Monitor Mondays

CMS Proposes to Implement Home Health Pre-Claim Review Demonstration


Listen Later

Home health providers are now on alert following an announcement on Wednesday that the Centers for Medicare and Medicaid Services (CMS) intends to implement in December its Home Health Pre-Claim Review demonstration in Illinois, Ohio, North Carolina, Florida, and Texas.

In its announcement, CMS issued a notice for a 30-day public comment period. Reporting this developing story during this edition of Monitor Mondays will be William A. Dombi, president of the National Association for Home Care and Hospice.

The broadcast rundown also will include:

  • Monday Focus: The newest compliance issue to gain national attention involves the T codes. As of Oct. 1, providers are required to document clients who might be at risk of sex and labor exploitation. Reporting on this story is nationally recognized authority on the social determinants of health (SdoH), Ellen Fink-Samnick.
  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment.
  • Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on the latest hot topics.
  • Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility.
  • Medicare Payment Report: Are small, independent providers being forced by CMS to increase their size so that there is enough activity to have the averaged national payments break even, or be profitable? Author, educator, and consultant Duane Abbey, president of Abbey and Abbey Consultants, Inc., reports on this timely issue.
  • The Hospice Report: Are referrals to hospice frequently the result of misunderstandings of the purpose of hospice? And why the rush to hospice if death is imminent? Marvin D. Mitchell, director of case management and social services at San Gorgonio Memorial Hospital in California, reports on this critically important subject.
...more
View all episodesView all episodes
Download on the App Store

Monitor MondaysBy RACmonitor

  • 4.5
  • 4.5
  • 4.5
  • 4.5
  • 4.5

4.5

23 ratings


More shows like Monitor Mondays

View all
Wait Wait... Don't Tell Me! by NPR

Wait Wait... Don't Tell Me!

38,514 Listeners

This American Life by This American Life

This American Life

90,780 Listeners

Fresh Air by NPR

Fresh Air

37,872 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,087 Listeners

TED Radio Hour by NPR

TED Radio Hour

21,892 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

494 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,324 Listeners

The Daily by The New York Times

The Daily

110,759 Listeners

Up First from NPR by NPR

Up First from NPR

55,948 Listeners

KFF Health News' 'What the Health?' by KFF Health News

KFF Health News' 'What the Health?'

479 Listeners

Armchair Expert with Dax Shepard by Armchair Umbrella

Armchair Expert with Dax Shepard

69,213 Listeners

Talk Ten Tuesdays by ICD10monitor

Talk Ten Tuesdays

39 Listeners

The ACDIS Podcast by ACDIS

The ACDIS Podcast

56 Listeners

Becker’s Healthcare Podcast by Becker's Healthcare

Becker’s Healthcare Podcast

181 Listeners

Tradeoffs by Tradeoffs

Tradeoffs

390 Listeners