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
Episode 28: Navigating the Medicare Information Desert: Ambiguity, Audits, and the Innovator’s Burden
In this episode, Amy Schiffman and Alex Moseni dig into the real challenges physicians and innovators face when working inside Medicare. They explore why CMS guidance is often incomplete, how this drives confusion and legal costs, and what it means for startups trying to build sustainable care models.
Topics Covered
• The Medicare information gap and why CMS publishes only partial guidance
• How unclear rules increase legal expense and slow down innovation
• Fragmented CMS communication and the absence of a unified how to guide
• The complexity of care management codes and EMRs that cannot keep up
• Why many clinicians rely on third party spreadsheets for compliance
• Hidden payer controls such as Medical Unlikely Edits and their impact on reimbursement
• Why physicians must understand financial tools to succeed as leaders
• How to segment the 65 plus population for better patient acquisition
• Resources for physician executives including the ClinX Academy program
• Amy Schiffman’s work with Inter Mezzo Health and Coordology
• How ambiguity from CMS affects planning, proformas, and capital raising
• Persistent hurdles for startups including credentialing and physician activation
11 Dec 2025TRANSCRIPT
Episode 27: CMS CMMI ACCESS Program Introduction by ClinX Academy
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.
9 Oct 2024
Episode 26: DeepScribe: ambient scribing deep dive
E26: Deep dive into DeepScribe (https://www.deepscribe.ai/) 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, digital health, and leadership roles.
Medical Scribes and Documentation: Discussion on the role of medical scribes, both in-person and AI-based, in reducing physician burnout and streamlining patient care documentation.
DeepScribe Overview: DeepScribe uses AI to record and transcribe patient interactions, converting them into medical documentation, saving time, and improving patient engagement.
Impact of AI on Healthcare: AI captures more detailed patient information, leading to improved patient outcomes. Physicians can review, edit, and sign off on AI-generated notes.
Ambient Intelligence: DeepScribe aims to provide not just transcription but also data-driven insights and decision support for providers.
AI’s Potential: Discussion on AI assisting clinicians, not replacing them, by handling documentation and improving diagnostic accuracy.
Patient Interaction: AI helps providers maintain eye contact and focus on the patient, improving patient satisfaction and engagement.
AI Challenges and Future: Discussion on the evolving role of AI in healthcare, with possibilities for AI taking on more decision-making roles while working alongside physicians.
Conclusion: The hosts reflect on the potential of AI to change healthcare workflows, and Dean invites listeners to learn more about DeepScribe and its applications in various healthcare settings.
Inside a recent episode
Episode 27: CMS CMMI ACCESS Program Introduction by ClinX Academy
Published 11 Dec 2025 · Transcript excerpt
[…] It's kind of funny that Medicare has chosen to be the insurer of choice to roll out this like high tech solution because it's not exactly like this is the most digitally literate group of people. These are not digitally native Folks and app developers are very much used to developing things for digital natives. We're not far, right? Like we got to have like maybe 10 more years before everybody that's 65 has been like, I got a smartphone. But yeah, that's important. I think that's a huge one. And people always underestimate how difficult it is to get these seniors to use whatever technology solution. […]
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