Medicare audit risk, every Monday.
Monitor Mondays is a live-audience weekly briefing from RAC Monitor on Medicare regulation, claims scrutiny, and healthcare reimbursement risk. Chuck Buck steers a panel format with analysts, healthcare attorneys, legislative updates, and Monday Rounds segments.
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Monitor Mondays serves a specialized audience with a very specific Monday-morning need: knowing what changed in Medicare regulation, audit pressure, coding practice, and healthcare enforcement before the week gets away. The show comes from RAC Monitor and is recorded before a live online audience. Its structure is brisk. A rundown sets the agenda, Chuck Buck moves the panel from topic to topic, and contributors report on the issues most likely to affect providers, hospitals, coders, CDI teams, and healthcare leaders. Recent episodes have tracked CMS payment proposals, episode-based payment models, IPPS rule activity, autonomous coding, payer denial engines, sepsis sequencing, False Claims Act exposure, and the effects of federal workforce and policy changes. The vocabulary is dense because the subject is dense. That is part of the utility. Frank Cohen brings a data-minded audit lens, warning providers to monitor coding distributions and system behavior before outside reviewers define the pattern for them. David Glaser’s Risky Business Report adds legal caution around government guidance, regulatory hierarchy, CMS access, and the difference between binding rules and informational noise. Nicole Emanuel appears in the attorney panel mix, while Adam Brenman contributes legislative updates. Monday Rounds supplies the clinical and case-management angle, with Dr. Ronald Hirsch frequently named in that role and substitutes appearing when needed. The show is not broad healthcare chatter. It is a working briefing for people who need to translate policy into claims behavior, documentation discipline, denial prevention, and appeal strategy. Its best moments come when a headline becomes a practical warning: do not overtrust AI answers, do not wait for the audit letter, do not confuse every agency document with enforceable law. Monitor Mondays is technical, timely, and unabashedly inside baseball. For the right listener, that is exactly the point.
Made for: Healthcare, coding, CDI, case management, and hospital teams that follow Medicare rules and payer behavior closely. It is best for listeners comfortable with CMS, claims denials, appeals, and reimbursement policy.
What sets it apart: Monitor Mondays combines a live briefing format with recurring legal, clinical, legislative, and audit-analysis segments. Instead of general healthcare news, it concentrates on the operational consequences of Medicare regulation, coding scrutiny, and enforcement risk.
Join Chuck Buck every Monday when he welcomes RACmonitor contributing editors and special guests for the latest regulatory audit news and information from CMS, OIG and OMHA. And gain valuable context and perspective that can only be found when you’re listening to the long-running and popular Monitor Mondays. Register to attend live here: https://racmonitor.medlearn.com/racmonitor/podcasts/
Short reviews from the PlayNext desk, based on the episodes we processed.
A candid healthcare policy discussion on claims denials, CMS enforcement, and the fallout from regional-office closures.
Monitor Monday centers on a healthcare payment fight with immediate practical stakes: CMS is pursuing claims it sees as error-prone, while senior healthcare analyst Frank Cohen leads a segment on the denial crisis.
Canadian politics with the gloves off.
Monitor Monday on April 7, 2025, addresses a national claims denial crisis as CMS pursues error-prone claims.
This episode covers breaking news on CMS's proposed 2.4% payment rate increase for inpatient services and the Supreme Court's overturning of Chevron deference, with expert analysis on healthcare regulatory impacts.
Monitor Monday’s March 16, 2026 episode examines autonomous coding, algorithmic claim denials, and health care audit exposure.
Monitor Monday examines prior authorization and clinical documentation through Penny Jefferson's distinction between federal requirements and payer-specific criteria, including nearly 53 million Medicare Advantage determinations in one year.
Monitor Monday examines CMS’s CRUSH initiative, which Penny Jefferson says shifts program-integrity oversight toward real-time analytics and earlier claim review across Medicare, Medicaid, CHIP, and the marketplace.
Monitor Monday examines Aetna’s level-of-severity inpatient payment policy, which Cheryl Erickson says can reduce payment for stays crossing two midnights when MCG criteria are not met.
Monitor Monday examines healthcare audits, Medicare Advantage denials, documentation disputes, reporting duties, and federal healthcare policy.
Monitor Monday for February 2, 2026 opens with Dr.
The January 26, 2026 Monitor Monday lead story covers the $556 million Kaiser Permanente settlement over allegedly unsupported Medicare Advantage diagnosis codes, reported by whistleblower attorney Liz Sultan.
A weekly news roundup covering healthcare regulatory updates, including a $900 million False Claims Act settlement and AI pitfalls in case management.