Navigating Hospice Audits-Webinar Slides

Webinar Slides

Pdf Summary

Weatherbee Resources offers consulting, education, and products related to hospice care and audits. The document highlights the significant improper payments in the hospice industry, emphasizing the need for improved documentation and compliance. It discusses the factors driving audits, such as technical compliance and payment conditions. Various audit contractors, including MACs, SMRC, UPIC, and RAs, are mentioned along with their roles in auditing and reviewing hospice services. The document also touches upon the high-stakes nature of UPIC audits, potential consequences of failed TPE audits, and responses to CMS audit activities. It outlines the potential roles of physicians in audit responses and emphasizes the importance of developing an effective audit response plan. Additionally, the document refers to vulnerabilities in the Medicare hospice program, improper payment data, and OIG investigations in relation to hospice care. Overall, it serves as a guide for navigating hospice audits and ensuring compliance within the industry.

Keywords

hospice care

audits

improper payments

documentation

compliance

audit contractors

UPIC audits

CMS audit activities

Medicare hospice

OIG investigations