Monitor Mondays

Alleged Bias Found in Extrapolation Audits


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“Literally billions of dollars a year are being extorted from healthcare providers due to a system of rules, regulations, and guidelines that are not outdated, but just plain wrong,” writes senior healthcare analyst Frank Cohen, director of analytics and business Intelligence for DoctorsManagement in the current edition of the RACmonitor e-News. Cohen joined the Monitor Mondays broadcast to make his case and suggest strategies for improving what he believes is a flawed system of medical record auditing.

Other segments to be featured on the broadcast include:

  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment.
    • OMHA Report: Healthcare attorney Andrew Wachler, managing partner at Wachler & Associates, reports on the long-awaited expansion to the Settlement Conference Facilitation (SCF) program. Details were released last week by the Office of Medicare Hearings and Appeals.
      • Audit Report: Monitor Mondays national correspondent Knicole Emanuel, Esq., partner at the Potomac Law Group, reports on the latest activities by healthcare auditors. 
        • Risky Business: Healthcare attorney David Glaser, with Fredrikson & Byron, reports another example of a potentially troublesome issue that could pose a risk to your facility.
          • Medicare Advantage Report: Monitor Mondays national correspondent J. Paul Spencer, senior healthcare consultant for DoctorsManagement, continues to report on the vexing issue of Medicare Advantage.

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