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Today we are diving into the world of CSTD safety and training with Gloria Porcelli, who is a Board-Certified Oncology Pharmacist from Montefiore Nyack Hospital. Gloria provides first-hand examples of how the ease of use of the Equashield CSTD has simplified teaching colleagues how to use the system. We also have a very intriguing conversation about why having a closed back syringe is vital to all healthcare workers.
This live episode from the Becker's Hospital Review 13th Annual Meeting in Chicago features Dr. James P. Kelleher, Medical Director of Behavioral Health at Montefiore Nyack Hospital. Here, he discusses the intersection of his career in healthcare and investment banking, the excitement of patient progress in behavioral health, and more.
In 2016, when the NYS DOH put out a request for application to receive the Creating Breastfeeding Friendly Communities (CBFC) Grant, the Rockland County Lactation community united to support and work together for this initiative. At that time, 86.6% of new mothers in the state initiated breastfeeding, but only 56% were still breastfeeding at six months, and of those, only 17% were exclusively breastfeeding. Patti's organization felt that connecting and supporting breastfeeding families beyond their hospital stay could make a big difference. The CBFC initiatives goal was to include physician practices, daycares, worksites, and public locations in the effort to support breastfeeding families for a longer period. Listen to find out how Patti and her practice made a change in the amount and type of education and support they were offering to their patients and how they involved their whole community in the effort. Consider if your area could benefit from a similar initiative! Patrícia Soriano Guzmán is an Allied Healthcare Professional specializing in Perinatal Support services. She has pursued advanced education with leading organizations, first in Lactation followed by Perinatal Mental Health, Prepared Childbirth, and Infant Development. Patrícia is currently an International Board Certified Lactation Consultant® at Montefiore Nyack Hospital and is responsible for outpatient Clinical Lactation services provided in English and Spanish, as well as leading several perinatal-related programs and events. Since 2020, Patrícia has been featured as guest speaker for a variety of virtual events, and most recently, led a 20-Hour Lactation Education training as the sole-presenter of 11 live, interactive sessions for 89 healthcare workers. This program was part of the NYS DOH Creating Breastfeeding-Friendly Communities initiative. Listen and Learn: Why families need continued support outside the hospital at all touchpoints Where parents are likely to connect with those who can support them How NYS increased the knowledge and skills of community-based organizations, primary care providers, childcare directors and staff, and employers How out-of-hospital facilities or programs signed up for participation in the program What Patti did to help implement the first obstetric practice in the area to achieve NYS DOH 10 Steps to Breastfeeding-Friendly Designation How Baby Cafes and similar types of gatherings helped Resources & Mentions: Creating Breastfeeding Friendly Communities (CBFC) (ny.gov) Get in touch with Patti: Send her an email at psguzmanibclc@gmail.com or Info@perinatalsupportgroup.com Related Products from InJoy: Understanding Breastfeeding Curriculum Practices to Increase Exclusive Breastfeeding: Core Concepts eCourse Practices to Increase Exclusive Breastfeeding: Managing Common Challenges eCourse
I talk with Dr. Mimi Knoll, a radiation oncologist, about breast cancer. She shares why she decided to pursue the field, why patients with a diagnosis will usually not pursue a mastectomy, what a typical patient journey looks like through the medical system and what we should all know about prevention Miriam A. Knoll, MD, DABR is a board-certified radiation oncologist at Advanced Radiation Oncology Services at Montefiore Nyack Hospital in New York. Dr Knoll received her medical degree at New York University School of Medicine and completed her radiation oncology training at Mount Sinai Medical Center in NY. She is co-founder and CEO of the Jewish Orthodox Women's Medical Association. Dr. Knoll is a Forbes Healthcare contributor and writes for the American Society of Clinical Oncology (ASCO) Connection and numerous other media outlets. She serves as an Associate Editor for the peer-reviewed journal of the American Society of Radiation Oncology (ASTRO) Advances in Radiation Oncology. You can follow her on Twitter @MKnoll_MD and on Instagram @Dr.Mimi.K. Jowma.org @jowma_org Click here to shop The Snuggle Dress Click here to get the Secrets Your Tailor Won't Tell You Click here to see my collection of dresses. Click here to see my maternity friendly pieces. To hear more episodes, subscribe and head over to Impactfashionnyc.com/blog/podcast. Be Impactful is presented by Impact Fashion, your destination for all things size inclusive modest fashion
Provisions in the newly enacted Inflation Reduction Act represent some of the most significant changes to the healthcare system that have taken effect in the past decade. Maureen Testoni, president and CEO of 340B Health, will review some of the new law's drug pricing elements. They include provisions for Medicare to start negotiating the prices it will pay for certain drugs for the first time in the program's history. How these drug pricing changes play out will affect the entire healthcare system, including the safety-net providers who already receive discounted prices on some prescription drugs.Other segments will include these instantly recognizable broadcast segments:The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors.The News Report: Dennis Jones, Patient Financial Services at Montefiore Nyack Hospital will report on the single payer proposal.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of healthcare regulations and the SDoH.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.Legislative Update: Folana Houston, assistant general counsel for Zelis, who will be substituting for Matthew Albright, will report on current healthcare legislation.
