Monitor Mondays

The UPICs: The Mean, the Bad and the Ugly


Listen Later

Like unwanted mushrooms bursting forth from your lawn, the Zone Program Integrity Contractors (ZPICs) appear to be on steroids. Their audits are aggressive disruptors in the vast auditing landscape in which providers continue to provide care and bill for the services they provide. In fact, the recent uptick in their audit activities is in the Medicaid arena. UPICs— the Centers for Medicare & Medicaid Services (CMS) contractors tasked with integrating program integrity functions for audits and investigations across both Medicare and Medicaid—are now coordinating and performing more Medicaid audits.

During the next live edition of Monitor Mondays, prominent healthcare attorney Andrew Wachler, the managing partner of Wachler and Associates, will be reporting on the ZPIC audits he is encountering while offering steps providers and suppliers can take to protect their reimbursement from recoupment.

Other segments will include these instantly recognizable broadcast segments:

  • Post Payment Audits: Kevin Lasser, CEO of Rev Keep, will report on the post payment audits.

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

  • 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.

  • Legislative Update: Matthew Albright, chief legislative affairs officer for Zelis, will report on current healthcare legislation.
...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

20 ratings


More shows like Monitor Mondays

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

Wait Wait... Don't Tell Me!

38,465 Listeners

Radiolab by WNYC Studios

Radiolab

43,944 Listeners

This American Life by This American Life

This American Life

90,431 Listeners

The Moth by The Moth

The Moth

27,274 Listeners

Your Money, Your Wealth by Joe Anderson, CFP® & Alan Clopine, CPA of Pure Financial Advisors

Your Money, Your Wealth

742 Listeners

WSJ Opinion: Potomac Watch by Paul Gigot, The Wall Street Journal

WSJ Opinion: Potomac Watch

2,780 Listeners

Hidden Brain by Hidden Brain, Shankar Vedantam

Hidden Brain

43,406 Listeners

Armchair Expert with Dax Shepard by Armchair Umbrella

Armchair Expert with Dax Shepard

68,517 Listeners

Today, Explained by Vox

Today, Explained

9,995 Listeners

Talk Ten Tuesdays by ICD10monitor

Talk Ten Tuesdays

37 Listeners

The ACDIS Podcast by ACDIS

The ACDIS Podcast

56 Listeners

An Arm and a Leg by An Arm and a Leg

An Arm and a Leg

1,073 Listeners

Becker’s Healthcare Podcast by Becker's Healthcare

Becker’s Healthcare Podcast

178 Listeners

Tradeoffs by Tradeoffs

Tradeoffs

383 Listeners