
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/
| Publishes | Weekly | Episodes | 394 | Founded | 8 years ago |
|---|---|---|---|---|---|
| Number of Listeners | Categories | EducationGovernment | |||

Artificial intelligence (AI) is becoming part of how clinical documentation is reviewed across healthcare, from coding and clinical validation to payer denials and appeals.
In many cases, AI is influencing decisions behind the scenes, even when it ... more
Aetna is just the latest in a long list of healthcare entities to settle False Claims Act (FCA) allegations with a massive settlement.
The insurer, one of the nation’s largest, recently agreed to pay $117.7 million to resolve a case involving purpor... more
Imagine machine learning and natural language processing deployed to audit claims.
Today, it’s the new reality.
Autonomous coding is dramatically altering the treacherous auditing landscape. So, how can you protect your facility from takebacks?
How... more
Healthcare documentation is no longer written for a single audience. Today, the medical record must simultaneously meet federal regulatory requirements and the coverage expectations of individual payers.
While these systems often overlap, they origi... more
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
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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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These podcasts share a similar audience with Monitor Mondays:
1. Talk Ten Tuesdays
2. Becker’s Healthcare Podcast
3. The ACDIS Podcast
4. BiggerPockets Real Estate Podcast
5. WSJ Opinion: Potomac Watch
Monitor Mondays launched 8 years ago and published 394 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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Recent guests on Monitor Mondays include:
1. Frank Cohen
2. Ronald Hirsch
3. Penny Jefferson
4. Mary Inman
5. Dr. James S. Kennedy
6. Sharon Easterling
7. Nicole Emanuel
8. David Glaser
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