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Monitor Mondays

RACmonitor
Medicare
False Claims Act
Artificial Intelligence
Medicare Advantage
Covid-19
Racmonitor
Healthcare Compliance
Healthcare Auditing
Centers For Medicare & Medicaid Services
Mary Inman
Whistleblower Lawsuit
Medlearn Media Resource Center
Healthcare Regulations
Physician Advisors Conference
R1 Physician Advisory Solutions
Healthcare Audits
Non-Compete Agreements
Peer-To-Peer Discussions
Healthcare Technology
Molecular Pathology

Join Chuck Buck every Monday when he welcomes RACmonitor contributing editors and special guests for the latest regulatory audit news and information from CMS, OIG and OMHA. And gain valuable context and perspective that can only be found when you’re listening to the long-running and popular Monitor Mondays. Register to attend live here: racmonitor.medlearn.com/racmonitor/podcasts/

PublishesWeeklyEpisodes371Founded8 years ago
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Artwork for Monitor Mondays

Latest Episodes

Three whistleblowers brought a durable medical equipment (DME) provider to its knees.

In two separate cases, the whistleblowers targeted Exactech, a manufacturer of total knee replacement (TKR) systems, resulting in a settlement of $8 million to res... more

Healthcare compliance just shifted fundamentally.

Traditional whistleblowers who needed inside access are being replaced by artificial intelligence (AI)-powered relators who mine public datasets and flag statistical anomalies that could signal fraud.... more

Consider this a wake-up call.

As artificial intelligence (AI) quietly becomes part of the audit trail, healthcare leaders must ask a new question: who’s reviewing the reviewers?

During the next live edition of the venerable Monitor Mondays broadcas... more

The Unified Program Integrity Contractors (UPICs) are household names in healthcare compliance.

But their track record tells a troubling story, according to senior healthcare analyst Frank Cohen. These Medicare fraud enforcement contractors are usin... more

There just might be a reign of terror being experienced at many of America’s hospitals and health systems. Professionally delivered patient care apparently seems to be getting hijacked by auditors compelled to deny claims of omission.

Aided by the C... more

Although the lawsuit was filed by a pharmacist in New Mexico, a federal judge in New York has ordered CVS Omnicare to pay $949,000 to settle a False Claims Act (FCA) case.

According to news sources, the Pharmacy Benefits Manager (PBM) allegedly pres... more

Federal legislation has been introduced that is intended to help the beleaguered 340B Health organization via an effort to ban pharmaceutical companies from restricting access to the drug pricing discount program of the same name, through community a... more

The rugged audit landscape has changed – and not for the better.

Today, there are more potential pitfalls and traps to capture the unprepared and impact them with huge fines and possible incarceration. In fact, the Centers for Medicare & Medicaid Se... more

Key Facts

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Recent Guests

Sharon Easterling
Senior Healthcare Consultant
Episode: Audit Alert: Who’s Auditing AI?
Nicole Emanuel
Healthcare Attorney
Nelson Mullins Law Firm
Episode: Audit Alert: Who’s Auditing AI?
David Glaser
Healthcare Attorney
Fredrikson & Byron Law Firm
Episode: Audit Alert: Who’s Auditing AI?
Cate Brantley
Senior Health Care Legislative Affairs Analyst
Zelis
Episode: Audit Alert: Who’s Auditing AI?
Maureen Testoni
CEO for 340B Health
340B Health
Episode: 340B: Fighting Back Against Big Pharma
Lexi Morrison
Director of Operations for MedPharma
MedPharma
Episode: Tariffs: The Impact on Drugs
David Glazer
Health care attorney
Law firm of Frederick City
Episode: Wound Care: An Open Source for Audits
Kate Brantley
Senior Government Affairs Liaison
Spruzzellas
Episode: Wound Care: An Open Source for Audits
Andrew Wachler
Prominent healthcare attorney
Law firm of Wachler & Associates
Episode: Wound Care: An Open Source for Audits

Host

Chuck Buck
Host of Monitor Monday, Publisher of RACmonitor

Talking Points

Recent interactions between the hosts and their guests.

Audit Alert: Who’s Auditing AI?
Q: What do you hear about the possible government shutdown coming up at the end of the month?
The update regarding the government shutdown is that no big developments have been made yet, with negotiations ongoing and funding set to expire at the end of the month.
Chevron Deference: What Difference Has a Year Made?
Q: Will the new legislation impact Medicaid funding?
Yes, it will result in significant reductions to Medicaid, potentially leading to fewer beneficiaries and pressures on healthcare providers.
Chevron Deference: What Difference Has a Year Made?
Q: What has the difference been for Chevron and executive actions since the Supreme Court ruling?
The ruling has caused speculation regarding the future of federal healthcare regulation, implying less respect for precedent and potential increases in litigation under new executive orders.
Medicaid Madness
Q: Are hospitals required to post every contracted rate with every payer for price transparency?
Yes, hospitals are required to post all contracted rates, not just the highest and lowest.
Medicaid Madness
Q: Does the new budget bill do anything to change the telehealth September 30th deadline?
No, telehealth was generally left out of the budget bill.

Audience Metrics

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Frequently Asked Questions About Monitor Mondays

What is Monitor Mondays about and what kind of topics does it cover?

This podcast offers insightful discussions on regulatory updates and audit news relevant to the healthcare sector, focusing particularly on the implications of policies from CMS, OIG, and OMHA. Listeners gain valuable context regarding ongoing legislative efforts, compliance challenges, and the latest legal developments that impact healthcare providers and patients alike. Special guests, including healthcare analysts and attorneys, contribute their expertise to shed light on complex issues such as the 340B Drug Pricing Program, Medicare regulations, and emerging trends in healthcare compliance and fraud prevention.

What sets this podcast apart is its emphasis on regulatory scrutiny and enforcement within the healthcare industry, making it ... more

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These podcasts share a similar audience with Monitor Mondays:

1. Talk Ten Tuesdays
2. The ACDIS Podcast
3. Tradeoffs
4. KFF Health News' 'What the Health?'
5. Becker’s Healthcare Podcast

How many episodes of Monitor Mondays are there?

Monitor Mondays launched 8 years ago and published 371 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Monitor Mondays?

Recent guests on Monitor Mondays include:

1. Sharon Easterling
2. Nicole Emanuel
3. David Glaser
4. Cate Brantley
5. Maureen Testoni
6. Lexi Morrison
7. David Glazer
8. Kate Brantley

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