Monitor Mondays

Learn How to Relieve the Stress: Observation Volumes Plaguing Hospitals

Ronald Hirsch, MD, FACP, CHCQ | David Glaser, Esq | Knicole Emanuel, Esq. | Tiffany Ferguson, LMSW, CMAC, ACM | Matthew Albright | Mary Beth Pace, MBA, RN Season 12 Episode 497

How is one major hospital system reducing observation hours?

Listen to the next live edition of Monitor Mondays to find out; that’s when Mary Beth Pace will return, by popular demand, to continue her compelling discussion on how she and her team at Trinity Health are taking steps to reduce the volume of observation hours. With her laser focus on patient care, Pace will report on how the Centers for Medicare & Medicaid Services (CMS) two-midnight rule, implemented in October 2013, continues to be misinterpreted by some insurance companies to their advantage, further obfuscating patient status determination.

Pace will also discuss what should be done with payers who dictate billing status, regardless of the care provided.

Other segments will include the following:

  • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors, including the Recovery Auditors (RAs). 

  •  SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on the news that’s happening at the intersection of healthcare regulations and the SDoH.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment. 

  • Legislative Update: Former CMS official Matthew Albright, now chief legislative affairs officer for Zelis, will report on current healthcare legislation.


People on this episode