Monitor Mondays

Denials Going from Bad to Worse


Listen Later

Denials in healthcare are a problem.

Recently, though, the problem seems to be getting worse, especially with the misapplication of the Two-Midnight Rule by Medicare Advantage (MA) plans, according to Nick Hut, senior editor for Healthcare Financial Management Association (HFMA).

Hut reports that MA plans are classifying hospital stays as outpatient observation visits at a significantly higher rate than traditional Medicare even though the rule is supposed to be applied the same way in both programs.

And Hut believes the situation is likely to be getting worse because UnitedHealthcare is targeting provider coding while it seeks to bring down medical spending that has been higher than anticipated in recent fiscal quarters.

Hut will be reporting this story during the next live edition of Monitor Mondays. He has more than 12 years reporting healthcare policy news and trends.

Other segments during the weekly broadcast will include these instantly recognizable features:

• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds.

• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.

• Legislative Update: Adam Brenman, senior legislative affairs analyst for Zelis, will report on current healthcare legislation.

• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.


...more
View all episodesView all episodes
Download on the App Store

Monitor MondaysBy RACmonitor

  • 4.5
  • 4.5
  • 4.5
  • 4.5
  • 4.5

4.5

23 ratings


More shows like Monitor Mondays

View all
Wait Wait... Don't Tell Me! by NPR

Wait Wait... Don't Tell Me!

38,689 Listeners

This American Life by This American Life

This American Life

90,949 Listeners

Fresh Air by NPR

Fresh Air

38,189 Listeners

Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,291 Listeners

TED Radio Hour by NPR

TED Radio Hour

22,074 Listeners

JAMA Clinical Reviews by JAMA Network

JAMA Clinical Reviews

496 Listeners

The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

The Curbsiders Internal Medicine Podcast

3,336 Listeners

The Daily by The New York Times

The Daily

111,917 Listeners

Up First from NPR by NPR

Up First from NPR

56,231 Listeners

KFF Health News' 'What the Health?' by KFF Health News

KFF Health News' 'What the Health?'

478 Listeners

Armchair Expert with Dax Shepard by Armchair Umbrella

Armchair Expert with Dax Shepard

69,085 Listeners

Talk Ten Tuesdays by ICD10monitor

Talk Ten Tuesdays

39 Listeners

The ACDIS Podcast by ACDIS

The ACDIS Podcast

58 Listeners

Becker’s Healthcare Podcast by Becker's Healthcare

Becker’s Healthcare Podcast

184 Listeners

Tradeoffs by Tradeoffs

Tradeoffs

391 Listeners