The warning was shot across the bow of Medicare Advantage Organizations (MAOs). The U.S. Department of Health and Human Services (HHS) Office of Inspector (OIG), in a report to the Centers for Medicare & Medicaid Services (CMS) raised concerned that MAOs could be denying prior authorizations requests in an attempt to increase profits.CMS agreed to the report and, on Aug. 3, issued new guidance on the appropriate use of MAO clinical criteria for medical necessity reviews along with numerous revisions.Reporting on this developing story during the next live edition of Monitor Mondays will be Dennis Jones, administrator of patient financial services for Montefiore Nyack Hospital.Other segments will include these instantly recognizable broadcast segments:The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on the news that's happening at the intersection of healthcare regulations and the SDoH.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.Legislative Update: Substituting for Matthew Albright, will be Cate Brantley, legislative affairs analyst for Zelis. Brantley will report on current healthcare legislation.
The Macallan Group with Sandra Arevalo, Director of Community Health and Wellness at Montefiore Nyack Hospital
Artificial intelligence (AI) is omnipresent — in self-driving cars, manufacturing, and healthcare management. Now, AI is even being deployed in the physician query process. Yet engineering AI to be programmed for physician queries requires understanding the physician's thought process. And that's always a challenge, on any level — especially for AI computer scientists.For the latest update on automated physician queries, we have invited Gerasimos “Gerry” Petratos, CEO for HiTeks, a company that has several installed automated physician query solutions in major healthcare systems, to serve as the special guest during the next edition of Talk-Ten-Tuesdays. Gerry will report on the challenges inherent in these efforts, as well as explain whether automated queries might mark the end of the clinical documentation integrity specialist (CDISs) profession.Because clinicians require timely and accurate advice to improve patient care and practice management, AI appears to be a key solution to assist in streamlining this process. The advent of the electronic health record (EHR) has made real-time decision support possible, due to the common workflows and digitization of clinical data available for processing. However, the avalanche of clinical data produced every day for innumerable medical conditions is stashed away in difficult-to-consume structure, often going untapped.The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will report on the latest coding news.Tuesday Focus: PSIs, Providers and Queries: Christel Kemble, the PSI/HAC consultant for Covenant HIM, will report on the intersection of Patient Safety Indicators and physician queries.News Desk: Dennis Jones, administrator of patient financial services (PFS) for Montefiore/Nyack Hospital, 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.
The American Health Information Management Association (AHIMA) has just released a new practice brief focused on prospective clinical documentation integrity reviews and query alerts.Being revealed for the first time during the next edition of Talk Ten Tuesdays, the practice brief was developed by AHIMA through a workgroup of clinical documentation integrity (CDI) industry experts. The free practice brief explores the need for prospective reviews and the impact they have on the CDI industry. The publication also provides information on the provider perspective and how to manage the data obtained in prospective reviews. Every CDI professional will benefit from the practice brief by recognizing the compliance standards that should be followed when performing prospective health record reviews. The live broadcast will also feature these other segments:CDI Report: Nationally recognized CDI expert Cheryl Ericson, clinical program manager for Iodine Software, will have the Talk Ten Tuesdays CDI Report.Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the broadcast's Coding Report, and its weekly Listeners Survey.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the News Desk.Point of View: Dennis Jones, Patient Financial Services Administrator at Montefiore Nyack Hospital, will substitute for co-host Erica Remer, MD.
