Jointly provided by the National Hospice and Palliative Care Organization (NHPCO) and the National Association for Home Care & Hospice (NAHC)
Audits by government auditors (Medicare Administrative Contractors (MACs); Medicaid Integrity Contractors (MICs); Recovery Audit Contractors (RACs) and Zone Program Integrity Contractors (ZPICs), now renamed Unified Program Integrity Contractors (UPICs), are on the increase. For the homecare industry, these audits have recently focused on physician certification requirement, eligibility for care, and reasonable and necessary services. For the hospice industry, the focus has been on eligibility, physician involvement and live discharges. As the focus shifts in the early part of 2018, this Webinar will provide you with up to the minute summaries of audit activity and identify new areas for scrutiny. Though home care and hospice each have distinct areas of concern, both are at high risk for the challenging scrutiny that audits bring.
This Webinar collaboration between the National Hospice and Palliative Care Organization and the National Association for Home Care & Hospice will help providers understand fraud and abuse, the audit process, steps to prevent allegations of fraud and abuse and response to audits if they occur.
Home care and hospice legal experts will identify practices that increase the likelihood that a provider will face allegations of fraud and abuse. Lessons learned from providers that have experienced audits will be shared. Most importantly, guidance on how to prepare for additional scrutiny and audits and what actions responsible leaders should take will be discussed in detail.
Learning Objectives:- Describe and distinguish between the various government audit programs for home care and hospice
- List audit focus areas for home care and hospice Identify practices that place providers at increased risk for government audits
- Delineate appropriate actions to take when fraud and abuse allegations occur