Podcasts about mpfs

Valerie G. Rock, Principal, PYA, and Kristin M. Bohl, Member, Bass Berry & Sims PLC, discuss the 2024 Medicare Physician Fee Schedule (MPFS) Final Rule, specifically changes related to Evaluation and Management (E/M) visits. They cover CMS' Framework for Health Equity and requirements related to clinical integration, community-based organizations, and community health workers. Valerie and Kristin spoke about this topic at AHLA's 2024 Institute on Medicare and Medicaid Payment Issues in Baltimore, MD. To learn more about AHLA and the educational resources available to the health law community, visit americanhealthlaw.org.

Take Action Today! Advocate Against 2024 Medicare CutsOver the past couple of years we have routinely seen reductions in reimbursement underneath the Medicare Physician Fee Schedule (MPFS) and this year is no different. While AOTA is working diligently to advocate for our profession, your voice matters! Writing letters to Congress plays an important role in the legislative process of passing policy in the United States. That's why this week on The Amplify OT Podcast, I am talking about why you need to take action today and advocate against Medicare cuts!Join the Amplify OT MembershipAs an exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy.In this episode, I cover:The 3.4% reduction we're looking at in 2024 under the MPFS if no action is taken. How AOTA makes it quick and simple to write a letter to your legislators and be an OT Amplifier. Encouraging you to edit your letters and share personal stories of impact.The different pieces of legislation being brought to Congress and the solutions they are proposing.❗ Tune into the next episode of the Amplify OT Podcast to get deeper into the weeds of why we continue to see cuts year after year.Amplify OT ResourcesWant to keep learning about how insurance and reimbursement impact you? Then head to AmplifyOT.com/Services to see what resources we have available!CLICK HERE to save 40% off Medbridge Today! CONNECT WITH AMPLIFY OT:WebsiteServicesFree NewsletterInstagramLinkedInFacebookTikTokHelpful LinksAOTA Presentation: Stopping the 2024 Medicare Payment Cut URGENT: Contact Congress and ask them to Prevent Medicare Cuts to OTAOTA: Legislative Action Center©Amplify OTMentioned in this episode:Join the Amplify OT MembershipAs a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It's time to become your own best resource on Medicare and advocacy. Join the Membership Today

In this episode, the eighth of our GPO Legislative Updates series, Joel White, President and CEO of Horizon Government Affairs discusses MPFS, Medicare Drug Price Negotiations, PBM reform, and elections.That's all for this episode of OnCall. Our next episode will feature information on politics and policy, and physician payment issues. If you have any questions for our guests or have a topic you would like to learn more about, email us at OnCallGPO@gmail.com.

Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 2 Years: ⁠⁠https://blog.feedspot.com/medical_billing_and_coding_podcasts/⁠⁠ I'd love your continued support of this content-rich, value-add podcast to help you succeed in the business of medicine: ⁠⁠https://podcasters.spotify.com/pod/show/sonal-patel5/support⁠⁠ Sonal's 10th Season starts up and Episode 11 features a Newsworthy update on the CY 2024 Medicare Physician Fee Schedule Final Rule. Trusty Tip features Sonal's compliance recommendations from the latest General Compliance Program Guidance issued by the OIG. Spark inspires us all to reflect on perseverance based on the inspirational words of Vince Lombardi. Thanks to Utilization Management University: Website: ⁠https://www.utilizationmanagementuniversity.com/⁠ Paint The Medical Picture Podcast now on: Spotify for Podcasters: ⁠⁠https://podcasters.spotify.com/pod/show/sonal-patel5⁠⁠ Spotify: ⁠⁠https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X⁠⁠ Apple Podcasts: ⁠⁠https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177⁠⁠ Google Podcasts: ⁠⁠https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8zMGYyMmZiYy9wb2RjYXN0L3Jzcw==⁠⁠ Amazon Music: ⁠⁠https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast⁠⁠ Breaker: ⁠⁠https://www.breaker.audio/paint-the-medical-picture-podcast⁠⁠ Pocket Casts: ⁠⁠https://pca.st/tcwfkshx⁠⁠ Radio Public: ⁠⁠https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw⁠⁠ Find Paint The Medical Picture Podcast on YouTube: ⁠⁠https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A⁠⁠ Find Sonal on LinkedIn: ⁠⁠https://www.linkedin.com/in/sonapate/⁠⁠ And checkout the website: ⁠⁠https://paintthemedicalpicturepodcast.com/⁠⁠ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: ⁠⁠PaintTheMedicalPicturePodcast@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/sonal-patel5/message Support this podcast: https://podcasters.spotify.com/pod/show/sonal-patel5/support