Are you monitoring the 2021 U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan? The watchdog agency is watching you. They're auditing claims for evaluation and management (E&M) services performed on the same day as minor surgical procedures that have been documented with Modifier 25. The backstory: in 2019, about 56 percent of dermatologists' claims with an E&M service also included minor surgical procedures (such as lesion removals, destructions, and biopsies) on the same day. This may indicate abuse, wherein the provider used Modifier 25 to bill Medicare for a significant and separately identifiable E&M service when only a minor surgical procedure and related preoperative and postoperative services were supported by the beneficiary's medical record. Nationally recognized professional coder, educator, and auditor Terry Fletcher will return to the Talk Ten Tuesdays broadcast for its next edition to report the lead story. The live broadcast will also feature these other segments:Coding Report: Laurie Johnson, senior healthcare consultant with Revenue Cycle Solutions, LLC, will have the Talk Ten Tuesdays Coding Report, along with the broadcast's weekly Listeners Survey. Tuesday Focus: Homework: Many auditors and coders are working from home these days, and home has raised new obstacles and some new advantages to our daily routines. How to bring the home practicality into the coding and auditing work world will be Shannon DeConda, founder of the National Alliance of Medical Auditing Specialist (NAMAS). News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.Point of View: Dennis Jones, Patient Financial Services Administrator at Montefiore Nyack Hospital, will substitute for co-host Erica Remer, MD.
This week, Jodi speaks with Dr. Miriam Knoll. Dr. Miriam Knoll is a Physician and a Radiation Oncologist; she helps people who are battling cancer. In the episode, she talks about the “Work-life Balance and Mom Guilt.” Whether you are working Mom, a stay at home mom, or a mama with a lot on your plate, this episode is for you!About Our Guest:Dr Miriam A. Knoll, MD, DABR is a board-certified radiation oncologist at Advanced Radiation Oncology Serves at Montefiore Nyack Hospital in New York. She serves as President of the Jewish Orthodox Women's Medical Association (JOWMA). Dr Knoll received her medical degree at New York University School of Medicine and completed her radiation oncology training at Mount Sinai Medical Center in NY. Dr. Knoll is a Forbes Healthcare contributor and writes for the American Society of Clinical Oncology (ASCO) Connection and numerous other media outlets. She serves as an Associate Senior Editor of the American Society of Radiation Oncology (ASTRO)'s peer-reviewed journal, Advances in Radiation Oncology.Show Notes:4:31 Stepping Into Oncology“… it fascinated me and I think this is so important, sometimes I'll meet people who are doing things and I say how can you do that and the answer is because you love it, because it's fascinating, because you enjoy it…”8:21 Studying medicine and being a mom9:35 Mimi's perspective on Work-Life Integration“We have intense pressure to do things, and yes there are societal norms, there are expectations, there are responsibilities… Those are all real, but they're also all in your head and it's your decision of wanting to do something, not having to do something.”14:23 Reframing the “have to” to “get to”“… the fact that I was able to finish my training and finish school […] I have a lot of gratitude for that because, yes it was really really hard, but not everyone gets the opportunity to do it…”17:25 Managing being a busy woman, mother and wife“It's about planning the things that you have to do with a reasonable amount of time that it takes to do…”22:15 Being Conscious when Needing Help“If you're working, you need more help than the hours that you are working. You can't just have help for the hours that you are missing […] you need help for the time that you are home too.”24:22 Mom Guilt “Sometimes it's worry, sometimes it's sadness, sometimes it's jealousy. It's not always guilt, Guilt implies you did something wrong…”Connect with Miriam at:Instagram: @Dr.Mimi.KTwitter: @MKnoll_MDCredits:Host: Jodi FriedGuest: Miriam KnollEditor: Orlando Diaz
With many treatments available for multiple sclerosis, our experts provide personalized care plans for our patients who receive top-notch and innovative care at The Madlyn Borelli Multiple Sclerosis Center at Montefiore Nyack Hospital.
