279 episodes

Join Chuck Buck every Monday when he welcomes RACmonitor contributing editors and special guests for the latest regulatory audit news and information from CMS, OIG and OMHA. And gain valuable context and perspective that can only be found when you’re listening to the long-running and popular Monitor Mondays. Register to attend live here: https://racmonitor.medlearn.com/racmonitor/podcasts/

Monitor Mondays RACmonitor

    • Education
    • 4.4 • 19 Ratings

Join Chuck Buck every Monday when he welcomes RACmonitor contributing editors and special guests for the latest regulatory audit news and information from CMS, OIG and OMHA. And gain valuable context and perspective that can only be found when you’re listening to the long-running and popular Monitor Mondays. Register to attend live here: https://racmonitor.medlearn.com/racmonitor/podcasts/

    The Medicare Report Card: Assessing Areas for Major Reform

    The Medicare Report Card: Assessing Areas for Major Reform

    The United States spends more money on healthcare than any other country in the world. In 2021, U.S. healthcare spending reached $4.3 trillion.
    Medicare, which insures seniors, is America’s largest national health program, and therefore, it can and should be compared to its counterpart in other countries. So, how does the United States stack up?
    How do outcomes in the United States compare for patients, and what kind of comparisons can we make from the point of view of the healthcare provider? Do doctors have it better in the United States, or in other places? What lessons can we learn? Where are the most urgent areas that need reform?
    During the next live edition of Monitor Mondays, RACmonitor investigative reporter Edward M. Roche will examine U.S. healthcare in comparison with that of other countries, focusing on a number of dimensions, including cost, quality, outcomes, and ease of use.
    Broadcast segments will include these instantly recognizable features:
    Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will make his Monday Rounds.

    The RAC Report: Healthcare attorney Knicole Emanuel will report the latest news about auditors.

    Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

    Lead Story: RACmonitor investigative reporter Edward M. Roche will report the lead story on the performance scorecard for Medicare.

    • 30 min
    Like Autumn Leaves, RAC Audits Keep Falling

    Like Autumn Leaves, RAC Audits Keep Falling

    The fall season is just about here. Colorful autumn leaves will be becoming ubiquitous, like claims denials and audits. And in this season, now is the time to “git ‘er done.”
    And Monitor Mondays is the place to do it.
    In preparation, following the long Labor Day weekend, RACmonitor producers of Monitor Mondays have enlisted the services of some of the most trusted and respected names in regulatory compliance and claims auditing. And joining this panel of experts in the long-running Internet broadcast will be a new voice added to the lineup: Angela Jordan, currently executive vice president of Calm Waters AI, Inc., specialists in evaluation and management (E&M) leveling services.
    Broadcast segments will include these instantly recognizable features:
    Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will make his Monday Rounds.

    The RAC Report: Healthcare attorney Knicole Emanuel will report the latest news about auditors.

    Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.Legislative Update: Folana Houston, assistant general counsel for Zelis, will report on the latest legislative actions that will impact the healthcare regulatory setting.

    E&M Update: Angela Jordan, executive vice president for Calm Waters AI, Inc., will report on the latest twists and turns associated with the omnipresent E&M services impacting physicians and physician groups.

    • 29 min
    Assessing the Impact of Financial Woes Facing America’s Healthcare Providers

    Assessing the Impact of Financial Woes Facing America’s Healthcare Providers

    First there was COVID-19, which seemed to have torn a gaping hole in our nation’s patchwork quilt of care facilities. Add to this the rising costs of everything that touches healthcare, and now the growing list of Chapter 11 bankruptcies rippling through nursing homes and other facilities that provide care for America’s seniors.
    But will the tentacles of this lengthening financial crisis reach down and strike at other similar facilities? Reporting our lead story during the next live edition or Monitor Mondays will be William Dombi, president and CEO for the National Association for Home Care and Hospice.
    Broadcast segments will also include these instantly recognizable features:
    Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will make his Monday Rounds.

    The RAC Report: Healthcare attorney Knicole Emanuel will report the latest news about auditors.

    Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

    • 31 min
    Physician Advisors: Revenue Drag or Stimulant?

    Physician Advisors: Revenue Drag or Stimulant?

    Broadcast segments will also include these instantly recognizable features:
    Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will make his Monday Rounds.

    The RAC Report: Healthcare attorney Knicole Emanuel will report the latest news about auditors.

    Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

    • 28 min
    What’s So Smart About Smart Hospitals?

    What’s So Smart About Smart Hospitals?

    Information technology has revolutionized many industries, including healthcare. “Smart” hospitals promise vast increases in productivity, and are being designed as integrated IT platforms linking together technology, patients, and providers in a complex web of interaction.
    But are the promised advantages of smart hospitals tangible, or are there a number of factors that may inhibit providers from obtaining the benefits that are promised? And how are things really measured? Edward M. Roche will discuss this high-growth area of expenditures, and go over both the accelerators and inhibitors of this transformation in healthcare. 
    Broadcast segments will also include these instantly recognizable features:
    Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will make his Monday Rounds.

    The RAC Report: Healthcare attorney Knicole Emanuel will report the latest news about auditors.

    Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

    Legislative Update: Cate Brantley,  legislative analyst for Zelis, will report on current healthcare legislation.

    • 31 min
    FY 2024 IPPS Final Rule: Looking Under the Hood for Hazards

    FY 2024 IPPS Final Rule: Looking Under the Hood for Hazards

    The Centers for Medicare & Medicaid Services (CMS) FY2024 Inpatient Prospective Payment System (IPPS) Final Rule, posted on Aug. 1, reveals changes to the MS-DRG, CMS Hospital Acquired Conditions, and CMS Inpatient Quality Reporting Program affecting inpatient revenue cycles, quality reporting, and reputations essential to hospital operations. There are plenty of audit hazards. And that’s why RACmonitor invited James S. Kennedy, MD, a nationally recognized clinical coding authority, to be our expert tour guide during the next live edition of Monitor Mondays to identify potential risks and opportunities effective on October 1, 2023.  
    Broadcast segments will also include these instantly recognizable features:
    Monday Rounds: Ronald Hirsch, vice president of R1 RCM, will make his Monday Rounds.

    The RAC Report: Healthcare attorney Cara Ludwig, substituting for Knicole Emanuel, will report the latest news about auditors.

    Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

    Legislative Update: Adam Brenman, a legislative analyst for Zelis, will report on current healthcare legislation.

    • 29 min

Customer Reviews

4.4 out of 5
19 Ratings

19 Ratings

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