relator alleges that Bon Secours Health System, Inc. fraudulently billed Medicare and Medicaid millions of dollars. Inman also reports on other current whistleblower cases. The episode rundown also includes: 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 for Nancy Beckley and Associates, has all the latest developments on the therapy caps as well as the Monitor Mondays Listener Survey. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer continues to report on the vexing issue of Medicare Advantage. Spencer is a senior healthcare consultant for DoctorsManagement. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on a recent memo from the U.S. Department of Justice offering good news for some providers. 340B Drug Update: RACmonitor national correspondent Timothy Powell, CPA, reportS on the latest developments regarding the 340B drug discount program. Monitor with us™
On the rugged regulatory terrain, you might confront this issue: who bears the burden and blame of regulatory noncompliance when your facility relies on non-medical software companies that create electronic medical records? Many of these electronic records are self-populated. So, what happens if you undergo a Recovery Audit Contractor (RAC) audit and are accused of wrongdoing? Offering insight into this issue during the next edition of Monitor Mondays will be healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, who will be the broadcast's special guest. The episode rundown also includes: 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 hot topics and the Monitor Mondays Listener Survey. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer will continue to report on the vexing issue of Medicare Advantage. Spencer is a senior healthcare consultant for DoctorsManagement. 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. Cyber Report: RACmonitor investigative reporter and New York attorney Edward Roche will report on risks associated with Apple's iPhone's new medical records portal. Roche is the director of scientific intelligence for Barraclough NY LLC. Monitor with us™
Healthcare Effectiveness Data and Information Set (HEDIS) reviews, underway right now by commercial health plans and government payers, are expected to continue through mid-May. Also expected at that time is a massive number of medical record requests from payers as they seek to improve their Medicare Advantage plan quality measurements, called Star Ratings, which are ultimately published on the Centers for Medicare & Medicaid Services (CMS) website. Explaining the rating systems as well as offering best practices to minimize payer abrasion during this episode of Monitor Mondays is special guest Greg Ford with MRO. The episode rundown also includes: Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, will file another report on the controversial total knee replacement (TKR) issues that continue to confound physicians and patients. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO for Nancy Beckley and Associates, will have all the latest hot topics and the Monitor Mondays Listener Survey. Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer will respond to a listener who become ensnared in a Medicare Advantage issue. Spencer is a senior healthcare consultant for DoctorsManagement. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron will return with another example of a potentially troublesome issue that could pose a risk to your facility. Prickly Report: Implantable medical device reporting is the prickly subject for the Monitor Mondays Prickly Report. It’s a compliance issue that still confounds providers while at the same time continues to be a hot audit topic for Zone Program Integrity Contractors (ZPICs), Comprehensive Error Rate Testing (CERT), and Medicare Administrative Contractors (MACs). Michael Calahan, vice president of hospital and physician compliance with HealthCare Consulting Solutions (HCS), will explain why this issue is low-hanging fruit for auditors. Monitor with us™
“We have been slammed with Medicare Advantage DRG audits,” wrote Sandra from Indiana during last week’s Monitor Mondays broadcast. We asked RACmonitor national correspondent J. Paul Spencer with DoctorsManagement to investigate this issue for this week's episode. Will there be more of these audits? Do these represent low-hanging fruit for auditors? Stay tuned. The episode rundown also includes: Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, will file another report on the controversial total knee replacement (TKR) issues that continues to confound physicians and patients. Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO for Nancy Beckley and Associates, will have all the latest hot topics and the Monitor Mondays Listener Survey. Healthcare Cyber Report: RACmonitor investigative reporter and New York attorney Edward Roche will return to the broadcast to report shocking examples of cyberattacks on healthcare providers. Roche is the founder and director of scientific intelligence for Barraclough LLC New York. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron will return after a long absence with another example of a potentially troublesome issue that could pose a risk to your facility. OMHA Report: Prominent healthcare attorney Andrew Wachler, managing partner at Wachler & Associates, will report on the latest offering from the Office of Medicare Hearings and Appeals to expand its current Settlement Conference Facilitation (SCF) program. Monitor with us™
Eve Wright is the Vice President and Associate General Counsel for The HEAT Group (Miami Heat basketball team). She is the author of, "LIFE AT THE SPEED OF PASSION: Create a Life of Intention, Purpose, and Integrity." Wright joins the show to discuss how people can cut the emotional “fat” from their lives and refine themselves everyday. She also explains what it really means to be happy. Wright then talks about how people can take calculated risks and re-learn risk-taking to achieve ROI. She thinks everyone can overcome their fears of failure. Find out more about Eve Wright at http://evewright.us/. Find out more about the Miami Heat at www.heat.com. In her position, Wright advises the HEAT on a wide variety of legal issues pertaining to marketing and promotions, concerts and events, corporate sales, merchandising initiatives and player-related matters. Prior to joining the HEAT, Wright served as the Senior Director of Business and Legal Affairs for the Ladies Professional Golf Association (LPGA) where she helped to develop sports marketing opportunities for corporate sponsors, managed the LPGA's international trademark portfolio and retail licensing business as well as advised the Association on all legal matters. Prior to her tenure with the LPGA, the former associate in the Minneapolis, Minnesota office of Fredrikson & Byron, P.A. worked in the E-Business and Corporate Transactions groups. An avid supporter of community development initiatives, Ms. Wright has served in various capacities on the boards of regional civic organizations. In addition to civic organizations, she is currently a member of the ACC professional organization as well as serves on the Board of Directors for BESLA and Advisory Board for the Corporate Counsel Women of Color. Ms. Wright is a graduate of DePauw University, where she received a Bachelor of Arts in Economics and International Business. She earned her Doctor of Jurisprudence from Indiana University School of Law and participated in the Consortium Program at Howard University School of Law. She and her husband, Ken, live in Bay Harbor Island.