Does diabetes have an equal treatment for every patient? Do you know how to communicate with health providers? In this episode, Sandra tells us how different the treatment is for each patient based on the culture, personal fears, and habits. Also, she states that once you are diagnosed with some disease, it is indispensable that you understand what that means for your life from that moment on. Sandra Arévalo is the Director of Community and Patient Education at Montefiore Nyack Hospital. Working as a bilingual private consultant, researcher and spokesperson has helped her expand her horizons to continue her mission and commitment to provide health care to the most underserved and diverse families. "Who are you? What's your support system? Do you have a family? What are your reasons to be alive and fight this disease? Do you have the means to care for yourself of both like, psychologically and economically and physically? Like, are you able to take care of yourself? You know, like, if you have to inject yourself, or your fingers functioning well, but is your mind functioning?" In this episode, you will learn about: Sandra's background in nutrition in diverse cultures What it means to care for the patient and not the diagnoses How you can become an advocate for your care The adequate communication with a health care provider How to connect with Sandra on social media Keynotes: [01:27] What led Sandra to work with people from different cultures in dietetics [04:06] Caring for the patient and not for the diagnoses [05:32] How personal life can interfere in diabetes treatment [09:01] The communication with the doctor [11:57] How does one become an advocate for their care? Connect with Sandra! Instagram https://www.instagram.com/sandra.arevalo.rd/ Facebook https://www.facebook.com/SandraArevaloRD/ LinkedIn https://www.linkedin.com/in/sandra-j-ar%C3%A9valo-mph-rdn-cde-clc-fada-10700931?lipi=urn%3Ali%3Apage%3Ad_flagship3_profile_view_base_contact_details%3BPYpYasXYQvyA4M%2Bo28rqeg%3D%3D Twitter https://twitter.com/sandraarevalord?lang=en Connect with Yumlish! Website https://yumlish.com/ Instagram https://www.instagram.com/yumlish_/ Twitter https://twitter.com/yumlish_ Facebook https://www.facebook.com/yumlish LinkedIn https://www.linkedin.com/company/yumlish/ --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/yumlish/message
Two major storylines are discussed during this edition of Monitor Mondays, with the exclusive 60-minute broadcast to focus on the raging coronavirus pandemic and the imminent auditing of Medicare and Medicaid claims scheduled to begin Aug. 3, as directed by the Centers for Medicare & Medicaid Services (CMS).Joining the broadcast to report on the coronavirus will be Dr. John Foggle, Adjunct Associate Professor of Emergency Medicine at the Alpert Medical School of Brown University. Offering an update on the imminent audits of Medicare and Medicaid claims will be healthcare attorney Andrew Wachler, managing partner of Wachler and Associates. And Sean Weiss, chief compliance officer for DoctorsManagement, reports on the issues and implications associated with the public health emergency (PHE), which was extended recently by Alex Azar, Secretary of the U.S. Department of Health and Human Services (HHS).Two reports from two provider organizations will round out the Monitor Mondays coverage of the impact of the deadly coronavirus on hospitals. Dennis Jones, administrator of patient financial services at Montefiore Nyack Hospital in Nyack, N.Y., once near the epicenter of the virus, reports on how his facility has emerged from the worst of the spike in the northeast. And Nicole Thorell, chief nursing officer at Lexington Regional Health Center, reports on how her rural hospital has managed to survive during the pandemic.Other segments to be featured during the live broadcast include the following:RAC Report: Healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, files the Monitor Mondays RAC Report.SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SDoH), reports on the news that’s happening at the intersection of COVID-19 and SDoH. Ellen also conducts the Monitor Mondays Listener Survey.Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, reports on the status of healthcare legislation associated with the current COVID-19 pandemic.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, joins the broadcast with his trademark segment. reporting on legal implications during the pandemic. Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.COVID Q&A: Navigating COVID-19 guidance continues to be a major challenge for healthcare professionals – and that is why Monitor Mondays will devote additional time during this live broadcast to answer your questions.
Are objects like your phone and keys a COVID-19 risk? Full Body sanitation pods at the Hong Kong Airport, and how COVID-19 has made life a bit more inclusive for those with a range of disabilities. Plus hear an interview with Dr. Rani Banik on how viruses spread through the eyes, and how to reduce our exposure to harmful blue light now that we're spending even more time on screens while stuck at home.And our healthcare heroes are the staff of Montefiore Nyack Hospital, hear a couple of members tell us about what they've been seeing on the frontlines of the pandemic.For questions or to submit a topic or tip, email covid19daily@radiomd.com.
