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Monitor Mondays

Prepare Now Audit Frenzy Amid Hospitals Executing Crisis Standards of Care

September 27, 2021 Ronald Hirsch, MD | Knicole Emanuel, Esq. | David Glaser Esq. | Matthew Albright | Mary Inman, Esq. | John Zelem, MD Season 11 Episode 471
Monitor Mondays
Prepare Now Audit Frenzy Amid Hospitals Executing Crisis Standards of Care
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Monitor Mondays
Prepare Now Audit Frenzy Amid Hospitals Executing Crisis Standards of Care
Sep 27, 2021 Season 11 Episode 471
Ronald Hirsch, MD | Knicole Emanuel, Esq. | David Glaser Esq. | Matthew Albright | Mary Inman, Esq. | John Zelem, MD
As healthcare attorney Knicole Emanuel recently reported here on RACmonitor, in 2022 providers can expect a “frenzy” of audits –  although it seems to be happening already now, as some hospitals are executing crisis standards of care while coping with an influx of COVID-19 patients (namely, unvaccinated patients who have contracted the deadly Delta variant).

The result is that many hospitals are on the brink of disaster, their resources stretched to the breaking point. Joining the next upcoming broadcast of Monitor Mondays will be John Zelem, MD, former general surgeon-turned-healthcare consultant. Dr. Zelem will report the lead story on the broadcast about the long-feared rationing of medical care now being practiced at hospitals in Idaho, Montana, and Alaska. Other hospitals are expected to soon adopt similar crisis standards of care.

Monitor Mondays will also have the latest national audit news updates from well-respected broadcast consultants, including:

  • DOJ and Medicare Advantage: Famed whistleblower attorney Mary Inman, partner in the law of office of Constantine Cannon, will report on the U.S. Deptartment of Justice filing a civil complaint against a data-mining company affiliated with a Medicare Advantage (MA) plan for allegingly cheating the government out of tens of millions of dollars, thus enabling the plan to overcharge for treating patients.

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

  • RAC Report: Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.

  • Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the latest healthcare regulatory news coming out of Washington, D.C.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications facing healthcare providers.
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Show Notes
As healthcare attorney Knicole Emanuel recently reported here on RACmonitor, in 2022 providers can expect a “frenzy” of audits –  although it seems to be happening already now, as some hospitals are executing crisis standards of care while coping with an influx of COVID-19 patients (namely, unvaccinated patients who have contracted the deadly Delta variant).

The result is that many hospitals are on the brink of disaster, their resources stretched to the breaking point. Joining the next upcoming broadcast of Monitor Mondays will be John Zelem, MD, former general surgeon-turned-healthcare consultant. Dr. Zelem will report the lead story on the broadcast about the long-feared rationing of medical care now being practiced at hospitals in Idaho, Montana, and Alaska. Other hospitals are expected to soon adopt similar crisis standards of care.

Monitor Mondays will also have the latest national audit news updates from well-respected broadcast consultants, including:

  • DOJ and Medicare Advantage: Famed whistleblower attorney Mary Inman, partner in the law of office of Constantine Cannon, will report on the U.S. Deptartment of Justice filing a civil complaint against a data-mining company affiliated with a Medicare Advantage (MA) plan for allegingly cheating the government out of tens of millions of dollars, thus enabling the plan to overcharge for treating patients.

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

  • RAC Report: Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.

  • Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the latest healthcare regulatory news coming out of Washington, D.C.

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment, reporting on legal implications facing healthcare providers.