Navigating Hospice Audits-Session Video

Video Transcription

Video Summary

In the video, Dr. Lauren Templeton discussed the importance of navigating hospice audits and how to respond effectively. She highlighted the challenges hospices face with audits, especially when auditors lack medical knowledge. Dr. Templeton emphasized the significance of documentation and recommended using specific language from LCD guidelines to support eligibility criteria. She also addressed the role of physicians in expert witness testimony during audits and provided insights on how to defend cases during ALJ hearings. Additionally, Dr. Templeton shared tips on documenting patients with Alzheimer's disease and other complex conditions to demonstrate progression towards the end of life. She encouraged proactive approaches in acquiring additional data if needed to support clinical decision-making. Dr. Templeton concluded by inviting participants to an upcoming audit workshop in October and highlighted the resources and support offered by Weatherby Resources for hospices undergoing audits.

Keywords

hospice audits

navigating audits

documentation

LCD guidelines

eligibility criteria

expert witness testimony

ALJ hearings

Alzheimer's disease

clinical decision-making

audit workshop