Monitor Mondays Podcasts

Could off-campus, provider-based clinics and operations be subject to site-neutral payments?

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A North Carolina hospital system recently agreed to pay the federal government $6.5 million to resolve allegations that it violated the False Claims Act by “upcoding” claims for urine drug tests in order to receive higher payment than allowed. At issue were two different payments for two different codes – G0431 and G0434 – and the use of the QW modifier.

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The largest healthcare fraud takedown in U.S. Department of Justice (DOJ) history, reported on by RACmonitor, will be the lead story in the next edition of the Monitor Mondays weekly Internet broadcast. 

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Chief Administrative Law Judge (ALJ) Nancy J. Griswold will make her fourth appearance on Monitor Mondays during an exclusive broadcast coming your way at 10 a.m. ET next Monday, July 10. 

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RACmonitor legislative analyst Emily Evans, managing director of healthcare policy for Hedgeye, will return with an update on the Recovery Audit Contractors (RACs) during the next edition of Monitor Mondays.

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