Welcome to MattPAC*, a new Accelerators pilot concept! Radiation Oncologist Dr. Matt Spraker aims to introduce important healthcare policy concepts rooted in current events. Each show is designed to be efficient with your time and inspire you to get engaged with #RadOnc advocacy in 30 minutes or less.  In MattPAC #1, Matt covers two current congressional bills that are currently being considered for inclusion into next year's Medicare legislation: HR 2474 and HR3674. These bills seek to link Medicare physician pay to inflation and boost practice expense reimbursement for freestanding practices. The history of Medicare, administration processes, the payment formula, and sites of service are covered for context. Here are some good resources for further reading on these topics:A paper on how Medicare drove hospital desegregation, especially in the south.Power To Heal: Medicare and The Civil Rights RevolutionHow is Medicare Funded?Information about Medicare administration and procedures, WikipediaA lot of info on the RUC, AMAThe medicare physician fee schedule payment formula, MedicalBillersAndCoders.comInteresting write up of history of conversion factors, AMAMedicare payments are not keeping up with inflation, AMAFramework for Rational Medicare, AMAAMA letter to congress about these issues, March 2023AMA commends MedPAC for recognizing challenges of inflationary environment, April 2023HR 2474A Primer On Office Based Specialty Care, USPAUSPA Letter to MedPAC about threats to free standing specialty practices, such as Rad Onc2023 survey of multi-specialty practices regarding Medicare cutsHR 3674The Accelerators Podcast is a production of Photon Media, a division of Cold Light Legacy Company.*MattPAC is not a political action committee, it's just a cute name. If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.

In this episode, the seventh of our GPO Legislative Updates series, Joel White, President and CEO of Horizon Government Affairs discusses Congress and the fiscal backdrop.Our next episode will feature information on issues regarding MPFS, Medicare Drug Price Negotiations, PBM reform, and elections. If you have any questions for our guests or have a topic you would like to learn more about, email us at OnCallGPO@gmail.com.

The panel was back at it with a great breakdown of the Medicare Physician Fee Schedule Rule Changes for 2024... as always it was a lively discussion about the proposed rule changes and their impact on providers. Topics Included: 1. Split/shared services – the definition of substantive portion will remain the same as it is now through 12/31/2024... Time will not be the controlling factor. HX, EX, and MDM can be used to make this determination of the substantive portion. 2. Extend flexibilities for certain assessments furnished via audio-only communication, through the end of CY 2024. If finalized, opioid treatment programs (OTPs) would be allowed to bill Medicare when video is not available, using technology permitted by the Drug Enforcement Administration (DEA) and the Substance Abuse and Mental Health Administration (SAMHSA). This extension would equalize telehealth flexibilities across providers of care and negate potential service disruptions due to the end of the COVID-19 public health emergency (PHE). 3. CMS proposes several additions to covered telehealth services under the MPFS, as well as an extension of several telehealth provisions from the Consolidated Appropriations Act (CAA) of 2023. Proposed changes include the add-on of health and well-being coaching services on a temporary basis (specific diagnoses and licensure/certifications will apply), as well as a refined process to review requests to add services to the Medicare Telehealth Services List. Telehealth provisions extended through December 31, 2024, will include: • The temporary expansion of the scope of sites where telehealth is furnished from, to include any location in the U.S. where a beneficiary may reside; for Medicare and MA patients, but States would also have to agree to comply. • A change in definition of telehealth providers to include qualified audiologists, speech-language pathologists, occupational therapists, and physical therapists; They are already on the Temp list through 2024 • Continued payment for telehealth services provided by federally qualified health centers (FQHCs) and rural health centers (RHCs); limited to BH services • Delaying requirements for beneficiaries to meet with practitioners six months before initiating mental health telehealth services; Unless they have a narcotic prescription then they would not qualify if a new patient after Nov 2023 • Allowing physicians in teaching environments to use video and audio communications when a resident is furnishing Medicare telehealth services; and But the supervising provider would have to be somewhere in the inpatient hospital setting and available if needed. • Continued payment and coverage of telehealth services that are included on the Medicare Telehealth Services List. 4. There is a proposed reduction to the 2024 conversion factor that would reduce provider reimbursement. CMS is urging Congress to create a permanent fix for this issue but as it stands now, the proposed rate reduction stands. CMS is also proposing significant increases in payment for primary care and other kinds of direct patient care with the HCPCS add on G2211. 5. The proposed rule includes a new benefit category wherein family therapists, marriage therapists, and mental health counselors would be able to bill Medicare (Physician supervision necessary). Additionally, CMS proposes changes in payment and coding to account for resources utilized in the delivery of care involving a multidisciplinary clinical team and other staff members. 6. The Proposed Rule has significant implications for other virtual care and care management services, including Remote Physiologic Monitoring (“RPM”) and Remote Therapeutic Monitoring (“RTM”) services. Below is a summary of key provisions in the Proposed Rule relating to RPM, RTM, and other virtual care management services, along with opportunities and challenges for stakeholders in the space.

