Monitor Mondays

Congressional Action on Surprise Balance Billing

April 29, 2019
Monitor Mondays
Congressional Action on Surprise Balance Billing
Chapters
Monitor Mondays
Congressional Action on Surprise Balance Billing
Apr 29, 2019
Ronald Hirsch, MD | Nancy Beckley, MS, MBA | David Glaser, Esq. | Laurie M. Johnson | Knicole Emanuel, Esq. | Matthew Albright
News reports have been circulating of late about proposed state and federal legislation targeting healthcare “surprise” balance billing.
Show Notes

News reports have been circulating of late about proposed state and federal legislation targeting healthcare “surprise” balance billing.

Reporting our lead story during this edition of Monitor Mondays will be Matthew Albright, chief legislative affairs officer for Zelis. The former Director of the Administrative Simplification Group for the Centers for Medicare & Medicaid Services (CMS), Albright will also report on drug rebate discussions and how those discussions are being impacted by broader reform proposals such as Patient Protection and Affordable Care Act (PPACA) stabilization, outright repeal, and Medicare-for-all.

Other segments to appear on the broadcast include:

  • Monday Focus: Targeted Probe-and-Educate (TPE) audits are the Monday Focus, healthcare attorney Knicole Emanuel returns to the broadcast to report on what is believed to draconian efforts by TPE auditors. Emanuel, a member of the RACmonitor editorial board, is a partner in the Potomac Law Group.

  • IPPS Proposed Rule: Reporting on the release of the CMS proposed 2020 Inpatient Prospective Payment System (IPPS) rule for acute-care hospitals will be ICD10monitor contributing editor Laurie Johnson, a senior healthcare consultant with Revenue Cycle Solutions. See Laurie's Handout here.
    FY 2020 Proposed Rule Tables

  • Hot Topics: Monitor Mondays senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, reports on the latest hot topics, including confusion surrounding the former functional G codes once used for Functional Limitation Reporting (FLR). Beckley also conducts the Monitor Mondays Listener Survey.

  • 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.


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