703. Compliance Audits: Help Your Revenue Cycle Recover from COVID-19 is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
The ACA mandates that providers perform six-year lookback audits when notified that an overpayment exists. Now post-payment audits are more common since CMS reinstated audit activity during the pandemic and both contractors and OIG are instructing providers to perform these reviews once an audit is completed and an overpayment has been identified. This could wreak havoc on an agency and if not done properly, could leave the agency susceptible to False Claims Act implications. This presentation will explain under the six-year lookback provision, agencies’ risks and requirements in the event of an overpayment, and how agencies can limit their exposure to more serious penalties.
Learning Objectives:
• Identify the circumstances in which the six-year lookback provision may be implicated
• Outline the steps an agency should take when dealing with an overpayment
• Identify ways to mitigate risk and exposure to six-year lookback audits
Faculty:
WayneVan Halem, CFE, AHFI
Kelly Grahovac, MBA