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Monitor Mondays

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

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/

PublishesWeeklyEpisodes390Founded8 years ago
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Latest Episodes

The Centers for Medicare & Medicaid Services (CMS) has launched a new initiative titled Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH).

CRUSH is a sweeping fraud prevention program. In an official news release posted Thursday, CM... more

Prior authorizations among Medicare Advantage plans have drawn criticism and concern from patients, providers, lawmakers, and regulators. But hospitals and doctors are uniquely positioned to advocate for their patients’ access to and coverage for car... more

In a January 28 article, Dr. Ronald Hirsch verified that the Centers for Medicare and Medicaid Services (CMS) “has no problem” with the Aetna Severity Payment policy because it “meets the Two-Midnight Rule.” 

However, there is more to consider than ... more

It’s raining RACs.

The Recovery Auditor Contractors (RACs), together with an alphabet soup of other private and public auditors, are coming down hard on hospitals and physician practices, looking for omissions and errors in submitted claims.

Then t... more

There was a time when Relative Value Units (RVUs) felt like a stable currency – something you and others could take to the bank. 

That was then. This is now.

Then, productivity could be measured, compensation plans could be managed, and economic mo... more

While many of you were enjoying the holidays, Kaiser Permanente was

back in the news. This time, another whistleblower case which resulted in

an amazing $556 million settlement to resolve allegations that the giant

provider/payer fudged on its Medica... more

The Centers for Medicare & Medicaid Services (CMS) will block hospitals from performing certain interventions that are intended to change a child’s physical appearance to align an asserted sex identity.

Reporting the lead story during the next live ... more

Whistleblower attorney Max Volman will return to the next Monitor Monday broadcast to report the latest news about whistleblowers. 

As we have learned, often “whistleblowers” are not insiders reporting wrongdoing; they tend to be outside the offendi... more

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Recent Guests

Nicole Emanuel
Health care attorney
Nelson Mullins
Episode: The Feds Blow the Whistle: A $45 Million Wound Care Settlement
Mary Inman
Famed whistleblower attorney
Whistleblower Partners
Episode: The Feds Blow the Whistle: A $45 Million Wound Care Settlement
David Glaser
Health care attorney
Fredrikson & Byron
Episode: The Feds Blow the Whistle: A $45 Million Wound Care Settlement
Dr. James S. Kennedy
President of CDI, MD
Episode: New Sepsis Definition Could Help You Achieve Denial Avoidance
Maureen Testoni
President and CEO for 340B Health
340B Health
Episode: A New Drug Crisis Soon Facing American Hospitals
Sharon Easterling
Senior Healthcare Consultant
Episode: Audit Alert: Who’s Auditing AI?
Cate Brantley
Senior Health Care Legislative Affairs Analyst
Zelis
Episode: Audit Alert: Who’s Auditing AI?
Lexi Morrison
Director of Operations for MedPharma
MedPharma
Episode: Tariffs: The Impact on Drugs
Kate Brantley
Senior Government Affairs Liaison
Spruzzellas
Episode: Wound Care: An Open Source for Audits

Host

Chuck Buck
Host and Publisher of RAC Monitor, providing insights on regulatory news and information related to healthcare audits.

Top Education Podcasts

Talking Points

Recent interactions between the hosts and their guests.

Medicare Advantage and Prior Authorizations: The Good. The Bad. The Ugly.
Q: Under the two midnight rule, would you consider the blood pressure check as simply the normal triage process or count it?
The consensus indicated that the blood pressure check prior to midnight does start the two midnight clock.
Reign of Terror: Special Audit Report
Q: What should nurses do in a situation where they suspect patient injuries inflicted by ICE agents?
Nurses should consider the legal responsibilities around reporting such injuries, taking into account confidentiality and state laws regarding abuse reporting.
Docs Take Another Financial Hit
Q: Do you think it's harder to win at the ALJ level than it was five or ten years ago?
Yes, particularly because ALJs are now more likely to have their decisions reversed by the MAC.
Docs Take Another Financial Hit
Q: Last time telehealth was paid retroactively, can we assume that that will happen again or do we know?
Yes, we may expect that.
Providers Appear More Aggressive in Defending Revenue
Q: What do you think about the inaccurate report from the OIG regarding outpatient hospital stays?
David has been assisting a client on an OIG audit, and he highlighted the critical misunderstanding regarding outpatient hospital stays under Medicare rules, emphasizing that it is not permissible to have extended outpatient stays.

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Frequently Asked Questions About Monitor Mondays

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

Focuses on regulatory audit news and updates affecting the healthcare industry, particularly revolving around Medicare and Medicaid. Regularly features insights from healthcare attorneys, healthcare executives, and legislative analysts who contribute to discussions on compliance, audit processes, and legislative updates that impact providers and patients alike. The podcast also highlights major settlements and prevalent issues in healthcare billing and coding, offering practical advice for navigating the complexities of healthcare regulations.

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Which podcasts are similar to Monitor Mondays?

These podcasts share a similar audience with Monitor Mondays:

1. Talk Ten Tuesdays
2. Apple News Today
3. The Daily
4. Up First from NPR
5. The ACDIS Podcast

How many episodes of Monitor Mondays are there?

Monitor Mondays launched 8 years ago and published 390 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

How do I contact Monitor Mondays?

Our systems regularly scour the web to find email addresses and social media links for this podcast. We scanned the web and collated all of the contact information that we could find in our podcast database. But in the unlikely event that you can't find what you're looking for, our concierge service lets you request our research team to source better contacts for you.

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What guests have appeared on Monitor Mondays?

Recent guests on Monitor Mondays include:

1. Nicole Emanuel
2. Mary Inman
3. David Glaser
4. Dr. James S. Kennedy
5. Maureen Testoni
6. Sharon Easterling
7. Cate Brantley
8. Lexi Morrison

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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