Welcome to the Paint The Medical Picture Podcast, created and hosted by Sonal Patel, CPMA, CPC, CMC, ICD-10-CM. Thanks to all of you for making this a Top 15 Podcast for 2 Years: https://blog.feedspot.com/medical_billing_and_coding_podcasts/ I'd love your continued support of this content-rich, value-add podcast to help you succeed in the business of medicine: https://podcasters.spotify.com/pod/show/sonal-patel5/support Sonal's 9th Season starts up and Episode 12 features her Newsworthy highlights on the Medicare Physician Fee Schedule Proposed Rule for CY 2024. Trusty Tip features Sonal's compliance recommendations for the future of diagnosis coding in the United States with ICD11. Spark inspires us all to reflect on success based on the inspirational words of Mahatma Gandhi. Thanks to Advanced Coding Services, LLC: Website: https://advancedcodingservices.com/ Paint The Medical Picture Podcast now on: Spotify for Podcasters: https://podcasters.spotify.com/pod/show/sonal-patel5 Spotify: https://open.spotify.com/show/6hcJAHHrqNLo9UmKtqRP3X Apple Podcasts: https://podcasts.apple.com/us/podcast/paint-the-medical-picture-podcast/id1530442177 Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9hbmNob3IuZm0vcy8zMGYyMmZiYy9wb2RjYXN0L3Jzcw== Amazon Music: https://music.amazon.com/podcasts/bc6146d7-3d30-4b73-ae7f-d77d6046fe6a/paint-the-medical-picture-podcast Breaker: https://www.breaker.audio/paint-the-medical-picture-podcast Pocket Casts: https://pca.st/tcwfkshx Radio Public: https://radiopublic.com/paint-the-medical-picture-podcast-WRZvAw Find Paint The Medical Picture Podcast on YouTube: https://www.youtube.com/channel/UCzNUxmYdIU_U8I5hP91Kk7A Find Sonal on LinkedIn: https://www.linkedin.com/in/sonapate/ And checkout the website: https://paintthemedicalpicturepodcast.com/ If you'd like to be a sponsor of the Paint The Medical Picture Podcast series, please contact Sonal directly for pricing: PaintTheMedicalPicturePodcast@gmail.com --- Send in a voice message: https://podcasters.spotify.com/pod/show/sonal-patel5/message Support this podcast: https://podcasters.spotify.com/pod/show/sonal-patel5/support

Check out me with my friend Pam Vanderbilt as we talk about Medicare and Modifiers. We will discuss the MPFS Indicators and why all in the Revenue Cycle need to know how Medicare processes claims, because Guess What? "Coding can change based on these Indicators" --- Send in a voice message: https://anchor.fm/lifeasacoder/message Support this podcast: https://anchor.fm/lifeasacoder/support

In this episode, Christine goes over the MPFS Final Rule.Helpful Links: Updated List for Telehealth Services: https://www.cms.gov/Medicare/Medicare-General-Information/Telehealth/Telehealth-Codes

Aletheia Lawry, General Counsel, NextCare Holdings, Inc., speaks with Tony Kouba, Principal, ECG Management Consultants, and Kelsey Jernigan, Partner, K&L Gates LLP, about some of the recent changes to the Medicare Physician Fee Schedule (MPFS) and how provider compensation programs are responding. They discuss the split in how health systems are using the MPFS, how 2021 compensation data surveys will be impacted, and how compensation structures may change as more health systems move to value-based care. Sponsored by ECG Management Consultants.

