Rachel Hold-Weiss

speaker

223 appearances 1 recordings 1 series first heard Jul 2026 last heard 10 Jul

Rachel Hold-Weiss’s voice in public audio — every appearance, attributed to the second.

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Recordings per month over the last 12 months — 1 in all, peaking in Jul 2026 with 1.

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AHLA's Speaking of Health Law · Audit Defense: What Health Care Providers and Attorneys Need to Know · 10 Jul 2026 podcast

How many, because the UPICs don't have, have a finite limit.

It's they, they,

You need to just know how many you're dealing with in the timeframe.

You need to read the letter very carefully and see whether this is what we call a straight audit.

Are they just pulling X number of records or are they doing this as an extrapolated based on a statistical methodology?

Because if they've done a statistical analysis or pulled the records based on some sort of statistical methodology, chances are that the finding is going to be extrapolated out as well.

And that's where statisticians are critical.

So you need to take the first 48 hours and assess where you are.

what they're looking for.

Is there a common, a common theme depending on what provider type you are, but is it a location?

Is it a code?

Is it a particular referral source?

Is it a service location?

Whatever it is, see if there are any common themes, get the team together who's going to be working on this and make sure you have a good project plan.

So what I would say is, I remember my first one, it was definitely an interesting experience.

ALJs are not uniform and they're not bound by the same set of guidelines.

So there's no, if you're a litigator and you're used to going into a court system where there's precedent and they generally precedent has to be followed, or you can appeal that

precedent, if they don't abide by that precedent, you have enough basis for appeal.

Each ALJ

is independent.

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