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 • 391 episodes
Monitor Mondays
Latest Episodes
Lesson Learned: Navigating the Ever-Expanding Scope of Prior Authorization
Healthcare documentation is no longer written for a single audience. Today, the medical record must simultaneously meet federal regulatory requirements and the coverage expectations of individual payers.While these systems often overlap,...
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Season 14
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Episode 672
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29:33
CMS Launches CRUSH: A New Anti-Fraud Program
The Centers for Medicare & Medicaid Services (CMS) has launched a new initiative titled Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH).CRUSH is a sweeping fraud prevention program. In an official news release post...
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Season 14
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Episode 671
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30:42
Medicare Advantage and Prior Authorizations: The Good. The Bad. The Ugly.
Prior authorizations among Medicare Advantage plans have drawn criticism and concern from patients, providers, lawmakers, and regulators. But hospitals and doctors are uniquely positioned to advocate for their patients’ access to and coverage f...
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Season 14
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Episode 670
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29:48
Did CMS Draw the Right Conclusion about Aetna’s Severity Policy?
In a January 28 article, Dr. Ronald Hirsch verified that the Centers for Medicare and Medicaid Services (CMS) “has no problem” with the Aetna Severity Payment policy because it “meets the Two-Midnight Rule.” However, there is more t...
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Season 14
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Episode 669
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30:23
Reign of Terror: Special Audit Report
It’s raining RACs.The Recovery Auditor Contractors (RACs), together with an alphabet soup of other private and public auditors, are coming down hard on hospitals and physician practices, looking for omissions and errors in submitted clai...
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Season 14
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Episode 668
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26:27
