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VillageMD Working Smarter

Education Podcasts

VillageMD's Working Smarter podcasts are concise healthcare compliance conversations that are never boring and sometimes funny. We provide practical information about complex legal and regulatory topics.

VillageMD's Working Smarter podcasts are concise healthcare compliance conversations that are never boring and sometimes funny. We provide practical information about complex legal and regulatory topics.

Location:

United States

Description:

VillageMD's Working Smarter podcasts are concise healthcare compliance conversations that are never boring and sometimes funny. We provide practical information about complex legal and regulatory topics.

Language:

English


Episodes

Prior Authorization of Non-Emergent Transport

5/25/2022
In recent years, we have heard more attention being focused on the social factors that complicate health and medical care. One of these factors is access to transportation, which has long been an issue in Medicare coverage. In this episode, We are joined by Andrea Osborne, VMD Senior VP of Delegated Services to discuss the complicated rules for non-emergency ambulance transportation. Andrea shares with us some recent changes that may have an impact on patients and some guidance for the...

Duration:00:17:07

Prescription Price Transparency – Changes in 2022-2023

3/23/2022
The cost of prescription drugs can take a significant toll on patients and impact their drug adherence and overall health. Primary care providers, historically, have been unable to do much to help patients manage this problem, but recent regulatory changes are adding price transparency which may help. Experts Michael Adelberg and VillageMD’s very own Adam Chesler discuss the details of new transparency initiatives for both Medicare Advantage and commercial drugs and predict the potential...

Duration:00:17:41

Slow Creeping Convergence

2/23/2022
“That’s not my job”. This was a common refrain in healthcare when there was a clear separation between staff who treated patients and others who were responsible for billing. But as healthcare evolves further into value based care, the gap between billing rules and clinical care requirements is converging. In this first episode of 2022, we invite Megan Harkins to talk about the slow creeping convergence of billing and clinical rules and the impact this has on the various skills needed by the...

Duration:00:16:28

Can You Hear Me Now?: Exploration in Telemedicine

11/3/2021
We have surveyed topics you wanted to hear more about, and overwhelmingly our listeners said "telemedicine." In the first half of this week's episode, we are joined by Megan Harkins, one of our VillageMD experts to discuss telemedicine requirements and how they have changed as a result of COVID-19. During the second half, we sat down with those working on the front lines of telemedicine, Dr. Karen Wetherell, one of our VillageMD physicians and Stacy Gabrysz, a VillageMD Regional Practice...

Duration:00:27:05

New Law Alert: Surprise Billing

10/20/2021
Surprise! In this episode, we are sharing the key features of the new federal Surprise Billing Rules. In general, a “surprise bill” happens when a patient isn’t given a choice of provider and receives an out-of-network charge. Some recent research have illuminated the scope of this problem, and were the catalyst for this new bill. The concepts are simple, but the rules are complex. The first phase became effective as of September 13, 2021. Tune in for the details! VillageMD's Working...

Duration:00:10:45

Freebies and Waivers of Co-Payment

8/11/2021
There are a number of rules that apply to offering free items or services to patients or waiving their copay. These rules were generally created to avoid over utilizationin a fee for service world. As we movetoward population health and value based payment, some of the rules have evolved to support the movement from volume to value in healthcare. Tune in to this week's episode as we dive into what you can do, what you should avoid, and the reason behind these regulations. We are joined by...

Duration:00:17:11

Look Smarter in Meetings: Healthcare Law Basics

7/28/2021
If you work in healthcare, you probably hear about a number of laws, rules, and cases that apply to the work we do. We all feel like we should know what this means, but this can get confusing (even for lawyers!) Tune in this week for a quick primer about the sources of healthcare law, the reasons some things are proposed before final, and what to do when state and federal laws conflict! VillageMD's Working Smarter podcasts are concise healthcare compliance conversations that are never...

Duration:00:11:13

Even More Direct Contracting Updates for 2021

7/7/2021
Back by popular demand! We know that the Direct Contracting program continues to change and adapt, including a new abbreviation: GDPC. We brought back our VillageMD expert on the Direct Contracting program, Lucy Sola, to walk us through these changes. This is helpful information for any provider or healthcare group who is thinking about participating in this new CMS program. Thank you to all of our loyal listeners, or as we call them, Smarties! If you enjoy the podcast, we want your help in...

Duration:00:23:16

The Scoop: Medicare Advantage OIG Coding Audits

6/23/2021
Medicare Advantage Enforcement is a focus area for the OIG this year. The OIG has already released four audits so far this year, and we have learned that the OIG audit can amount to a no good, very bad day for these Payors. In general, these audits provide insight into areas of OIG focus including: a) acute care codes b) codes that are diagnosed but not treated including or c) codes that are otherwise not supported by the record. We did the hard work to sort through these audits. Tune in for...

Duration:00:24:37

Patient Attribution: What It Is and How It Works

6/2/2021
Simply stated, attribution is the process to assign patients to providers in a population health environment. But the process is far more complicated and varies widely in different settings. Luckily we have two experts at VillageMD that can help explain what this means and how attribution works. Our guests this week include Steve Valdiserri, VillageMD's VP of Value Attribution and Mason Budelier, VillageMD's Associate General Counsel. This episode is a must listen for the primary care...

