With the drastic increase in number of government auditors and scope of federal investigators, there is an immense explosion of auditing entities and audit activities that have resulted in a 2+ year delay in ALJ level appeals. Providers have to be prepared to avoid audits from turning into recoveries otherwise you will have to recoup funds while you engage in two or more year long appeal processes and there is a continuous decline in your reimbursement.
It is important for you to learn the most common risk areas for audit and understand the importance of internal processes when responding to ADRs and demands. In this session, Robert W. Markette, Jr. CHC, would be explaining how your compliance program can be effective part of preparing for audits and preventing recoveries. You will understand the timing of appeal processes and how failure to act in a timely manner can call for a waiver of appeal rights.
Preparation and compliance are more important than ever before. With the vastly increased auditing efforts and prevalence of data mining, providers are far less likely to have their mistakes go unnoticed. Because these mistakes can result in money being lost, perhaps permanently, providers need to understand what the auditors are looking for so that they can be sure to prevent any such problems. Now more than ever, prevention is worth much more than the cure.
Get answers to your questions in a Q&A segment after the session to help you with the doubts and queries you may have.
Who Should Attend
- J'non Griffin
For more than a decade, Robert W. Markette, Jr., CHC, has focused his practice on representing home health, hospice, private duty and DME providers in all aspects of their operations. With more than a decade of experience in working with these industries, Robert has developed a reputation for understanding the operational, compliance and legal/regulatory issues facing homecare providers.