Are objects like your phone and keys a COVID-19 risk? Full Body sanitation pods at the Hong Kong Airport, and how COVID-19 has made life a bit more inclusive for those with a range of disabilities. Plus hear an interview with Dr. Rani Banik on how viruses spread through the eyes, and how to reduce our exposure to harmful blue light now that we’re spending even more time on screens while stuck at home.And our healthcare heroes are the staff of Montefiore Nyack Hospital, hear a couple of members tell us about what they've been seeing on the frontlines of the pandemic.For questions or to submit a topic or tip, email covid19daily@radiomd.com.
Special Guest FutureDose Host David Berkowitz PharmD David's guest is Daryl Schiller, PharmD, FASHP, BCPS-AQ ID. Daryl is a Pharmacy leader with experience in hospital and retail settings, ambulatory surgery consulting, education, and medical writing. He currently oversee clinical and operational activities as the Director of Pharmacy at Montefiore Nyack Hospital where medication safety is the top priority. Daryl helped establish a clinical practice model that integrates pharmacists into multidisciplinary care teams, an enhanced clinical specialist service with a postgraduate residency training program, safer sterile compounding procedures, and improved medication dispensing and monitoring. Since coming to Montefiore Nyack, they have added almost 10 positions to the Department, increased the number of board certified pharmacists 4-fold, increased 340B revenue 8-fold, and implemented various targeted medication quality and performance improvement initiatives. Prior to joining the Pharmacy Team at Montefiore Nyack, Daryl was the Assistant Director for Clinical Pharmacy Services and Pharmacy Residency Director at Saint Barnabas Medical Center in Livingston, NJ where he was also the clinical pharmacy specialist in infectious diseases and burn trauma. Daryl has held leadership positions with numerous professional and community organizations, have been a question writer for the Board of Pharmacy Specialists Certification exam, have nearly 50 publications or presentations in peer-reviewed journals and conferences, and was the recipient of the NJ Pharmacist of the Year Leadership Award. About David: David Berkowitz PharmD is currently an Omnicell One Field Consultant and the Director of the Omnicell Fellowship in Data Analytics. Previously he worked for approximately 10 years in various inpatient pharmacy administrative roles at Partners Healthcare and Boston Medical Center, both in Boston, Massachusetts. In addition to his inpatient pharmacy experience, Dr. Berkowitz has also worked for two digital health startups serving as the Director of Pharmacy Strategy at Pillo health and the President of VeriCurious. He is a graduate of Massachusetts College of Pharmacy where is also an associate professor of pharmacy practice and he serves on their Digital Health Advisory Committee. Other organization involvements include serving on the American Society of Health-System Pharmacists Section of Pharmacy Informatics Professional Development Advisory Group and he is an advisor for the digital health platform, HealthXL. This episode is sponsored by the University of California Irvine, UCI, Master of Science in Pharmacology, learn more: https://sites.uci.edu/mspharmacology/
Special Guest FutureDose Host David Berkowitz PharmD David's guest is Daryl Schiller, PharmD, FASHP, BCPS-AQ ID. Daryl is a Pharmacy leader with experience in hospital and retail settings, ambulatory surgery consulting, education, and medical writing. He currently oversee clinical and operational activities as the Director of Pharmacy at Montefiore Nyack Hospital where medication safety is the top priority. Daryl helped establish a clinical practice model that integrates pharmacists into multidisciplinary care teams, an enhanced clinical specialist service with a postgraduate residency training program, safer sterile compounding procedures, and improved medication dispensing and monitoring. Since coming to Montefiore Nyack, they have added almost 10 positions to the Department, increased the number of board certified pharmacists 4-fold, increased 340B revenue 8-fold, and implemented various targeted medication quality and performance improvement initiatives. Prior to joining the Pharmacy Team at Montefiore Nyack, Daryl was the Assistant Director for Clinical Pharmacy Services and Pharmacy Residency Director at Saint Barnabas Medical Center in Livingston, NJ where he was also the clinical pharmacy specialist in infectious diseases and burn trauma. Daryl has held leadership positions with numerous professional and community