Despite an order from the U.S. District Court for the District of Columbia for the federal government to reduce the backlog of Medicare appeals, the requirements for victory in front of an Administrative Law Judge (ALJ) remain the same.
During this edition of Monitor Mondays, David Mullens, a California healthcare attorney, will address some of those fundamentals.
Other segments to appear during the podcast include:
- RAC Report: Healthcare attorney Knicole Emanuel returns to the broadcast to report on the latest audits by Recovery Audit Contractors (RACs) and other third-party auditors. Emanuel, a member of the RACmonitor editorial board, is a partner in the Potomac Law Group.
- Court Report: Famed whistleblower attorney Mary Inman, a partner in the London office of Constantine Cannon, reports on the latest development in the False Claims Act lawsuit filed by Integra Med Analytics last year against Providence St. Joseph Health. Inman previously reported on this story last August, noting that Integra was seeking $188.1 million related to alleged upcoding of Medicare claims.
- SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SdoH), has the latest news on this trending topic that is attracting significant media attention. Ellen will also conduct the Monitor Mondays Listener Survey. Click here for Ellens resource
- Risky Business: Healthcare attorney David Glaser returns to Monitor Mondays with his popular segment, in which he reports on problematic issues facing providers.
- Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.