Monitor Mondays

The Audit Roundup: Who’s at Risk and Why

December 13, 2021 Ronald Hirsch, MD | Knicole Emanuel Esq. | David Glaser, Esq. | Ellen Fink-Samnick | Matthew Albright | William A. Dombi, Esq. Season 11 Episode 482
Monitor Mondays
The Audit Roundup: Who’s at Risk and Why
Show Notes

The Medicare regulatory audit landscape is rapidly changing, putting providers, vendors, and suppliers at significant risk. And this risk is significantly increased if you’re not aware of the changes. The penalties are severe.

The next weekly edition of Monitor Mondays will provide a comprehensive overview of this new forboding landscape and its features. For example, Medicare home health is moving quickly into the world of value-based purchasing. Beginning Jan. 1, 2023, all home health agencies will be subject to a national demonstration program that puts up to 5 percent of their revenue at risk by tying it to their patient care performance. Each home health agency will compete with all others to determine which providers get bonuses and which are financially penalized.

We’ll also report on the latest news and most current updates. You’ll receive the latest national audit news updates from well-respected broadcast consultants, including:

  • RAC Report: Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.
  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will return with another installment of his popular segment.
  • SDoH Report: Ellen Fink-Samnick,anationally recognized expert on the social determinants of health (SDoH), will have the latest news on a trending topic that is attracting significant media attention. Ellen will also conduct the Monitor Mondays Listeners Survey.
  • 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.
  • 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.