Medicare Audits: The Hunting Game

Are Medicare auditors similar to ancient hunting parties roaming the tundra for wild game? Are audits applied equally and randomly across all healthcare providers, or is there intelligent design directed by a hidden network of influencers, working behind the scenes and shifting first to one area, then another?

During the next live edition of Monitor Mondays, Edward M. Roche, RACmonitor’s investigative reporter, is going to look at the data to see if there are patterns in auditing and settlements – and if possible, identify the drivers behind these waves of aggressive activity.

Other segments will include these instantly recognizable broadcast features:

• 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.
• SDoH Report: Tiffany Ferguson, a subject-matter expert on the social determinants of health (SDoH), will report on the news that’s happening at the intersection of healthcare regulations and the SDoH.
• Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, will be making his Monday Rounds with another installment of his popular segment.