How E&M Code Misuse Triggered an FCA Settlement

Monitor Mondays

$23 million: that’s the amount that the University of Colorado Health, also known as UCHealth, has agreed to pay to resolve False Claims Act allegations related to its seeking and receiving payment from federal healthcare programs for visits to its emergency departments.

The university, headquartered in Aurora, was accused of falsely coding certain Evaluation & Management (E&M) claims submitted to the Medicare and TRICARE programs.

Reporting the lede story during the next live edition of Monitor Mondays will be famed whistleblower attorney Mary Inman, partner in the law firm of Whistleblower Partners.

Broadcast segments will also include these instantly recognizable features:

• Monday Rounds: Dr. Ronald Hirsch, vice president of R1-RCM, will be making his Monday Rounds.

• The RAC Report: Healthcare attorney Knicole Emanuel, partner at the law firm of Nelson Mullins, will report the latest news about auditors.

• Legislative Update: Matthew Albright, chief legislative analyst for Zelis, will report on current healthcare legislation.

• Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Byron, will join the broadcast with his trademark segment.

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1. How E&M Code Misuse Triggered an FCA Settlement (00:00:00)

2. Ronald Hirsch, MD (00:01:11)

3. RACmontior Commercial (00:05:34)

4. David Glaser, Esq (00:06:23)

5. Matthew Albright (00:10:44)

6. RACmontior Commercial (00:15:56)

7. Mary Inman, Esq (00:16:45)

8. Closing (00:21:42)