Best DaVita Podcasts (2024)

1
“Do the Crime, Pay the Fine:” DaVita to Pay$34 million to Resolve Allegations of Illegal Kickbacks 27:28

15d ago27:28

27:28

Denver-based DaVita Inc. has agreed to pay slightly more than $34 million to resolve allegations that it violated the False Claims Act (FCA). The U.S. Department of Justice (DOJ) reported in a news release that DaVita paid kickbacks to induce referrals to DaVita Rx, a former subsidiary that provided pharmacy services for dialysis patients, directin…

1
There’s a New Sheriff in Town: New DOJ Program Intends to Snare Even More FCA Fraudsters 28:37

16h ago28:37

28:37

The U.S. Department of Justice (DOJ) has a new whistleblower reward initiative called the DOJ Corporate Whistleblower Awards Pilot Program. The Program, which seeks to fill gaps left by existing whistleblower reward programs, incentivizes whistleblowers to bring tips to the DOJ about types of healthcare fraud not already covered by the False Claims…

1
FY 2025 IPPS: The Clinical Report 31:07

8d ago31:07

31:07

The Inpatient Prospective Payment System Final Rule for Acute Care and Long-Term Care hospitals in the 2025 fiscal year (FY) continues to generate interest from providers, payers, hospital administrators, vendors, and consultants. But what are the significant takeaways for stakeholders as they prepare for the government’s fiscal year, which begins …

1
Future Of Aging: Dr. Valter Longo, Professor and Director, USC Longevity Institute 32:35

8d ago32:35

32:35

Global aging trends show a significant shift in demographics, with approximately 10% of the world's population aged 65 and over. This proportion is expected to double by 2050, reaching about 1.5 billion people. The old-age dependency ratio, currently at about 14 elderly per 100 working-age individuals globally, is projected to increase substantiall…

1
End of the Road for the ALJs? 30:07

22d ago30:07

30:07

Could the end be near for the administrative law judges of the Centers for Medicare & Medicaid Service (CMS). What about the Office of Medicare Hearings and Appeals (OMHA)? Could these entities be gone from the audit landscape? Case in point: the Supreme Court (SCOTUS) continues eviscerating executive powers. This time SCOTUS has limited the author…

1
The Radical Doctor: Transforming Maternal Care, Dr. Neel Shah, Chief Medical Officer, Maven Clinic 28:11

23d ago28:11

28:11

The United States faces significant maternal health challenges, with a higher maternal mortality rate than many developed countries, particularly affecting women of color and those in rural areas. Against this backdrop, Maven Clinic has emerged as a leading innovator in women's and family health. As the world's largest virtual clinic in this field,…

1
Handle with Care: Taking Steps for Safe Transitions 29:12

29d ago29:12

29:12

Have you ever wondered how professional movers carefully pack everything? From expensive china to precious crystal stemware, they seem to have a knack and knowledge for how to prepare. When it comes to healthcare, how safe is the transition from hospital to home if a patient cannot get the services they need at home when they are ready to transitio…

1
No More Chevron? What Happens Next? 29:25

1M ago29:25

29:25

For nearly four decades, a judicial principle known as “Chevron deference” has guided the federal courts as they reviewed litigation associated with federal agencies. Chevron deference allowed legislators to leave statutes somewhat vague, assuming that an agency full of government experts would sort out the details and promulgate effective regulati…

1
Holding Space: Addressing Mental Health for Everyone, Everywhere at Any Time: Jenna Glover, Chief Clinical Officer, Headspace 31:42

1M ago31:42

31:42

As a country, we are experiencing mental health crises across all ages. I sit down with Dr.Jenna Glover, Chief Clinical Officer at Headspace, to delve into the pressing mental health crisis in the United States. We are facing alarming statistics, including that 1 in 5 adults experience mental illness annually, 17% of youth aged 6-17 grapple with me…

1
Special Alert: DOJ Cracks Down on Nearly 200 Involved in Major Healthcare Fraud Schemes 28:55

1M ago28:55

28:55

In a late-breaking press release, the U.S. Department of Justice (DOJ) announced late Thursday that the agency had charged nearly 200 individuals accused with involvement in various healthcare fraud schemes estimated at $2.7 billion. Charges were brought against nurses, physicians, and others in a national sweep, and it was estimated that more than…

