Audit Roundup: Broadcast 500

2010 does not seem that long ago. It’s hard to believe we’re at Monitor Mondays broadcast No. 500 since then.

But then again, let’s look at all we’ve seen change. Medicare started out with a one-midnight expectation for inpatient reimbursement. Then the Recovery Audit Contractors (RACs) moved in, showed us all the errors of our ways, and demonstrated that unrestrained denials could overwhelm the appeal system.

Then we got the two-midnight rule, which, oddly enough, seemed to make sense. It carved off a bunch of inpatient stays, but also curtailed denials. Then we saw the phase out of the inpatient-only list. But wait – the Centers for Medicare & Medicaid Services (CMS) reversed course and decided not only to keep the inpatient-only list, but to add stuff back on to it. 

The one constant since 2010, via more than 500 live broadcasts,has been Monitor Mondays, bringing cutting-edge analysis of regulatory changes and providing reliable information for you to meet payor challenges. We’re looking forward to another 500 episodes. And we’re sure the payors will help us with new material.

Additional segments to be included in this landmark broadcast will include the following:

• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors, including the Recovery Auditors (RAs).
• Monday Focus: Mary Beth Pace, vice president of care management at Trinity Health, will report on outpatient status for those who have undergone surgery.
• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.
• Monday Rounds: Dr. Andrew Markiewitz, substituting for Dr. Ronald Hirsch, will make his Monday Rounds.
• Legislative Update: Former CMS official Matthew Albright, now chief legislative affairs officer for Zelis, will report on current healthcare legislation.