Compliance-related Financial Risks – Hospice is proudly presented to you by National Association for Home Care & Hospice. Thank you. We hope that you enjoy your course.
Description:
CMS has increased funding for and initiated policies that support combatting fraud, waste, and abuse and reformed the hospice survey process. The Targeted Probe and Educate (TPE) initiative resumed in fall 2021, with all Medicare Administrative Contractors (MACs) having at least one hospice TPE topic. There have been several hospice-specific projects undertaken by the Supplemental Medical Review Contractor (SMRC) and there has been significant audit activity from the Unified Program Integrity Contractors (UPICs). Additionally, hospice survey reforms have introduced enforcement remedies, thereby increasing financial risks of non-compliance with the conditions of participation. This session will cover the financial risks associated with each of these types of audits and the new enforcement remedies, advise regarding how to develop a timely and strong response, and provide suggestions for mitigating risks.
Learning Objectives
• Explain most frequent audit types and associated financial risks.
• Explain survey enforcement remedies and associated financial risks.
• Discuss actions to mitigate risks.
• List and discuss steps for developing a timely and strong response to ADRs.
Faculty:
Carrie Uebel, JD
Rachel Hold-Weiss, RPA-C, JD