Monitor Mondays

Total Knee Replacement: The Intersection of Functionality and Care Levels


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The subject of total knee replacement (TKR) continues to reverberate. In this edition of Monitor Monday, Lori O’Hara, the lead of the ADR, appeals and clinical review team for Ensign Services, a provider of skilled nursing and assisted living services, will offer the perspective of a long-term care provider. Her position is that a TKR patient either needs medical oversight or they do not. The question of the proper environment, O’Hara answered by finding where the patient’s medical and functional presentation intersects the lowest level of safe care.

The broadcast rundown also will include:

  • E&M Services: Shannon DeConda, founder and president of the National Alliance of Medical Auditing Specialists (NAMAS), reports on E&M levels four and five.

  • Monday Newsmakers: Tim Brundage, MD, medical director at the Brundage Group, reported live from the ACDIS convention taking place in San Antonio, Texas.

  • Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reported on all the latest hot topics and present the Monitor Mondays Listener Survey.

  • Risky Business: Healthcare attorney David Glaser, with Fredrikson & Byron, reported 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.
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