Collateral Consequences of Medicare Audits

Healthcare attorney Andrew Wachler is an audit warrior, with war stories that will make you cringe in absolute disbelief.

And during the next live edition of Monitor Mondays, Wachler will tell some of these stories, sharing lessons to learn from his experience defending provider clients. He’ll report how failure to appeal a target, probe and educate (TPE) audit could establish a “pattern or practice of submitting claims fail to meet Medicare requirements” for the purpose of revocation of Medicare billing privileges.

Wachler will also share challenges related to lifting a Medicare payment suspension implemented across multiple Medicare Administrative Contractor (MAC) jurisdictions.

Other segments will include these instantly recognizable broadcast features:

• 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.
• 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: Adam Brenman, a federal legislative analyst, will substitute for Matthew Albright to report on current healthcare legislation.

Chapters

• 0:58 Ronald Hirsh, MD
• 4:43 Knicole Emanuel, Esq.
• 8:29 RACmonitor Commercial
• 9:21 Tiffany Ferguson, LMSW
• 12:39 Adam Brenman
• 17:11 Listener Survey with Tiffany Ferguson
• 18:02 RACmonitor Commercial
• 18:59 Andrew Wachler, Esq.
• 24:10 Q&A