Season 9 - Episode 423 - Monday Roundtable - Navigating CMS and LCD Challenges

from The Compliance Guy · host Sean M. Weiss

SummaryThis episode features a comprehensive discussion on healthcare compliance, audits, and payment integrity, with insights from industry experts on recent trends, challenges, and legal considerations in healthcare billing and review processes.Key TopicsPrepayment reviews and quality reviews in healthcareLegal considerations and due process in auditsCMS restructuring and payment modelsSubjectivity and AI in healthcare reviewsALJ hearings and LCD misapplications

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This episode was published on May 19, 2026.

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