Saturday, September 19, 2020

MasteringMedicare Episode 14: Hospice and Secrets of the Hospice Industry publicshed!

In this Mastering Medicare episode we do a deep dive into Hospice with our guest, Cathy Gurson. 


She teaches us everything we ever wanted to know about Hospice. Here are some of the topics we cover:

How do people get referred to hospice
Hospice is covered 100% by Medicare part A
What does hospice cover
How to get Part B medical care covered while under hospice
Hospice reimbursement model
Hospice per diem
Three levels of hospice care
Pier diem changes at the higher levels of care
For profit vs non-profit hospice
Hospice certificate of need requirements
What questions you should ask about when interviewing a hospice
CHAP certification for hospice
Transitioning - what does transitioning mean in the context of hospice?
How to know when a hospice patient is dying
Does hospice pay for food and nutrition
Tube feeding hospice patients
Measuring mean arm circumference (MAC) as a measure of nutritional decline
Who is making the hospice recertification?
Hospice patient’s relationships with their their PCP and hospice medical director
DNR status and resuscitating hospice patients
Most common reasons somebody leaves hospice status
What is the role of PCPs for patients in hospice status
What a PCP can bill for care plan oversight for a hospice patient
Retroactive hospice status changes
What happens if you don’t requalify for hospice recertification?
Graduating from hospice
Video version: https://youtu.be/qat1HZicdrA

Tuesday, March 10, 2020

Mastering Medicare Episode 4: What is Medicare Part D?

Dr. Amy Schiffman and I do a deep dive into Medicare Part D in this episode of Mastering Medicare. Here are the topics we cover:
What is Part D Medicare
Opt in Part D
Premium calculation for Medicare Part D
What is the Medicare Donut Hole?
Medicare Part D Donut Hole
4 stages of Part D
Part D deductible stage: first $435
Part D initial coverage stage: first $4,020, up to 25% of cost of medication
Tiers of medications in Part D
Part D tier 1 medications
Part D stage 3: donut hole, 25% patient responsibility
Part D stage 4: catastrophic stage, copay

What Hospital and Provider CFOs Need to Know About Revenue Cycle Automation

I wrote a post on LinkedIn about healthcare Revenue Cycle automation. I explain that hospital and provider CFOs and CEOs should fully understand and maximize automation of deterministic algorithms before getting involved in artificial intelligence programs.


Friday, March 6, 2020

Mastering Medicare Cheat Sheet

Amy Schiffman and I have created an awesome 1-page Medicare Cheat Sheet. You can get it for free by joining the Mastering Medicare subscriber list.

Here's a sneak peak


Mastering Medicare Episode 3: Part B published

In this riveting episode, Dr. Amy Schiffman and I do a deep dive into Medicare Part B. We cover these topics and more:

  • What is Medicare Part B
  • What services are included in Part B
  • Professional services
  • Part B Physical Therapy
  • Part B Outpatient Labs
  • Part B Outpatient Radiology
  • Does Medicare pay for DME
  • When does Medicare pay for 911
  • Medicare Part B is opt in
  • How much does Medicare Part B cost
  • Medicare Part B monthly premium
  • Medicare covers part only 80%
  • Medicare secondary insurance / Medigap / supplemental
  • Part A vs Part B Physical Therapy
  • Cost sharing for radiology
  • Cost sharing for lab tests under Medicare
  • Medicare limits on lab tests
  • DME
  • How do you order DME, wheelchair, hospital bed in a patient's home
  • 13 month lease to own DME
  • Same and similar DME
  • Parachute same and similar DME
This podcast episode is an absolute must for physicians, APPs, senior-serving professionals, those in the eldercare world, and any body else who wants to understand Medicare Part B better. 


Monday, March 2, 2020

We've Launched MasteringMedicare, a podcast about the inner workings healthcare and eldercare

My colleague, Dr. Amy Schiffman, and I have launched our podcast Mastering Medicare, in which we do deep dives into how Medicare works; how each of the elements within the different parts of Medicare (Part A, B, C, D) works; we interview healthcare leaders and healthcare business owners and operators to learn from them about the mechanics of their business. This podcast is of special interest to any medical provider, healthcare practitioner, physician, healthcare business owner, eldercare provider, and senior serving professional. We welcome your feedback.
Thus far, the first episode is an introduction to Medicare.
Second episode teaches everything you want to know about Medicare Part A.

Wednesday, December 11, 2019

How to create a movie file from Powerpoint for Mac with different times for each slide

I have recorded a stand-alone audio file and now I want to match it up with a slide deck video file from Powerpoint, but I need each slide to be a different duration. To do this on a Mac, I learned that I have to do the following:

1. Go to Slide Show and UNCHECK the "Use Timings" feature.




2. Go to Transitions and Check and Edit the time in the "After" section to match the number of seconds desired for that slide (do this for each slide).



3. Go to File > Export > File Format > MP4 (or MOV) and make sure the "Use Recorded Timings and Narrations" IS checked and then change the "Seconds spent on each slide..." to 1 second. If you then review the video file, each slide should play for the exact number of seconds that were designated in the "After" field above.


MasteringMedicare Episode 14: Hospice and Secrets of the Hospice Industry publicshed!

In this Mastering Medicare episode we do a deep dive into Hospice with our guest, Cathy Gurson.  She teaches us everything we ever wanted t...