It's been a little more than since my next guest first joined me on For Songs. Michael Patrick F. Smith and I go way back. Way way back. To elementary school, middle school, high school, and even church. Michael returns to the show for the first time since January 2021, a few weeks before his book The Good Hand was published. The Good Hand (https://www.thegoodhand.org/) is a blistering read, telling the tale of his journey to North Dakota at the height of the shale-gas revolution that turned parts of the state into a latter-day gold rush. With the paperback version having just been released, Michael joined me to discuss a new song called Restless Companion. Restless Companion was one of a few new songs accompanying the audiobook of The Good Hand. It is a breezy tune that would fit right at home on Uncle Tupelo's Anodyne, or Son Volt's Trace. The song itself is an ode to The Good Hand and all the literal blood, sweat, and tears that went into it. So sit down, grab a beer, and welcome back Michael Patrick F. Smith to For Songs.

There's been plenty of talk about the shortage of nurses in the United States, but is there—or will there be—a shortage of physicians as well? In this episode, Rachel Woods sits down with Advisory Board's Sarah Hostetter and Daniel Kuzmanovich to talk about the misconception that the United States is facing a physician shortage and what the state of the physician workforce actually is. Links: MPFS final rule: CMS cuts physician pay but expands telehealth use Deploying APPs Autonomously The future of primary care The Problem with U.S. Health Care Isn't a Shortage of Doctors

The Medicare Physician Fee Schedule and Final Rule was posted on November 2nd. In this week's episode, Terry goes over the highlights of the new rules, the new conversion factor for 2022, and the status of expanding Telehealth in 2022. Join us for this update. Subscribe and Listen You can subscribe to our podcasts via: […] The post The MPFS and Final Rule is out for 2022 appeared first on Terry Fletcher Consulting, Inc..

What you'll get out of this episodeFirst, thank you for making Decoding Healthcare Innovation #2 on Apple's list of Healthcare Business News Podcasts after just 5 episodes!In this episode, host Rebecca Gwilt talks with one of the nation's brightest innovation attorneys, Kaitlyn O'Connor, who leads the Remote Patient Monitoring Team at Nixon Gwilt Law. Kaitlyn is slightly famous among digital health clients for her ability to give them plain English business insights within 24 hours of CMS releasing the Medicare Physician Fee Schedule (MPFS) Proposed Rule every summer. Does she sleep? We're not sure.In this episode you'll discover: What the MPFS is, and why this annual Proposed Rule is so important for digital health companies (plus a little history on CPT code 99091 and how it launched RPM reimbursement); Why the agency in charge of these reimbursement rules (CMS) doesn't always get it right; How ‘Notice and Comment Rulemaking' helps stakeholders influence regulations; What to do when Congress doesn't get it right; Why you should pencil this time period into your calendar every year to examine the Proposed Rule to advocate on behalf of your company and industry. Because we work with hundreds of digital health companies, we're deep into this topic every day and know what an impact even minor changes can make to a company's bottom line. So make sure you do your homework!Quotables“This totally accessible, high impact process for influencing public policy is a black box for innovators. I love shining light in black boxes” Ep6 of @DecodingHealth1 w/ @NixonGwiltLaw https://sliceofhealthcare.com/category/decoding-healthcare-innovation/ “CMS does not always get things right in this fee schedule” Ep6 @DecodingHealth1 @NixonGwiltLaw https://sliceofhealthcare.com/category/decoding-healthcare-innovation/ #mpfs2022  “It's hard for an agency that doesn't have a lot of opportunity to experience how things are happening in real life to draft practical rules.” Ep6 of @DecodingHealth1 @NixonGwiltLaw https://sliceofhealthcare.com/category/decoding-healthcare-innovation/ Recommended Resources Need help drafting compelling stakeholder comments to CMS? NGL has a fixed-fee service for that—but you need to book before August 23. Click here for details Follow RPM expert Kaitlyn O'Connor on Linkedin  From the Nixon Gwilt Blog: Everything you need to know about the 2022 MPFS Proposed Rule Contact representatives and advocacy groups directly: Senate HELP Committee House Ways and Means, Subcommittee of Health Alliance for Connected Care American Telemedicine Association Connected Health Initiative (The App Association) Health Information and Management Systems Society (HIMSS)Join the ConversationDoes your perspective match up with ours? Tell us how you think healthcare innovation ties into National Security on any of our social channels:– Website – LinkedIn – Twitter – Instagram – YouTubeFollow our daily updates on LinkedIn:– Carrie – RebeccaAbout Your HostsCarrie Nixon and Rebecca Gwilt are partners at Nixon Gwilt Law, a healthcare innovation law firm exclusively serving Providers, Digital Health Companies, and Life Science Businesses seeking to transform the way we receive and experience healthcare. Find out more at NixonGwiltLaw.com. This podcast is produced by Slice of Healthcare LLC. 

