Mastering Medicare

Oct 09 2024 25 ep. 55 mins 49
Mastering Medicare Podcast artwork

What's the difference between Home Health and Home Care? How do Medicare Part A and Part B work? How do you order DME for your patient? When and how should you order home oxygen? What's new in the eldercare space? For physicians, other healthcare professionals, and senior-serving professionals, interacting with Medicare can be complicated and wrought with pitfalls, which, if not understood and managed, will mire your practice in endless paperwork and frustration. We interview industry experts in every aspect of healthcare, from insurance companies, DME companies, home health agencies, medical providers, and many others, to bring you their real world expertise in the American healthcare system. Your hosts are Dr. Amy Schiffman and Dr. Alex Mohseni, two Emergency Medicine physicians who have branched off from traditional Emergency Medicine to explore and build solutions with a particular focus on eldercare and population health. Join our Facebook group: https://www.facebook.com/groups/602747270479020/ Join our Subscriber List and get exclusive access to our Mastering Medicare Cheat Sheet and other goodies: https://www.masteringmedicare.net/subscribe

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Episode 26: DeepScribe: ambient scribing deep dive

Oct 09 2024 53 mins  
E26: Deep dive into DeepScribe with Dr. Dean Dalili. Introduction: Amy and Alex introduce the episode on AI in healthcare, featuring Dr. Dean Dalili from DeepScribe, an AI-based medical documentation service. Dean's Background: Dr. Dean Dalili shares his journey from internist at Johns Hopkins to Chief Medical Officer at DeepScribe, with a career in hospitalist practice, digi

Episode 25: PACE Program deep dive

Sep 21 2024 63 mins  
E25: Deep dive into the PACE program with Dr Rob Schreiber and Eric Patzelt from myPlace Health. PACE Overview: Program of All-Inclusive Care for the Elderly provides comprehensive care for seniors, allowing them to live in the community rather than nursing homes. Eligibility: Seniors must be 55+, certifiable for nursing home care, and safe in the community with PACE services. F

Episode 23: Medicare broker deep dive - interview with Matt Gibson from 90 Days From Retirement

Jun 21 2023 43 mins  
Introduction of the guest Matt Gibson from 90 Days from Retirement, a platform educating about insurance post-retirement. Discussion about the prevalence of insurance agents buying leads of people turning 65 and how 90 Days from Retirement differs by providing education instead. People turning 65 often receive unsolicited mail and phone calls offering help with Medicare, which can

Episode 22: Interview with Dr. Marc Gruner from Limber about Remote Therapeutic Monitoring

Jun 20 2023 42 mins  
Introduction of a new product called Aging Here newsletter Request for subscriptions and feedback for Aging Here Introduction of guest Dr. Marc Gruner from Limber Health Marc's background as a physician and entrepreneur Marc's involvement in creating new CPT codes for RTM Introduction to Limber Health and its solution for improving therapy adherence Explanation of how Limb

Episode 21: CPT Codes and How You Get Paid in Medicare

Jun 06 2023 42 mins  
Discussion topic: Getting paid through the Medicare system Introduction to CPT codes and HICPICS codes Medicare's payment process for healthcare providers Future guests and topics related to Medicare reimbursement Mention of the Aging Here newsletter and interview opportunities Differentiating between CPT codes and ICD-10 codes History and purpose of CPT codes Explanation of R

Episode 20: Medicare Advantage and Delegated Medical Group Deep Dive with Alex Mohseni

May 31 2023 45 mins  
Physicians and other senior-serving professionals trying to operate within the complicated Medicare ecosystem must be constantly learning, as the landscape, rules, tools, and vendors are in constant flux. We interview eldercare and Medicare industry experts, do deep dives into their companies, services, and experiences, and share their stories and insights with you. The Masteri

Episode 19: ALFs (Assisted Living Facilities), a deep dive with Jonathan Edenbaum from Eden Homes

Mar 05 2021 58 mins  
Dr. Amy Schiffman and Dr. Alex Mohseni do a deep dive interview with Jonathan Edenbaum, the owner of Eden Homes about the ALF industry. What is an Assisted Living What is a Group Home Small vs large assisted living Kosher assisted living Key triggers for transitioning from independent living to assisted living Standard ratios in assisted living days vs nights Incontinence as a tri

Episode 18: Medicaid Long Term Care: interview with Robert Bullock Esq., The Elder & Disability Law Center

Feb 04 2021 66 mins  
In this amazing interview with Robert Bullock, a DC-based Elder Law attorney, from The Elder & Disability Law Center, Dr. Amy Schiffman and Dr. Alex Mohseni discuss Medicaid Long Term Care coverage. We cover these topics: What is Medicaid Medica long term care eligibility What does Medicaid waiver mean? How does one qualify for Medicaid Medical eligibility for Medicaid long ter

Episode 17: Palliative Care: interview with Dr. Danielle Doberman, Clinical Medical Director for Palliative Medicine at Johns Hopkins Hospital

Jan 03 2021 86 mins  
Danielle Doberman, MD, MPH, HMDC, is the Clinical Medical Director for Palliative Medicine at Johns Hopkins Hospital. Dr. Amy Schiffman and Dr. Alex Mohseni dive deep into the world of Palliative Care to understand what this commonly misunderstood specialty is all about. We cover the following: What is palliative care / palliative medicine? What symptoms does palliative focus on? H

Episode 16: DME Durable Medical Equipment - interview with Steve Ackerman

Oct 19 2020 68 mins  
Dr. Amy Schiffman and Dr. Alex Mohseni interview Steve Ackerman, the owner of Spectrum Medical, and do a deep dive into the world of Durable Medical Equipment (DME). Introduction to Steve Ackerman and Spectrum Medical What is Durable Medical Equipment DME? Not disposable, has to be able to sustain repeated use Can't be used in the absence is disease or injury Can't be an e