Monitor Mondays

Nationwide Dragnet: An Update on Auditing

January 09, 2023 Ronald Hirsch, MD | Knicole Emanuel, Esq. | David Glaser, Esq | Tiffany Ferguson, LMSW | Cate Brantley, JD | John K. Hall, MD | Edward M. Roche, PhD | John Zelem, MD Season 13 Episode 529
Monitor Mondays
Nationwide Dragnet: An Update on Auditing
Show Notes Chapter Markers

No more eggnog. Toss the champagne bottles. The good times are over, and now it’s back to business. But not business as usual.

As the rest of the nation’s healthcare professionals clocked in for overtime, claims auditors were scrutinizing medical records, looking for the slightest inconsistency upon which to pounce. Now, nearly four weeks since its last news broadcast, Monitor Mondays will return this coming Monday with a cadre of the smartest minds in healthcare auditing. You’ll hear auditing news you won’t find anywhere else – except here and in RACmonitor.

Broadcast segments will include these instantly recognizable features:

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds, during which he will report an exclusive auditing story in which he details news about a move by the Centers for Medicare & Medicaid Services (CMS) to clamp down on Medicare Advantage (MA).
  • The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors.
  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.
  • 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.
  • Legislative Update: Cate Brantley, a federal legislative analyst for Zelis, will report on current healthcare legislation.
  • Docs and Regs: Monitor Mondays’ own physician and attorney, Dr. John K. Hall, will report on how revisions to water down the Medicare Program Integrity Manual tend to increase liability for providers.
  • Tip Sheet: RACmonitor investigative reporter Edward M. Roche will have another jaw-dropping story about audits, auditing, and a dismal outlook for 2023.
  • Live Stream Chatting: Dr.John Zelem, founder and CEO of Streamline Consulting Solutions, will join the broadcast for a wrap-up on the morning’s top stories.
Ronald Hirsh, MD
Knicole Emanuel, Esq.
David Glaser, Esq.
Tiffany Ferguson, LMSW
Cate Brantley, JD
John K. Hall, M.D
Edward M. Roche, PhD, JD
Q&A with David Glaser
Post-Stream Chat with John Zelem, MD.