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Tuesday, March 27, 2012: 1:30 PM-4:30 PM
National Harbor 13 (Gaylord National Resort and Convention Center)
Primary Presenter:
Rachel Hold-Weiss, RPA-C, JD
Co-presenters:
Paddy Cunningham, RN, BA, MSN
and
Judi Lund Person, MPH
Learning Objectives:
1. Discuss the types of auditors now looking at hospice eligibility, claims and levels of care
2. Identify issues that would be considered easy targets, or “low hanging fruit,” for auditors
3. List the compliance protocols that a hospice should implement to prepare and survive a federal or state compliance audit
4. List hospice issues already being investigated by auditors
Various state and federal government audit contractors have increased their scrutiny of hospice eligibility, claims and levels of care. Recovery Audit Contractors (RACs), Zone Program Integrity Contractors (ZPICs) and Medicaid Integrity Contractors (MICs) are already reviewing hospices. What are they looking for? What are areas of “low hanging fruit” for hospice audits? Is your hospice ready for the types of audits that are now underway? This session will offer legal and regulatory guidance to hospice providers about the steps every hospice should take to evaluate compliance with laws and regulations, recommendations for monitoring for compliance, and responsibilities under the law when an error is discovered. Examples of the types of issues already identified by auditors and topics being considered for the future will be discussed.
See more of: Preconference Seminars