Season 5 - Episode 6 - Monday Roundtable

from The Compliance Guy · host Sean M. Weiss

This was one of the best episodes of our Monday Roundtable! Sean was joined by Stephanie Allard, Terry Fletcher, Scott Kraft, and Paul Spencer. Topics included:  1. Dealing with Commercial Payor Demand for Refund of Overpayments, when they say they did a statistically valid random sampling that led to an extrapolated overpayment.  2. The No Surprises Act and the change to how the process works based on CMS sneaking in a change prior to Christmas after making promises they would not change.  3. How to deal with "clinical plagiarism" in 2023 with the changes to EM Guidelines.  4. The impact of terms like Fraud, Waste, Abuse when speaking to providers.  You Do Not Want To Miss This One! 

What this episode covers

This was one of the best episodes of our Monday Roundtable! Sean was joined by Stephanie Allard, Terry Fletcher, Scott Kraft, and Paul Spencer. Topics included: 1. Dealing with Commercial Payor Demand for Refund of Overpayments, when they say they did a statistically valid random sampling that led to an extrapolated overpayment. 2. The No Surprises Act and the change to how the process works based on CMS sneaking in a change prior to Christmas after making promises they would not change. 3. How to deal with "clinical plagiarism" in 2023 with the changes to EM Guidelines. 4. The impact of terms like Fraud, Waste, Abuse when speaking to providers. You Do Not Want To Miss This One!

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Season 5 - Episode 6 - Monday Roundtable

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This episode was published on January 9, 2023.

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