Episode 7 Return of the Agent! In this episode Eric Rubenstein, Jordan Johnson and Sean M. Weiss take on the facts, the fallacies and the far-fetched when it comes to search warrants, subpoenas and raids at medical practices, hospitals and health systems! Then the guys turn their attention to Price Transparency, the Proposed Rule (2022 MPFS and OPPS) regarding Inpatient only procedures vs ASC Procedures and the misperceptions that exist...

The guys take on the Public Health Emergency Extension and the 1135 waivers, Payers misstating the 60-day rule and the obligation of self-reporting and a breakdown of the 2022 Proposed Rules for MPFS and OPPS. Thank you to our new sponsor Invader Coffee for backing the Chuckleheads!!!

In this episode Sean and Scott Kraft discuss a few of the more pressing sections of the MPFS 2022 Proposed Rule including the Conversion Factor reduction and clinical labor cost reductions (Potential Specialty Financial Losers), Changes to Physical and Occupational Therapy and the use of PTAs and OTAs, and Split/Shared Service propsed rule changes. This is definitely not an episode you want to miss.

Aimee Greeter and Taylor Cowart join Mark to unpack how the Medicare Physician Fee Schedule (MPFS) final rule impacts medical practices (both employed and private), and offer suggestions to handle the 2021 changes to wRVUs and Medicare reimbursement for professional services.   Podcast Information Subscribe to our feed in Apple Podcasts, Google Podcasts, Spotify, Audible, or your preferred podcast provider. Like what you hear? Leave a review! Not there? Let us know! We welcome all feedback from our listeners. Email us questions on any of the topics we discuss or questions about issues that interest you. You can also provide recommendations on matters for future episodes.  Please email us: feedback@cokergroup.com Connect with us on LinkedIn: Coker Group Company Page Follow us on Twitter: @cokergroup Follow us on Instagram: @cokergroup Like us on Facebook: @cokerconsulting   Episode Synopsis COVID-19 drew everyone’s focus in 2020, and the surges around the holidays have moved the battlefront and center. In the fray, the Centers for Medicare and Medicaid Services announced big changes to evaluation and management codes that few are prepared for. Budget neutrality dictates there will be “winners” and “losers” throughout 2021. Aimee and Taylor provide an overview of how the final rule will affect certain specialties, and what hospitals and private medical practices need to do. Click the play button to listen to the episode.   Extras E/M and ME: How Will the 2021 E/M Coding Changes Impact Medical Practices? Estimate the Financial Impact of 2021 E/M Coding Changes PSA Progression: What’s Next in the Evolution of Professional Services Agreements?