1
How a Different Type of Whistleblower Created a Lesson Worth Learning 28:57

2M ago28:57

28:57

A recent federal court decision in New Jersey demonstrates the viability of a different kind of whistleblower – in this case, a privately defrauded party. The most common type of a whistleblower under the False Claims Act (FCA) tends to be a corporate insider who sees fraud committed against the government by their employer or a company they work w…

1
The Human Touch at the Intersection of Artificial Intelligence and Denied Claims 28:50

2M ago28:50

28:50

Artificial intelligence (AI) is fast becoming a fixture in healthcare revenue cycle management (RCM), where finance leaders are desperate for ways to relieve understaffed departments struggling under unprecedented volumes of third-party audit demands and rising denial rates without sacrificing accuracy or precision. During the next live edition of …

1
Beyond The Battlefield: Dr. Shereef Elnahal, Under Secretary of Health, US Department of Veteran Affairs 27:17

2M ago27:17

27:17

In a nation that cherishes freedom and democracy, the men and women who have worn the uniform and stood as guardians of our liberty deserve the utmost respect, care, and support. Dr. Shereef Elnahal, the Under Secretary of Health at the U.S. Department of Veterans Affairs, is at the forefront of this noble cause, ensuring that those who have sacrif…

1
Embracing Your Body's Rhythms: Dorothy Kilroy, Chief Commercial Officer, Oura 43:02

2M ago43:02

43:02

On today's episode, I have the pleasure of speaking with Dorothy Kilroy, Chief Commercial Officer at Oura, the innovative company behind the popular Oura ring wearable device. Oura has been making waves in the health tech space by providing valuable sleep, activity, and biometric data to help people optimize their well-being. Dorothy gives us an in…

1
OIG On the Prowl: Semi-Annual Report to Congress 31:15

2M ago31:15

31:15

They’re looking for fraudsters, going on the prowl for bad actors, as revealed in the latest semi-annual report to Congress compiled by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG). In this latest report, the government watchdog identified more than $2.76 billion in expected recoveries and receivables. Pr…

1
Jail Time, or Hefty Fine? 28:40

2M ago28:40

28:40

Most healthcare investigations by the U.S. Department of Justice (DOJ) result in settlements. Many times, the complete details of the settlements in underlying government cases are not fully disclosed. But sometimes, a provider ends up at trial. And when that happens, it often offers insights into what it takes to get hit with hefty fines – and pos…

1
New Medical Technologies: Are They Audit-Proof? 27:01

3M ago27:01

27:01

A deep dive into microbiology can reveal an up-close look at the cells that make up organs of the human body – and corresponding cancer treatments that leave no trace of damage. The science of medicine appears to be moving at the speed of light lately. But will new healthcare technologies be audit-proof? Monitoring these escalating changes and thei…

1
Revolutionizing Dialysis: Dr. Jeff Giullian, Chief Medical Officer, Davita 42:23

3M ago42:23

42:23

In an insightful interview, Dr. Giullian, Chief Medical Officer of DaVita, a healthcare provider serving over 250,000 patients annually, reveals his pioneering vision for revolutionizing kidney care. By seamlessly integrating cutting-edge technology, mental health support, nutritional interventions, and a relentless focus on preventive care and agi…

1
Healthcare Whistleblower Roundup: Recent Settlements Reach Nearly $10 Million 28:21

3M ago28:21

28:21

Two recent settlements to resolve allegations of violating the False Claims Act – both involving the virulent COVID-19 – are the latest in a series of actions that will be reported on during the next edition of Monitor Mondays by famed whistleblower Mary Inman, who also notes that her company, Whistleblower Partners, LLP, is poised to announce anot…

1
Equity RX: Prescribing Change for Health Equity , Dr. Nwando Anyaoku, Providence 37:33

3M ago37:33

37:33

In this episode, I talk to Dr. Nwando Anyaoku, a physician and public health advocate working tirelessly to address racial and socioeconomic disparities in healthcare. Dr. Anyaoku shares her personal story of growing up in Nigeria and witnessing firsthand the devastating impacts of inadequate access to quality healthcare. This experience inspired h…

