Hospice Audit Series
Audits are a fact of life for hospices—it’s not a matter of “if” a hospice will be audited, but “when.” The alphabet soup of audits has expanded, from UPICs to SMRCs, CPIs, TPEs and more. With the hospice carve-in to Medicare Advantage, MAO audits will join the list. The recent pause in audits as a result of the COVID pandemic hints at increased activity as the pandemic wanes. In this series, Meg Pekarske and the Husch Blackwell Hospice Audit team deconstruct the most recent developments in hospice audits, providing insight and guidance on the why, when and how of audits and—most importantly—what hospices can do about it.
Today's Episode | Welcome to the Party: Contractor Participation at ALJ Hearings
Recently, there has been an uptick in contractor participation at the administrative law judge (ALJ) stage of hospice audit appeals. This development poses unique challenges and new advocacy opportunities for providers. In this episode, Husch Blackwell’s Meg Pekarske talks with Bryan Nowicki, Emily Solum and Zaina Niles about how hospices can prepare for and get the most out of contractor appearances at ALJ hearings.