Duration:00:22:24

The Data Revolution in Healthcare ft Michael Brady

5/19/2021
Data, data, data! The data revolution has (finally) come to healthcare! Filing cabinets and paper charts are signs of a bygone era. We’re thrilled to welcome Modern Healthcare's Michael Brady to share his insights on the effectiveness and impact of Big Data initiatives, including price transparency. Thank you to all of our loyal listeners, or as we call them, Smarties! Send us a picture of you listening to sharon@villagemd.com, and you will be entered for a chance to win Working Smarter...

Duration:00:25:39

The Landscape of Healthcare Enforcement in 2021 (ft. Linda Wawzenski and Lisa Noller)

5/5/2021
Join us this week as we dive into the Landscape of Healthcare Enforcement in 2021 with two very special guests. I am thrilled to welcome Linda Wawzenski, Deputy Chief of the Civil Division of the U.S. Attorney's Office, and Lisa Noller, former Assistant U.S. Attorney in Chicago and current Chair of the Government Enforcement Defense Investigations at Foley & Lardner, LLP. Linda primarily supervises civil fraud work especially healthcare fraud. I asked Linda and Lisa about what to expect...

Duration:00:40:22

Quick Guide to CMS Quality Payments for Physicians

4/21/2021
If you're confused about the various CMS Quality Programs and their corresponding ratings, you are not alone! On this episode, we decided to ask an expert: Joanna Losier, Director of Quality at VillageMD. Joanna shares the 2021 quality payment criteria for physicians and ACOs, and explains how these work with the Medicare Advantage Plan quality programs. This is an essential guide to any physician practicing in primary care! Thank you to all of our loyal listeners, or as we call them,...

Duration:00:16:22

The Road Ahead in Healthcare Policy with Dr. Ezekiel Emanuel

4/7/2021
We are honored to be joined this week by Dr. Ezekiel Emanuel for a discussion around the evolving healthcare policy landscape. On this episode, he shares his experience to help craft the Affordable Care Act (ACA), how it has changed over time, and what to expect in the next few years. Join us as Dr. Emanuel predicts healthcare priorities under the Biden administration, gets candid on his regrets during the Obama administration, and relays his conversations with Trump about stalling the ACA...

Duration:00:34:25

Under a Microscope: Examining Hospital Price Transparency

3/24/2021
Heads up! A new rule effective January 2021 takes hospital price transparency to the next level! If enforced, it will open up a new source on hospital charges, and will shed light on some of the most closely held pricing information in healthcare. In this episode, we give a summary of what you can expect to see over the next 1-3 years. We also used our best detective skills to see how some hospitals are adapting to these rules. Thank you to all of our loyal listeners, or as we call them,...

Duration:00:15:32

Around the Village: Intern Edition

3/3/2021
On this episode of Around the Village, we are highlighting an intern from our VillageMD internship program. Zach Hattig is currently an pre-med undergraduate student at Northwestern University. During his time with VillageMD, he concentrated on a research project with our clinical team. He was identified as an exceptional intern through the program, we are talking with him about his experience, and what he learned throughout his time with us. If you are interested in future VillageMD...

Duration:00:12:09

Sprinting at Warp Speed: Regulatory Updates

2/10/2021
If you think Usain Bolt is fast, you should see how fast the federal government (especially CMS) have been pushing out regulatory changes! Our team has been keeping up with this “Regulatory Sprint", and we condensed the most significant changes into a manageable summary. In this episode, we provide you a recap of these changes, and discuss what we are expecting to see from the new Biden administration. If you liked this summary, stay tuned for our deep dive episodes that we will be releasing...

Duration:00:20:10

Office Visit Coding Simplified for 2021: Part 2

1/27/2021
In this episode, Erdest Jenkins and Doctor John Torontow provide a deeper dive into the simplified documentation requirements for physician office visit coding. Previously, the CMS requirements for medical decision making have been widely criticized by physicians for requiring documentation that is not clinically relevant. CMS reduced the required elements of the Medical Decision Making documentation starting in January 2021. Tune in to learn about these important changes! You can find the...

Duration:00:21:47

Office Visit Coding Simplified for 2021: Part 1

1/20/2021
At VillageMD Working Smarter, we have been closely watching CMS proposals to reduce the burden of coding and documentation for physician office visits. CMS finalized two significant changes that will impact the primary care workforce in late 2020: 1) a reduction in the number of levels for established patients and 2) simplification of the documentation required to support the level. In this episode, Erdest Jenkins and Doctor John Torontow of VillageMD summarize E&M coding proposal. These...

Duration:00:15:40

The Scoop: Medicare Advantage Diagnosis Coding Indictments

12/16/2020
Medicare Advantage diagnosis coding remains a high enforcement priority for CMS and OIG and we’ve seen several new developments this year. These cases have some things in common, and a picture is emerging of critical elements that providers should know. Tune in for a summary of the key details, including some best practices and conversely some things to avoid. Thank you to all of our loyal listeners, or as we call them, Smarties! Send us a picture of you listening to sharon@villagemd.com,...

Duration:00:16:17