1
The AI Arms Race in Healthcare Auditing: Handicapping Winners and Losers 29:07

3M ago29:07

29:07

The arms race is heating up. On one side there are healthcare providers, and on the opposing side, an army operated by the auditors. Who will be the winners and losers? Are you safe? And how do you protect your facility from claim denials and takebacks, especially when auditors are using artificial intelligence (AI)? RACmonitor investigative report…

1
The Value of Peer-to-Peer Discussion 28:09

4M ago28:09

28:09

Do you have peer-to-peer (P2P) discussions? Are they useful? Are they valuable? And how do you know? Our own physician and attorney, Dr. John K. Hall, will offer his unique take on the value of P2P interactions and how you should measure it during his appearance as Guest Panelist on the next upcoming edition of Monitor Mondays. Broadcast segments w…

1
Power of VR: Unleashing Imagination To Experience Real, Better Healthcare , Dr. Walter Greenleaf, Neuroscientist and Medical VR Expert 33:49

4M ago33:49

33:49

In this episode, I am in conversation with Neuroscientist and "Godfather of VR" Dr. Walter Greenleaf. He shares his insights on the rapidly evolving roles of virtual reality (VR) and augmented reality (AR) in the healthcare sphere. Greenleaf, whose work explores the intersections of technology and human experience, discusses how immersive technolog…

1
The Two-Midnight Rule: Navigating Treacherous Medicare Currents 27:49

4M ago27:49

27:49

Like seasoned harbor pilots navigating tugboats through natural and manmade hazards, physician advisors each day face the daunting task of guiding their hospitals through a labyrinth of Medicare rules and regulations. Reporting on those conditions during the next edition of Monitor Mondays will be the vice chair of the recently concluded national c…

1
Defense Strategies Against AI Audits 40:16

4M ago40:16

40:16

Artificial Intelligence (AI) software is now in the “hype phase” of adoption. It promises to increase the efficiency of medical audits. But also, AI is being touted as being able to handle much more data, examine many more cases, and instantly make decisions regarding medical necessity or inadequate documentation. The number of audits can be double…

1
Medicare Advantage “Schemes” in the DOJ Crosshairs 31:06

4M ago31:06

31:06

The recent $37 million settlement against Cigna regarding enhancing risk adjustment factor (RAF) scores —along with related litigation by the U.S. Department of Justice (DOJ)— highlight the aggressiveness of the federal government to crack down on entities for non-compliant billing practices. During the next live edition of Monitor Mondays, Dr. Jam…

1
The Great Pivot: Dr. Pietro Antonio Tataranni, Global Chief Medical Officer, PepsiCo 42:25

4M ago42:25

42:25

In this episode, I sit down with the Chief Medical Officer and SVP of R&D Life Sciences at PepsiCo to discuss the company's focus on improving the nutritional profile of its portfolio for the lives they touch every day. As a large global business, PepsiCo is acutely aware of the opportunity they have to offer positive choices for the individuals wh…

1
Whistleblower Update: $300 Million in Alleged Fraud 31:19

5M ago31:19

31:19

The U.S. Department of Justice (DOJ) has joined a whistleblower lawsuit that accuses Martin’s Point Health Care, along with five other providers in other states, of defrauding the government of more than $300 million, pertaining to allegations that the providers inflated patients’ risk scores to obtain higher payments to which they were not entitle…

1
Equity State Of Mind: Dr. Nwando Olayiwola, Chief Health Equity Officer, Humana 27:41

5M ago27:41

27:41

In this inspiring episode, we're joined by J. Nwando Olayiwola (Dr. O), MD, MPH, FAAFP, Senior Vice President and She shares her powerful personal story of how her aspiration to work in healthcare began in childhood when she witnessed firsthand the profound impact physicians can have on people's lives. This experience sparked a passion that has dri…

1
How to Achieve a Clear Vision for Hospital Price Transparency 29:21

5M ago29:21

29:21

Since its launch in January 2021, the Hospital Price Transparency Rule from the Centers for Medicare & Medicaid Services (CMS) has been a vexing issue for many of America’s hospitals. Despite enforcement efforts from CMS, implementation for many providers has been onerous – so much so that when the latest requirements were issued by CMS, one could …

