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You’re an Audit Target: Special Audit Deflection Report


Monday, December 6, 2021 10-10:30 a.m. EST; 7-7:30 a.m. PST
Season 11, Episode 482
Ronald Hirsch, MD, FACP, CHCQ, Knicole Emanuel Esq., David Glaser, Esq.
John K. Hall, MD, JD, MBA, FCLM, FRCPC, Robert Glenn, MD, Maggie Shi

The auditing never stops, and the pace is quickening. New issues, new audits.

But what are the costs for hospitals seeking to avoid audits? In one of the most comprehensive reports of its kind ever offered, RACmonitor and Monitor Mondays will bring on board prescient thought leaders to define the contours of this deepening healthcare regulatory crisis. During the next edition of Monitor Mondays, our very own physician-attorney John Hall will report on the Centers for Medicare & Medicaid Services (CMS) vaccine mandate that almost happened, along withwhat this means, what you need to do, and, of course, how it might be audited.

The latest Comprehensive Error Rate Testing (CERT) report revealed more than $25 billion in improper payments. And that means that providers and suppliers will have their processes and documentation audited further. Former Recovery Audit Contractor (RAC) Medical Director Robert Glenn, MD will report on how RACs utilize similar techniques to identify audit targets.

What are the costs for hospitals trying to protect themselves from these audits? Maggie Shi, a PhD candidate at Columbia University, will share her doctorial thesis using mathematical modeling that may be beyond the comprehension of some.

We’ll also report on 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, a nationally 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.