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From NYU to TEDx: Chris Petrilli on Tech, Trust, and the Future of Healthcare
Listen to the episode here: https://spotifycreators-web.app.link/e/UQ5dRuNgKVb Some of us dream of being able to say, “Thank you for Coming to my Ted Talk.” Others wilt…
Understanding Medicare Advantage (MA) exploitation of the 3-day stay requirement for skilled nursing facility care
By Brian Murphy The current controversy surrounding Medicare Advantage (MA) plans and the 3-day hospital stay requirement for skilled nursing facility (SNF) care centers…
CMS TEAM: What it is, how it works … and why I’m an advocate
By Brian Murphy Admission: I’m pro-TEAM. It’s possibly the name but I favor the concept of the new CMS payment model, too. We keep spinning…
What does the RADV Medical Record Reviewer Guidance say about physician queries?
A lot. I’m summarizing it here. See link below, p. 61, for the full monty. Short explanation: CMS conducts annual RADV audits to ensure risk-adjusted…
2026 IPPS final rule: TEAM = full steam ahead, Medicare/MA rules consolidation continues, and CC/MCC changes
By Brian Murphy The IPPS 2026 final rule is out… are you ready for some TEAM-work? (ahem) Dad joke aside, the big news IMO is…