1
The Fix is in: Hospital Price Transparency Rule 28:32

5M ago28:32

28:32

Many of America’s hospitals continue to be challenged as it pertains to complying with the requirements from the Centers for Medicare & Medicaid Services (CMS) for implementing the agency’s rule on hospital price transparency. And that is why RACmonitor and Monitor Mondays are producing a three-part series, in collaboration with ClaraPrice, to help…

1
Empowering the Bedside Physician to Lower Observation Rates 30:32

5M ago30:32

30:32

America’s hospitals are currently facing a critical challenge: a flood of patients placed under observation, leading to lost revenue and operational disarray. Amid the confusion, questions arise. Even seasoned bedside physicians struggle with uncertainty in determining patient status upon admission. But fear not! There is hope in this chaotic lands…

1
Hospital Price Transparency Rule: An Important Update 28:53

5M ago28:53

28:53

There was a time when everyone in healthcare compliance and revenue cycle management was scrambling to implement the Hospital Price Transparency Rule. Now, nearly four years later, it’s back. The Centers for Medicare & Medicaid Services (CMS) 2024 Final Rule for Price Transparency marks the biggest change to the rule requirements since it initially…

1
Updated Episode | Chevron Deference: What Happens if There’s No Deference? 28:36

5M ago28:36

28:36

What happens if the Supreme Court of the United States (SCOTUS) dismantles decades of government agency discretion? Recent cases at SCOTUS indicate that this could happen. But what would be the consequences? During the next live edition of the long-running Internet radio broadcast Monitor Mondays, RACmonitor’s own physician and attorney Dr. John K …

1
Breaking Boundaries: Unleashing Bold Innovations for Healthcare, Dr.Michael Schlosser, HCA Healthcare 37:18

5M ago37:18

37:18

In this compelling podcast episode, I sit down with Dr. Schlosser, the Senior Vice President of Care Transformation and Innovation at HCA Healthcare, to unravel the intricacies of clinically led transformation in healthcare. At the helm of the newly established department, Care Transformation & Innovation, within HCA Healthcare’s Clinical Operation…

1
Episode 78 Caring for our World with Mike Geiger 20:18

6M ago20:18

20:18

Join our hosts Grace Berman and Doug Miller in this episode as they are joined by Mike Geiger, Vice President of Licensure and Certification, to discuss a core element of the Trilogy of Care: caring for our world. Mike shares personal stories and insights from his journey in giving back in fulfilling and meaningful ways by aligning his skills, pass…

1
Resilience RX: The Art Of Rhythmic Renewals, Suneel Gupta, Author & Entrepreneur 44:34

6M ago44:34

44:34

Given the increasing burnout rate in the Healthcare industry and our desperate need to have great leaders in place, the art of cultivating resilience becomes key. In this episode, I am in conversation with renowned Suneel Gupta, a famous Author and Entrepreneur. Suneel Gupta shares his unique journey through a diverse career background, including l…

1
Artificial Intelligence: Examining Promises, Skepticism, and Ethical Implications 30:48

6M ago30:48

30:48

The implementation of generative artificial intelligence (AI) in the Electronic Health Record (EHR) is one of several hot-button issues to be explored during the next live edition of the Monitor Mondays, the long-running Internet broadcast produced by RACmonitor. Other high-level considerations to be reported include leveraging AI in regulatory com…

1
What’s the Score with Your Physicians? Don’t Miss MIPS 30:00

6M ago30:00

30:00

The Merit-based Incentive Payment System (MIPS) uses a composite performance score to determine if eligible physicians will receive a payment bonus, a payment penalty, or no payment adjustments. So, what’s the score for your physicians? Do they know? During the next live edition of the long-running Monitor Mondays, Leigh Poland, vice president of c…

1
Charging Towards A Sustainable Future: EV Charging and Its Strong Links To Public Health With Michael Battaglia, COO @Blink Charging 38:11

6M ago38:11

38:11

In this enlightening podcast episode, I sit down with Mike, a seasoned automotive executive and COO of Blink, bringing over 25 years of invaluable experience in the automotive and technology sectors. With a keen understanding of the industry, Mike is pivotal in overseeing Blink's sales, business development, and operational aspects, contributing si…

