Monitor Mondays

Medicare Auditing Run Amok

June 27, 2022 Ronald Hirsch, MD | David Glaser, Esq | Knicole Emanuel, Esq. | Tiffany Ferguson, LMSW | Cate Brantley | John K. Hall, MD Season 12 Episode 506
Monitor Mondays
Medicare Auditing Run Amok
Show Notes Chapter Markers

Stranger than fiction are the reports coming from providers complaining of inconsistent and often contradictory reasons given for claim denials, leading to recoupment and the possibility of Medicare revoking privileges of participation in federal health programs – and this at a time of shrinking margins, rising inflation, budget cuts, and staff shortages. Little wonder that America’s hospitals, health systems, and physician practices are feeling the pain.

However, during the next special news edition of Monitor Mondays, you will not only hear field reports from our distinguished and highly respected panelists, but also gain the benefit of practical guidance in traversing the treacherous audit terrain.

And, as a special added feature, Monitor Mondays will conduct an exclusive roundtable on the contentious and controversial 340B drug discount program. Substituting for the program’s executive producer and program host, Chuck Buck, will be Dr. John K. Hall.

Other segments will include these instantly recognizable broadcast segments:

  • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors.

  • SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will report on the news that’s happening at the intersection of healthcare regulations and the SDoH.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.

  • Legislative Update: Cate Brantley, legislative affairs analyst for Zelis, will report on current healthcare legislation. Brantley will be substituting for Matthew Albright.
Ronald Hirsh, MD
Knicole Emanuel, Esq.
RACmonitor Commercial
David Glaser, Esq.
Tiffany Ferguson
Cate Brantley
RACmonitor Commercial
Roundtable with John K. Hall, MD