Auditor Monitor, published by RACmonitor, offers a complete guide to the latest regulatory news and information on activities of government and third-party healthcare auditors. Each issue reports not only on the audits and the auditors but also on healthcare settings currently prone to auditing, including hospice and home health, as well as inpatient rehabilitation facilities and outpatient therapy providers.
The Auditor Monitor is your convenient desktop reference to the activities of government and third-party healthcare auditors. Published quarterly by RACmonitor, each issue reports not only on the audits and the auditors but also on healthcare settings currently prone to auditing, including hospice and home health, as well as inpatient rehabilitation facilities and outpatient therapy providers. Each issue, Auditor Monitor profiles a major healthcare auditing initiative, including prior authorizations, the Program for Evaluating Payment Patterns Electronic Report (PEPPER), telehealth, and the 340B Drug Program.
Healthcare attorney and RACmonitor Knicole Emanuel Esq. explains why you don’t have to repay Medicare if you— as a physician— render a service that was medically necessary. And RACmonitor correspondent Mark Spivey offers a brilliant summary of the three essential topics that he’s reported in the last three editions of the Auditor Monitor.
Introducing the Auditor Monitor
As a healthcare professional you know that your facility is a target of audits by an array of governmental and third-party auditors operating to protect the Medicare Trust Fund from improper payments by facilities and providers for services provided to Medicare beneficiaries.
MACs, RACs, ZIPCs, UPICs, QIOs, BFCC-QIOs, not to mention the SMRCs, and IRE—an alphabet soup of acronyms. Consider the power invested in them to review your claims and make judgments that could impact your facility and its revenue.
Since 2008, following the announcement by the Centers for Medicare & Medicaid Services (CMS) to launch the national Recovery Audit Contractor (RAC) demonstration program, RACmonitor has been published the latest audit and compliance news for the benefit of hospitals, health systems, and practices. And now, RACmonitor is publishing a quarterly resource where you and your team can have the complete guide—and reference source—on the nation’s healthcare auditors.
TheAuditor Monitor’s unprecedented insight and guidance will help you navigate the rough auditing landscape. With clarity and precision, you and your team will have a resource that will help defend your organization from a continuing onslaught of audits in 2022 and beyond.