1
How CERT Data Is Used to Target Providers 30:55

6M ago30:55

30:55

Auditors use the Comprehensive Error Rate Testing (CERT) study from the Centers for Medicare & Medicaid Services (CMS) as a way to target individual providers for potential recoupment. For example, if you get paid millions of dollars for some procedure codes or DRGs that have high error rates, it increases the likelihood that those specific codes a…

1
How to Protect Your Facility from CERT Audits 32:46

7M ago32:46

32:46

What’s important to know about the Comprehensive Error Rate Testing (CERT) program from the Centers for Medicare & Medicaid Services (CMS) is that auditors rely upon the results to target specific providers for recoupment audits. The more you know about CERT and the study results, the better position you will be in when it comes to understanding bo…

1
Dignity on the Road: Piyush Tewari, Founder @ SaveLIFE Foundation, Transforming Lives and Upholding Human Dignity Through Road Safety Initiatives 38:26

7M ago38:26

38:26

In this thought-provoking podcast episode, I engage in a heartfelt conversation with Piyush Tewari, a distinguished Indian social entrepreneur and the Founder and CEO of SaveLIFE Foundation. Focused on transforming road safety, enhancing access to emergency medical care, and championing urban governance in India, Tewari is best known for his instru…

1
U.S. Forced to Comply with International Healthcare Law: Fact or Fiction? 30:32

7M ago30:32

30:32

Will the World Health Organization (WHO) be given the power to impose restrictive pandemic measures on countries, including the United States? Will it be legally binding? What are the challenges and opportunities for healthcare providers in the United States, and how will this be enforced? The member states of the WHO have been working on a plan of…

1
Optimizing Sleep & Unlocking Potential:Shyamal Patel, Head of Science @Oura 36:49

7M ago36:49

36:49

In a captivating dialogue with Shyamal Patel, Head of Science at Oura Ring, we embarked on a journey into the heart of the science of sleep and its profound implications for healthcare and wellness. With infectious enthusiasm, Patel narrated how the Oura Ring is not just a wearable but a beacon illuminating the path to optimal health through a deep…

1
Look Out, Look Ahead 55:46

7M ago55:46

55:46

No more eggnog. Toss the champagne bottles. The good times are over, and now it’s back to business. But not business as usual. As the rest of the nation’s healthcare professionals clocked in for overtime, claims auditors were scrutinizing medical records, looking for the slightest inconsistency upon which to pounce. Now, nearly four weeks since its…

1
Making Freedom His Business: A Conversation with the Foremost Human Rights Lawyer: Jared Genser 1:01:49

8M ago1:01:49

1:01:49

In this compelling podcast episode, I engage in a profound conversation with Jared Genser, renowned as "The Extractor" by The New York Times, acknowledging his tireless efforts in liberating political prisoners globally. Serving as pro bono counsel to five Nobel Peace Prize Laureates, Genser's impact is highlighted by his representation of figures …

1
2023 Healthcare Heroes to be Revealed 29:56

9M ago29:56

29:56

“He’s making a list, checking it twice…” With a nod to the legendary Tin Pan Alley composer Haven Gillespie, who penned the lyrics to the iconic holiday song, senior healthcare consultant Ronald Hirsch, MD has been making his own list of healthcare professionals all year, paying close attention to their deeds in the field of healthcare. Calling the…

1
America’s Healthcare System: A Gordian Knot 28:01

9M ago28:01

28:01

RACmonitor investigative reporter Edward M. Roche, an intrepid regular monitor of America’s healthcare system, will return to Monitor Mondays for its next upcoming edition to report on how and why America’s healthcare system has tied itself into a Gordian Knot of complexity: interwoven strands of conflicting rules and regulations, different payment…

1
At the Intersection of AI and Medical Record Audits 30:14

9M ago30:14

30:14

The annual 2023 MDaudit Benchmark Report has been published, and it is relevatory in its analysis of articial intelligence (AI) and its impact on payment and revenue integrity. According to the report, the primary topic of discussion for the next live edition of the long-running Monitor Mondays Internet broadcast, the implications of AI are immense…

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