Too many times, and in too many cases, providers are being subjected to flaws in methodologies and calculations used by auditors that lead to recoupment demands and other penalties.

Aided by ambiguously written rules from the Centers for Medicare & Medicaid Services (CMS), unscrupulous auditors are often able to pounce on unsuspecting providers, wreaking havoc on revenues and human resources. The toll can be devastating. Monitoring on a daily basis providers’ concerns and questions, RACmonitor and Monitor Mondays both report on these cases, bringing to light auditors’ errors of commission and omission.

During the next live edition of Monitor Mondays, trusted subject matter experts will report on the following:

• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Practus, will report the latest news about auditors, including the Recovery Auditors (RAs).
  
  
• The Whistleblower Report: Famed whistleblower attorney Mary Inman will report that the U.S. Department of Justice (DOJ) is joining a whistleblower lawsuit against Modernizing Medicine and a co-founder, alleging violations of the False Claims Act involving the company’s electronic health records (EHR) and kickbacks to physicians. 
  
  
• 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: Former CMS official Matthew Albright, now chief legislative affairs officer for Zelis, will report on current healthcare legislation.
  
  
•  SDoH Report: Tiffany Ferguson, a subject matter expert on the social determinants of health (SDoH), will return to the broadcast to report on the news that’s happening at the intersection of healthcare regulations and the SDoH.