Frank Cohen’s article in this Thursday’s RACmonitor eNews, “Retrospective Baseline Probe Audits: Problems and Solutions to an Outdated Methodology,” inspired the upcoming Monitor Mondays broadcast, Feb. 23, 10 AM EST.
Just when most compliance professionals were touting the benefits of their “flip phones” of auditing solutions — probe audits — the Centers for Medicare & Medicaid Services came out with their “smartphone” equivalent: statistical and predictive analytical models. The year was 2011. Working with aerospace giant Northrup Grumman and global telecom leader Verizon, CMS would forever alter the auditing landscape with sophisticated predictive analytical algorithms. Today, 100 percent of all submitted Medicare claims, including yours, are evaluated by this system.
To help level the playing field and to give you a competitive advantage, Monitor Mondays will host three nationally recognized auditing professionals during its next broadcast: Pat Marion, Curtis Udell, and Frank Cohen. Marion, a principal at Compliance Concepts, Inc., spent more than 23 years with the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). Udell, formerly the director of billing and compliance at Johns Hopkins Community Physicians, is the director of compliance and privacy for the Center for Vein. Cohen is the director of analytics and business intelligence for DoctorsManagement and a respected contributing editor for RACmonitor eNews.
J. Paul Spencer with Avastone Health Consulting also will return with his tracking report on the Medicaid RACs. Betty B. Bibbins, MD, founder, CEO, and executive physician educator at DocuComp LLC, will be rounding out our Monday with the Monday Rounds segment. David Glaser, Esq., a shareholder at Fredrikson & Byron, will return with his “Risky Business” segment with a focus on hiring personnel. Finally, senior correspondent Nancy Beckley, president and CEO of Nancy Beckley and Associates, will have some of the latest hot topics and the Monitor Mondays Listener Survey.
All this and more will be coming your way as we continue our sixth year of broadcasts this coming Monday, Feb. 23 at 10 a.m. EST.