March 19, 2016

Looking Back, Moving Forward: The Sunday Edition for March 20, 2016

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Welcome to the weekend and thanks for checking in. 

We’re bringing you the news from the past week as well as providing you with a look at the week ahead. Looking ahead we have a preview of tomorrow’s edition of Monitor Mondays. 

Looking Back

New York attorney Edward M. Roche, PhD, JD, revealed additional “dirty tricks” auditors are using to snare healthcare providers. In his third installment on Thursday, he delved into

the statistical work auditors use to deny claims. Roche advised readers to check to see if a valid statistical methodology was used. But, he asked, “What is “valid statistical methodology?” That’s not defined in the Program Integrity Manual (PIM), he offers, concluding that, at least it is not in a single place. “In fact, the opposite is true,” he observes.  His article is worth a second read. In fact, all of Thursday’s articles appear in this Sunday edition.

Moving Forward 

This past Tuesday the U.S. Centers for Disease Control and Prevention released new guidelines in which the agency asked providers to be cautious in giving patients opioid painkillers. We asked RACmonitor rural health authority Janelle Ali-Dinar, to report on the impact the guidelines are likely to have on America’s rural health population. You can read part one of her two-part series in a special bulletin we’re publishing on Tuesday.

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Chuck Buck

Chuck Buck is the publisher of RACmonitor and is the executive producer and program host of Monitor Mondays.

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