The Centers for Medicare & Medicaid Services (CMS) 2021 Final Rule and 2021 Medicare Physician Fee Schedule (MPFS) are effective Jan. 1, 2021, and both affect reimbursement.But in a rare move, CMS increased the conversion factor (CF) in the MPFS twice in one week as a result of the COVID-19 relief bill, which added a hike of 3.75 percent.For an update on the major CMS changes for 2021 that will affect your reimbursement under the Part B Physician Fee Schedule, tune in to the next live edition of Talk Ten Tuesdays, coming your way Tuesday, Jan. 12 from 10-10:30 a.m. EST. That’s when nationally recognized professional coder and auditor Terry Fletcher will join the broadcast to report on all the relevant details.The live broadcast will also feature these other segments:RegWatch: Stanley Nachimson, former CMS career professional-turned-well-known healthcare IT authority, will report on the latest regulatory news coming out of Washington, D.C.SOAP Note: Shannon DeConda, founder of the National Alliance of Medical Auditing Specialists and a partner of DoctorsManagement, will provide a long-awaited update to the legendary SOAP (subjective, objective, assessment, and plan) note.News Desk: Timothy Powell, compliance expert and ICD10monitor national correspondent, will anchor the Talk Ten Tuesdays News Desk.The Coding Report: Laurie Johnson, senior healthcare consultant for Revenue Cycle Solutions, LLC, will report on the latest ICD-10 codes.TalkBack: Erica Remer, MD, founder and president of Erica Remer, MD, Inc. and Talk-Ten-Tuesdays co-host, will report on another thought-provoking topic that has captured her attention.

Lots of really bad things have come about because of the internet, Facebook, Twitter, etc. But one good thing is catching up with friends you haven't seen or heard from in decades. In this episode of For Songs, I speak with singer/songwriter/playwright/author Michael Patrick F. Smith. Michael and I went to elementary school together in the small town of Ijamsville, Md. Not a streetlight or traffic light when we grew up there, but it was home. We went our separate ways after high school--he ventured out to Baltimore and eventually New York to write music and much more. He's shared the stage with legends like Ramblin' Jack Elliott and Paleface. Michael is a true renaissance man, as his first book comes out next month about his time in the oil/gas fields of North Dakota. In this episode, we talk about four songs from his most recent album The Great Away, available on Spotify. Listen in as we catch up, chat about life, music, and much more! You can find out more about Michael here: www.thegoodhand.org!

Join us for this important update, as we are now into the New Year. It’s time to make sure we understand the Myths and Realities of the MPFS and what the December 28th COVID Relief Bill signed by President Trump did to the projected Medicare reimbursement. Terry will also discuss the PHE services that have […] The post Myths and Realities of 2021 Medicare Final Rule and Fee Schedule appeared first on Terry Fletcher Consulting, Inc..

In this episode, produced in partnership with the American Association of Hip and Knee Surgeons (AAHKS), advocacy leaders from both organizations discuss the payment policy changes that have been proposed by the Centers for Medicare & Medicaid Services. The agency is reducing all orthopaedic surgical services by approximately 5% and reducing the work relative value units for hip and knee arthroplasty by an additional 5.4%, further compounding the mounting tension on musculoskeletal care. Hosted by: Chad A. Krueger, MD, AAHKS Health Policy Fellow

2021 OPPS and MPFS proposed rules - August 27 Featuring: Debra May, Executive Partner, Bluetree Network Jugna Shah, MPH, CHRI, President, Nimitt Consulting Inc. Denise Williams, COC, CHRI, Senior VP, Revenue Integrity Services, REVANT Solutions

Ian Dixon-McDonald, MPFS, and Evann Remington, Fresh 'n' Local Foods discuss their new partnership to expand Meals on Wheels and provide lunches to students during the pandemic. Dixon-McDonald also talks about Farmers to Families - a new federal program to help farmers get food to families who are food insecure.

Long awaited and hotly debated, the 2019 Medicare Physician Fee Schedule (MPFS) and Outpatient Prospective Payment System (OPPS) final rules have been on the minds of healthcare shareholders since late July, when the Centers for Medicare & Medicaid Services (CMS) released proposed rules for both. Tucked into the MPFS were the controversial revisions to the regulations governing evaluation and management (E&M) services.For an in-depth analysis of both the MPFS and the OPPS newly released final rules, Monitor Monday has brought together a pair of industry experts for this edition of the broadcast: Duane Abbey, president of Abbey and Abbey Consultants, and Sean M. Weiss, partner and vice president of compliance for DoctorsManagement.The broadcast rundown also will include:OIG Report: In a recent study, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) reported that Medicare Advantage Organizations (MAOs) overturned 75 percent of their own prior authorization and claim denials from 2014 to 2016. Healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, provides details on this latest developments.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.TPE: Targeted probe-and-educate (TPE) audits are taking place in a variety of settings, from physical therapy providers to skilled nursing facilities (SNFs), including acute-care facilities. Reporting on TPE audits is Cindy Griffith, director of compliance and audits for ATI Physical Therapy.Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment.

