Monitor Mondays
Join Chuck Buck every Monday when he welcomes RACmonitor contributing editors and special guests for the latest regulatory audit news and information from CMS, OIG and OMHA. And gain valuable context and perspective that can only be found when you’re listening to the long-running and popular Monitor Mondays. Register to attend live here: https://racmonitor.medlearn.com/racmonitor/podcasts/
Podcasting since 2018 • 382 episodes
Monitor Mondays
Latest Episodes
The Fatal Blow: “Statistically Valid Extrapolation”
For years, federal audit contractors have treated statistical extrapolation as the unassailable engine driving massive overpayment demands. The premise sounds reasonable enough: review a small sample of claims, calculate an error ra...
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Season 14
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Episode 663
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29:25
The Feds Blow the Whistle: A $45 Million Wound Care Settlement
The False Claims Act (FCA) suit was initiated by the U.S. government, not a traditional whistleblower. Nonetheless, the recent $45 million settlement with a Florida physician and his wound care group – Vohra Wound Physicians Management LLC – re...
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Season 14
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Episode 662
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31:50
Providers Appear More Aggressive in Defending Revenue
It’s raining RACs. And many other third party auditors. It seems like every submission of medical records is being scrutinized for omission and commission. Then enter artificial intelligence (AI). The use of AI in auditing, although relat...
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Season 14
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Episode 661
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27:44
New Audit Traps Revealed in the 2026 Medicare Physician Fee Schedule
The Centers for Medicare & Medicaid Services (CMS) recently released the 2026 Medicare Physician Fee Schedule. And while that’s not breaking news, the important news is that you and your team could benefit by understanding its hidden traps ...
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Season 14
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Episode 660
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28:24
New Sepsis Definition Could Help You Achieve Denial Avoidance
Recently, a new version of the Sequential Organ Failure Assessment (SOFA) score was introduced.Known as SOFA-2, this new definition aligns with organ dysfunction measurement in critically ill adults with current clinical practices, espec...
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Season 14
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Episode 659
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30:12