Government Audits and Investigations: Enforcement Activity is up, Be Ready

Event Information
Product Format
Prerecorded Event
60 Minutes
Product Description

Learn to Prepare an Effective Compliance Program to Prepare Audits and Prevent Recoveries

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.

Training Objective:

  • Audit activity is up, which means you are more likely than ever to be audited
  • Understand why being prepared before you receive the ADR is important.
  • Know what areas are of most importance to the auditors, so that you can audit yourself first.
  • Be prepared to not only identify your own non-compliance, but to fix identified non-compliance.
  • Learn how to be better prepared for ADRs and audits related to face to face matters, the single biggest risk area for home health, with a close to 80% recovery rate.

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

  • CEO
  • CFO
  • Compliance
  • Administrators
  • DONs
  • Billing department
  • Clinical staff (to understand why documentation is so important)

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About Our Speaker

Robert W. Markette - Home Care Expert

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.

In representing the homecare industry, Robert...   More Info
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