New Developments for Defeating Statistical Extrapolations Revealed

Monitor Mondays

There is a buzz swirling within the healthcare auditing community. And thanks to RACmonitor investigative reporter Edward M. Roche, the news is buzzworthy.

According to Roche, a legal team has developed two arguments that can be used by healthcare providers in federal court after the Administrative Law Judge (ALJ) process is completed. One argument is based on constitutional rights, while the other is a contradiction between the Medicare Program Integrity Manual and adopted federal law.

During the next live edition of Monitor Mondays, Mr. Roche will discuss these two arguments briefly, and issue a call for providers who are at this stage in their appeals and might be interested in someone taking up their case on a contingency basis.

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, partner at the law firm of Nelson Mullins, 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, state legislative affairs analysis for Zelis, will report on current healthcare legislation.
  
• The Wrapper: John Zelem, founder and CEO of Streamline Consulting Solutions, will join the broadcast for a wrap-up on the morning’s top stories.

Chapters

1. New Developments for Defeating Statistical Extrapolations Revealed (00:00:00)

2. Ronald Hirsh, MD (00:01:03)

3. Knicole Emanuel, Esq. (00:04:26)

4. ACPA Commercial (00:10:26)

5. David Glaser, Esq. (00:11:34)

6. Cate Brantley, JD (00:15:56)

7. Edward M. Roche, PhD (00:19:58)

8. RACmonitor Commercial (00:23:44)

9. Q&A with David Glaser (00:24:56)

10. Closing (00:28:24)