Program Integrity Audits – RACs, UPICs, and SMRCs is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
Home health and hospice agencies continue to be targeted for compliance-related issues from multiple program integrity contractors. This scrutiny often takes the form of post-pay audits by Recovery Audit Contractors (RACs), Unified Program Integrity Contractors (UPICs), and Supplemental Medical Review Contractors (SMRCs) that can result in massive penalties computed on extrapolated error rates, suspended payments, or other extreme measures. This session will examine the most common threats from program integrity contractors and offer insights into typical contractor behaviors. In addition, this session will also address practices your agency can implement to assess your risk and prepare for such audits.
Learning Objectives
• Outline key details from current results of audit initiatives and recent program integrity contractor activity and actions.
• Identify strategies for successfully managing claims audits by contractors.
• Describe effective compliance risk assessment and mitigation procedures.
• Discuss practices your agency can implement to assess risk and prepare for these types of audits.
Faculty:
Nursing 1.0 Contact Hours awarded.
Nursing Contact Hours for this module will expire on August 1, 2024.