organizations, have been a question writer for the Board of Pharmacy Specialists Certification exam, have nearly 50 publications or presentations in peer-reviewed journals and conferences, and was the recipient of the NJ Pharmacist of the Year Leadership Award. About David: David Berkowitz PharmD is currently an Omnicell One Field Consultant and the Director of the Omnicell Fellowship in Data Analytics. Previously he worked for approximately 10 years in various inpatient pharmacy administrative roles at Partners Healthcare and Boston Medical Center, both in Boston, Massachusetts. In addition to his inpatient pharmacy experience, Dr. Berkowitz has also worked for two digital health startups serving as the Director of Pharmacy Strategy at Pillo health and the President of VeriCurious. He is a graduate of Massachusetts College of Pharmacy where is also an associate professor of pharmacy practice and he serves on their Digital Health Advisory Committee. Other organization involvements include serving on the American Society of Health-System Pharmacists Section of Pharmacy Informatics Professional Development Advisory Group and he is an advisor for the digital health platform, HealthXL. This episode is sponsored by the University of California Irvine, UCI, Master of Science in Pharmacology, learn more: https://sites.uci.edu/mspharmacology/ See omnystudio.com/listener for privacy information.
When New York City needed hospital space, film location scouts pitched in, Researchers find more Americans are breaking stay-at-home orders, and what are mask valves, and why are cities banning them?Plus an interview with cardiologist Dr. Stephen Sinatra on the connection between the heart, lungs, and COVID-19, as well as precautions and preventive measures to take for people with pre-existing heart conditions.And our Healthcare Heroes today are the Nyack Mask Makers - a community project providing PPE masks for doctors, nurses, and staff at Montefiore Nyack Hospital, as they serve Rockland County, New York, during the increased patient activity caused by the COVID-19 pandemic. We chat with Bill Batson about that group. For questions or to submit a topic or tip, email covid19daily@radiomd.com.
When New York City needed hospital space, film location scouts pitched in, Researchers find more Americans are breaking stay-at-home orders, and what are mask valves, and why are cities banning them?Plus an interview with cardiologist Dr. Stephen Sinatra on the connection between the heart, lungs, and COVID-19, as well as precautions and preventive measures to take for people with pre-existing heart conditions.And our Healthcare Heroes today are the Nyack Mask Makers - a community project providing PPE masks for doctors, nurses, and staff at Montefiore Nyack Hospital, as they serve Rockland County, New York, during the increased patient activity caused by the COVID-19 pandemic. We chat with Bill Batson about that group. For questions or to submit a topic or tip, email covid19daily@radiomd.com.
The 1,000-bed USNS Comfort, a hospital ship that in the past has provided humanitarian relief around the world, is now anchored on Pier 90 in Manhattan to provide humanitarian relief as COVID-19, the illness caused by the novel coronarvirus, ravages New York City, now the epicenter of the pandemic. Also in New York City, the famed Jacob Javits Center has been converted to a 1,200-bed field hospital by the U.S. Army Corps of Engineers. In the meantime, the White House is warning the nation to expect the worst, reporting that up to 200,000 deaths from COVID-19 could occur. As President Trump put it, “this is going to be a very, very painful two weeks.”The broadcast includes the following updates, and then segue to the town hall:Alvin Gore, MD, CHCQM, is a physician advisor and director of utilization management at St. Joseph Health in Sonoma County, Calif, and also a member of the board of directors of the American College of Physician Advisors;Matt Lambert, MD, an emergency medicine doctor and the chief medical officer (CMO) for Curation Health;Dennis Jones, administrator of patient financial services for Montefiore Nyack Hospital in Nyack, N.Y., and a frequent panelist on Monitor Mondays and Talk Ten Tuesdays; andHoward Stein, DO, MHA, CHCQM-PHYSADV, associate director of medical affairs and a senior physician advisor at CentraState Health System in Freehold, N.J.Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on pending legislation in response to the COVID-19 pandemic.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, in which he reports on problematic issues facing providers.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.
