Monitor Mondays

What’s the Missing Ingredient in Medicare Audits?


Listen Later

“Good enough for government work,” was once the saying among cynical factory workers. And yet today in healthcare, precision in Medicare statistical analysis really matters. If overpayments are found, then the extrapolation recoupment number will go up; if underpayments are found, the extrapolation will go down.

Listen and learn during the next live edition of Monitor Mondays when RACmonitor investigative attorney Edward M. Roche will report that his team routinely finds Medicare auditors handing in extrapolations that can be plus or minus 10, 15, 20, 30 percent –  or even worse.

“That is somewhere between 25 and 85 percent,” wrote Roche recently in RACmonitor. “But that seems to be good enough for government work.”

Precision in Medicare auditing is a prerequisite. But, sadly—as you’ll learn from Roche—that’s not always the case.

Other segments will include these instantly recognizable broadcast segments:

  • 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

23 ratings


More shows like Monitor Mondays

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

Wait Wait... Don't Tell Me!

38,713 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

32,299 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

56,277 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