In the latest ASCO in Action Podcast, ASCO CEO Dr. Clifford A. Hudis discusses the recently released Medicare Physician Fee Schedule (MPFS) proposed rule. The MPFS is a complete listing of all fees Medicare uses to reimburse doctors and other providers and suppliers under a fee-for-service payment system.

I know, our second episode already!  Get excited!  Plus, Ryan's got his own microphone this time! On this episode of MPFS, Shanna and Ryan talk about our Second Resurrection Revolutionary, the Rev. Dr. Martin Luther King, Jr.  We talk about our own experiences in talking and preaching about racism, and we offer up some concrete actions for taking on racism in our current world.   We also are joined by Rev. Virzola Law, pastor at Lindenwood Christian Church in Memphis, Tennessee.  Pastor Law gives us the best definition of "Woke" we've ever heard, and tells us what's worth someone walking out on your sermon for.  We'll release a bonus episode next Monday with the full audio of this interview, because it's just that good!  

This episode explains the proposed changes to the site-neutral payment rule for off-campus hospital outpatient departments for CY 2018, as discussed in both the recent Hospital Outpatient Prospective Payment System (OPPS) and Medicare Physician Fee Schedule (MPFS) proposed rules. While the CY 2018 OPPS proposed rule provides surprisingly little new guidance on the rule’s implementation, the CY 2018 MPFS rule proposes to substantially lower the payment rate for non-excepted services from 50% to only 25% of the OPPS rate in CY 2018. Presenter: Darlene S. Davis Download Presentation Materials

Dr Weisel speaks with ecancer at EHA 2017 about the trial of daratumumab in triplet combinations against standard of care for relapsed/refractory multiple myeloma. After an extended followup, Dr Weisel report s a mPFS of 16.7 months compared to 7.1 months. Patients with only 1 prior treatment were among the best responders, and Dr Weisel notes the recent EMA approval of this combination as a possible course of care for any suitable patients.

Fictionisfirst is super excited to post another story by MPFS. Mr.Smith is a writer, musician and factotum. Currently, he is writing a book about his experience working as a field hand in the North Dakota oil boom. Check out more about that project at: https://www.indiegogo.com/projects/north-dakota-oil-boom-book   Podcast: Download Podcast: Download

In this show, we will interview Lindsey Merkel, one of the founding members of the Mount Pleasant “Free Store” and the Mount Pleasant Free School (MPFS). The MPFS provides a forum in which people can come together to share ideas, skills, and knowledge, the Mount Pleasant Free School holds lectures and discussions, provides hands-on workshops, and offers alternative avenues for learning. We will discuss mission of the free school and the emerging “free” movement throughout the country in the form not only of free “brick-and-mortar” schools such as the MPFS, but also of free online lectures and courses from sites like academicearth and MIT OpenCourseware.

Matt Darey - Nocturnal Sunshine 30 01. David Guetta with Sebatian Ingrosso & Steve Angello ft. Chris Willis - Everytime We Touch [Ultra] 02. Above & Beyond pres. Oceanlab - Breaking Ties (Martin Roth remix) [Anjunabeats] 03. Cassette Jam - Don't Lose Control (Hot Pink Delorian remix) [Pieces Of Eight] 04. Dennis Sheperd & Cold Blue - Not Too Late (Nhato remix) [MPFS] 05. Silky Sunday - Friend (Sandy Rivera remix) [Motivo] 06. Domyan - Technoises [Radiocity] 07. Tiga - Mind Dimension [Wall Of Sound] 08. Sydney Blu - Senses And The Mind (Olivier Giacomotto remix) [mau5trap] 09. Lucca - Recommended Brother [Sound Of Acapulco] **Dash Berlin on the phone** 10. Cerf, Mitiska & Jaren - You Never Said (Dash Berlin remix) [Soundpiercing] 11. Shinichi Osawa - Electro 411 [Southern Fried] 12. Gai Barone - Appetite (deep mix) [Ask4] 13. Dirty Funker - Cyanide [Spirit] 14. Paul Sparkes & Edgar Duijff - Landguard (Clouded Minds remix) [Flashover] 15. George Michael & The Ones - Flawless