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
Freakonomics Radio by Freakonomics Radio + Stitcher

Freakonomics Radio

32,246 Listeners

Hidden Brain by Hidden Brain, Shankar Vedantam

Hidden Brain

43,687 Listeners

20/20 by ABC News

20/20

12,103 Listeners

The Daily by The New York Times

The Daily

113,121 Listeners

CodeCast | Medical Billing and Coding Insights by Terry Fletcher

CodeCast | Medical Billing and Coding Insights

200 Listeners

Armchair Expert with Dax Shepard by Armchair Umbrella

Armchair Expert with Dax Shepard

69,626 Listeners

Talk Ten Tuesdays by ICD10monitor

Talk Ten Tuesdays

39 Listeners

The ACDIS Podcast by ACDIS

The ACDIS Podcast

59 Listeners

An Arm and a Leg by An Arm and a Leg

An Arm and a Leg

1,081 Listeners

Dateline NBC by NBC News

Dateline NBC

47,718 Listeners

The Ezra Klein Show by New York Times Opinion

The Ezra Klein Show

16,525 Listeners

The Mel Robbins Podcast by Mel Robbins

The Mel Robbins Podcast

20,222 Listeners

HBR On Leadership by Harvard Business Review

HBR On Leadership

170 Listeners

The Compliance Guy by Sean M. Weiss

The Compliance Guy

38 Listeners

Blink | Jake Haendel's Story by Sony Music, Corinne Vien, Jacob Haendel

Blink | Jake Haendel's Story

7,317 Listeners