What are care management services, and are you capturing revenue associated with them? Transitional care management (TCM), chronic care management (CCM), advance care planning (ACP), and behavioral health integration are among services you may already be providing for your patients. Good news: you can be paid for those services, as you’ll discover during the next live edition of Talk Ten Tuesdays when nationally-recognized professional physician coder and auditor Terry Fletcher reports our lead story.The live broadcast will also feature these other segments:The Coding Report: Laurie Johnson will have an update on the deadly coronavirus that continues to dominate international as well as domestic news headlines.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.Special Report: Amid the global pandemic of COVID-19, Dennis Jones of Montefiore Nyack Hospital gives us an update of the State of New York.Tuesday Focus: Laurie Johnson will report on the outcome of the two-day virtual Coordination and Maintenance (C&M) that concluded on Wednesday.
Converting Medicare patients from inpatient to outpatient status is a compliance issue. And hospitals need to know how to process the proper billing level of care for beneficiaries. Using their benefits correctly is a responsibility, since these patients rely on caregivers to advocate for them.To help navigate these potential audit traps, we asked Mary Beth Pace, vice president of care for Trinity Health, to be our special guest during this edition of Monitor Mondays.Other segments to be featured on the podcast:COVID-19 Update: Dennis Jones, director of patient financial services for Montefiore Nyack Hospital, reports on how the state of New York is working to remove barriers to the testing of the deadly virus.SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SDoH), has the latest news on this trending topic that is attracting significant media attention. Ellen will also conduct the Monitor Mondays Listener Survey.Legislative Update: Matthew Albright, chief legislative affairs officer for Zelis, join the broadcast as a permanent guest and report on current healthcare legislation – proposed, pending, or passed – and its intended consequences.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrickson & Bryon, joins the broadcast with his trademark 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.
Dr. Jared Corriel shares information about the Cardiac Rehabilitation Unit at Montefiore Nyack Hospital.
Dr. Jared Corriel shares information about the Cardiac Rehabilitation Unit at Montefiore Nyack Hospital.
Dr. Sunny Mitchell shares information about the High Risk Cancer Program at The Breast Center at Montefiore Nyack Hospital.
Daniel Levinson, former head of the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), will make his first broadcast appearance on Monitor Mondays since his announced retirement earlier this year.During his 15-year stint as the nation’s top healthcare watchdog, Levinson oversaw investigations into controversial health issues, including what was described as the largest healthcare fraud takedown in history in July 2017, when more than 400 defendants in 41 judicial districts were charged with participating in schemes involving about $1.3 billion in false billings to Medicare and Medicaid. Other segments to appear on the broadcast include:RAC Report: Healthcare attorney Knicole Emanuel returns to the broadcast to report on the latest audits by Recovery Audit Contractors (RACs) and other third-party auditors. Emanuel, a member of the RACmonitor editorial board, is a partner in the Potomac Law Group.Court Report: Reporting on the major Insys Therapeutics settlement announced Thursday is famed whistleblower Mary Inman, a partner in the London office of Constantine Cannon.Monday Focus: The U.S. House of Representatives Ways and Means Committee will hold a hearing next Wednesday on "Medicare for All," the proposal that would shift the U.S. to a single-payer healthcare system. Continuing his reporting on this hot-button topic will be Dennis Jones, administrator of patient financial services at Montefiore Nyack Hospital in Nyack, N.Y.SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on social determinants of health (SdoH), has the latest news on this trending topic that is attracting significant media attention.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.
Dr. Jonathan Arad discusses the surgical weight loss options available to patients at Montefiore Nyack Hospital, including bariatric surgery.
