Monday, March 19, 2018
News Alert Broadcast
10-10:30 a.m. EST; 7-7:30 a.m. PST
SPECIAL GUEST
Erica E. Remer, MD, FACEP, CCDS
FEATURING
Nancy Beckley, MS, MBA, CHC; Frank Cohen, MPA, MBB;|
Shannon DeConda, CPC, CPC-I, CEMC, CMSCS, CPMA®,
David Glaser, Esq.; Ronald Hirsch, MD, FACP, CHCQM; and Mary Inman, Esq.
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, will report on this developing story in the next edition of Monitor Mondays.
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, will report on this developing story, calling in from the firm’s London office.
Yet another story about UHC will be reported by Shannon DeConda, founder and president of the National Alliance of Medical Auditing Specialists (NAMAS). UHC, DeConda will report, is cracking down on emergency ED service codes of Level 4 and 5.
The broadcast rundown also will include:
Register now for this news alert broadcast coming up at 10 a.m. EST on Monday, March 19.
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Dr. Ronald Hirsch dives into the basics of Medicare for clinicians to be successful as utilization review professionals. He’ll break down what Medicare does and doesn’t pay for, what services it provides and how hospitals get paid for providing those services – including both inpatient and outpatient. Learn how claims are prepared and how much patients must pay for their care. By attending our webcast, you will gain a new understanding of these issues and be better equipped to talk to patients, to their medical staff, and to their administrative team.
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