March 5, 2016

The Power of One Revealed When Audited for Overpayment

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How many E/M codes are there? And what’s the difference between 99213 and 99214? Senior healthcare analyst Frank Cohen with DoctorsManagement will join Monday’s broadcast of Monitor Mondays to reveal the “power of one” when it comes to prevailing if you are involved in an audit and subject to overpayment review based on being one level off for any given E/M visit code.

Even if you’re already aware of the power of one, you might not prevail if the auditors are up to their dirty tricks – unless, of course, you can catch on to their slight of hand. New York attorney and RACmonitor investigative reporter Edward Roche will returns with the second part of his ongoing RACmonitor series titled “Dirty Tricks: Extrapolation Manipulation.” 

Monitor Mondays Senior Correspondent Nancy Beckley, president of Nancy Beckley & Associates, also will have the latest hot topics. And healthcare consultant J. Paul Spencer will return with a timely update on the Medicaid RACs. Healthcare attorney David Glaser, a shareholder in the law firm of Fredrickson & Byron, also will return with another example of “Risky Business.”

Healthcare attorney Andrew Wachler reports on a little known but, nonetheless, very important situation regarding the 68 percent solution agreement from the Office of Medicare Hearings and Appeals. 

Finally, Ronald Hirsch, MD, vice president of Accretive Physician Advisory Services, will make his Monday rounds.

Register to listen to Monitor Mondays.

Chuck Buck

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

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