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Hospice Audits Series
Audits are a fact of life for hospices—it’s not a matter of “if” a hospice will be audited, but “when.” The alphabet soup of audits has expanded, from UPICs to SMRCs, CPIs, TPEs and more. With the hospice carve-in to Medicare Advantage, MAO audits will join the list. The recent pause in audits as a result of the COVID pandemic hints at increased activity as the pandemic wanes. In this new series, Meg Pekarske and Bryan Nowicki of Husch Blackwell’s Hospice Audit team deconstruct the most recent developments in hospice audits, and provide insight and guidance addressing the why, when and how of audits and, most importantly, what hospices can do about it.
Today's Episode: The Latest Developments and Strategies for Success in the Ever-changing Audit Landscape
In this inaugural episode of our Hospice Audit Series, Husch Blackwell’s Meg and Bryan review three recent audit examples that resulted in multimillion-dollar extrapolated overpayments being thrown out by the Centers for Medicare & Medicaid Services. Meg and Bryan saved hospice clients over $50 million in alleged overpayments in these three audits alone! The strategies and arguments discussed on this podcast can help other hospices in similar situations.
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