Monitor Mondays

Medicare Auditors Caught Double-Dipping


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The story first broke here on RACmonitor, when investigative reporter Edward M. Roche wrote about a case of double-dipping: the act of an auditor sampling and extrapolating against the same set of claims.

As Roche explained in his exclusive RACmonitor article, the practice is like receiving two traffic tickets for a single instance of running a red light. The practice doubles the amount of recoupment demanded. Providers pay twice.

During the next live edition of Monitor Mondays, Roche will report on this unseemly practice in general, but will also provide an update on this very same case now coming up for review by an Administrative Law Judge (ALJ).

Other segments to be featured during the live broadcast include the following:

  • Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, will join the broadcast with his trademark segment.
  • Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.
  • RAC Report: Healthcare attorney Knicole Emanuel, a partner at the law firm of Practus, will file the Monitor Mondays RAC Report.
  • Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, will report on the status of healthcare legislation associated with the current COVID-19 pandemic.
  • SDoH Report: Ellen Fink-Samnick, who stepped down recently as the Monitor Mondays and RACmonitor subject matter expert on the social determinants of health (SDoH), will return to the broadcast for a one-time-only appearance, sitting in for Tiffany Ferguson. 
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