Could the Empire State be among the first to introduce a single-payer healthcare system?The latest news coming from Albany would seem to indicate that; now that both state legislative branches are under control of the Democrats, such an option is likely viable. Currently on the table is the New York Health Act (NYHA), which is proposed to extend coverage to New Yorkers who currently have no access to healthcare.Reporting our lead story during this episode of Monitor Mondays will be Dennis Jones, a New Yorker and the administrator of patient financial services at Montefiore Nyack Hospital in Nyack, N.Y.Other segments to appear on the broadcast include:Monday Focus: Revised E&M Codes: As expected, the American Medical Association’s (AMA’s) CPT® editorial board last month approved major changes to documentation and code selection guidelines for evaluation and management (E&M) codes. The changes were announced last week and are expected to become effective in 2021. Reporting this developing story is Shannon DeConda, founder and president of the National Alliance of Medical Coding Specialists—NAMASWhistleblower Report: Walgreens is facing a whistleblower’s False Claims Act challenge. The lawsuit alleges that pharmacies that the giant retail purchased in 2012 overcharged Medicaid for generic drugs by steeply discounting them to cash-paying customers. Famed whistleblower attorney Mary Inman, a partner in the London office of Constantine Cannon, has the latest news on this major story.Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, returns to report on all the latest hot topics.Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.Extrapolation Changes: Part II: The Centers for Medicare & Medicaid Services (CMS) made significant changes in statistical sampling methodology for overpayment estimation. Healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, continues reporting on the changes and what they mean to providers.
Many hospitals are seeing increasing numbers of significant payment reductions that are the result of so-called “forensic” or other reviews conducted by third-party auditors. These are done on outlier claims, particularly for Medicaid HMO claims, as well as commercial and even Medicare Advantage claims.The denials are for commonly billed services and items such as supplies, IV solutions, point-of-care (POC) labs, venipuncture, respiratory therapy services, etc. The rationale given for the denials is that the charges are “unbundled” and should be included in a room rate or a procedure charge, or labeled “routine,” and thus not separately billable or payable.Appeals are reported to be very time-consuming, with no guarantees of success. Reporting our lead story during this edition of Monitor Mondays will be Amanda Gilliland, a revenue integrity nurse auditor at UW Health in Madison, Wisc. Gilliland reports on her experience and efforts to appeal what she describes as “spurious” denials. The broadcast rundown also will include:Monday Focus: Readmissions: The Hospital Readmission Reduction Program (HRRP) penalizes hospitals for excessive readmissions that are often the result of a poor discharge process and medical decision-making. Reporting on readmissions will be Dennis Jones, administrator of patient financial services for Montefiore Nyack Hospital in New York.Providence Lawsuit: Nationally recognized whistleblower attorney Mary A. Inman, reports on the expected dismissal of the $188.1 million False Claims Act lawsuit filed by Med Analytics, LLC against Providence Health, now Providence St. Joseph, for allegedly upcoding various diagnoses.Monday Focus: TPE Audits. Two different Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs), two different audits, both for the same issue: knee orthotics. Reporting on this topic will be Leann Wilhelm, a compliance officer for Kinex, a multi-state DME company located in Milwaukee, Wisc.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.
Knowing how to distinguish new patients from established patients, apart from ensuring that coding guidelines are being followed, enables you to be reimbursed for the additional work that new patient visits warrant. Moreover, in some cases, not distinguishing new patients from established patients can amount to shortchanging yourself, as you will learn during this edition of Talk Ten Tuesdays, when Terry Fletcher returns to the broadcast to report on evaluation and management (E&M) coding.Other segments to be featured on the broadcast include:The I 10 Coding Report: Yellow fever has been reported in the Americas, and this can be prevented – a warning for people who are planning trips to the Caribbean or Latin America. Nationally recognized coding authority Laurie Johnson, senior healthcare consultant at Revenue Cycle Solutions, LLC, reports on this new travel advisory.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, anchors the Talk Ten Tuesdays News Desk.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.Tuesday Focus: Sepsis 2 versus Sepsis 3 The Healthcare Association of New York State (HANYS) and Greater New York Hospital Association (GNYHA) were scheduled to meet with New York’s Department of Health (DOH) on Feb. 12 to discuss the health plans' continued use of the Sepsis 3 definition for reviewing claims. New York continues to use the Sepsis 2 definition. Dennis Jones, the administrator of patient financial services for Montefiore Nyack Hospital, reports on the backstory.Guest Talk: Holly Louie, past president of the Healthcare Business and Management Association and the compliance officer for Professional Management, Inc. (PMI), reports on healthcare billing issues that have captured her attention of late.
The Madlyn Borelli Multiple Sclerosis Center at Montefiore Nyack Hospital offers specialized MS care in the localized community of Rockland County and lower Hudson Valley.Dr. Jai Perumal discusses multiple sclerosis treatment options offered at the Madlyn Borelli Multiple Sclerosis Center.