Hospice Payment-Related Scrutiny: Increasing Audit Activity From the OIG and Other Medicare Contractors

 
Date: Tuesday, December 10, 2019
Time: 2:00 p.m. ET
Duration:   1 hour
 
This webinar offers a detailed examination of the current environment of payment-related scrutiny in hospice and the most common reasons for an audit to be initiated by The Centers for Medicare and Medicaid (CMS) contractors. Today’s most frequent auditing activities include Targeted Probe and Educate (TPE) audits, Unified Program Integrity Contractor (UPIC) audits, and Supplemental Medicare Review.

Contractor (SMRC) audits are discussed. This webinar also examines the direct correlation in aberrant data identified on a hospice provider’s Program for Evaluating Payment Patterns Electronic Report (PEPPER) and payment-related scrutiny. Lastly, this webinar includes recommendations for mitigating payment-related scrutiny including examination of a hospice’s Quality Assessment Performance Improvement (QAPI) program, implementation of a compliance program, and conducting pre-billing audits to identify and remediate payment-related risk.

Learning Objectives:
  • Describe aberrant data that frequently lead to a hospice's selection for payment-related scrutiny
  • Explain the correlation between PEPPER Reports and payment-related scrutiny
  • List 3 compliance-related steps to take today to mitigate future payment-related scrutiny
 
 
Please note: this webinar is a free event, and no CEUs or certificates of participation are provided. All registrants will receive a copy of the recorded webinar and slides if you cannot attend the live event.

Register

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CTA Text


Carrie Cooley
Principal / Chief Executive Officer
Weatherbee Resources

Carrie Cooley is the Principal / Chief Executive Officer (CEO) with Weatherbee Resources. On July 1, 2018, Carrie and her business partner, Lynn Stange, purchased Weatherbee Resources from the company's founders. Under Carrie’s leadership, Weatherbee has assisted hundreds of clients under payment-related scrutiny by various Medicare contractors including: Targeted Probe and Educate (TPE), Zone Program Integrity Contractors (ZPIC), Unified Program Integrity Contractors (UPIC), Recovery Auditors (RA), the Office of Inspector General (OIG), and the Department of Justice (DOJ). As a member of Weatherbee’s Speaker’s Bureau, Carrie teaches a broad range of hospice, regulatory, and leadership-related topics nationally and is a member of the faculty for Weatherbee’s renowned Hospice Regulatory Boot Camps.

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Carrie Cooley
Principal / Chief Executive Officer
Weatherbee Resources

Carrie Cooley is the Principal / Chief Executive Officer (CEO) with Weatherbee Resources. On July 1, 2018, Carrie and her business partner, Lynn Stange, purchased Weatherbee Resources from the company's founders. Under Carrie’s leadership, Weatherbee has assisted hundreds of clients under payment-related scrutiny by various Medicare contractors including: Targeted Probe and Educate (TPE), Zone Program Integrity Contractors (ZPIC), Unified Program Integrity Contractors (UPIC), Recovery Auditors (RA), the Office of Inspector General (OIG), and the Department of Justice (DOJ). As a member of Weatherbee’s Speaker’s Bureau, Carrie teaches a broad range of hospice, regulatory, and leadership-related topics nationally and is a member of the faculty for Weatherbee’s renowned Hospice Regulatory Boot Camps.

-- Speaker 2 Name ---
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--- Speaker 3 Bio --- Lorem ipsum dolor sit amet, consectetur adipiscing elit. Phasellus mollis justo vel lacus ornare consectetur ac sit amet eros.


Carrie Cooley
Principal / Chief Executive Officer
Weatherbee Resources

Carrie Cooley is the Principal / Chief Executive Officer (CEO) with Weatherbee Resources. On July 1, 2018, Carrie and her business partner, Lynn Stange, purchased Weatherbee Resources from the company's founders. Under Carrie’s leadership, Weatherbee has assisted hundreds of clients under payment-related scrutiny by various Medicare contractors including: Targeted Probe and Educate (TPE), Zone Program Integrity Contractors (ZPIC), Unified Program Integrity Contractors (UPIC), Recovery Auditors (RA), the Office of Inspector General (OIG), and the Department of Justice (DOJ). As a member of Weatherbee’s Speaker’s Bureau, Carrie teaches a broad range of hospice, regulatory, and leadership-related topics nationally and is a member of the faculty for Weatherbee’s renowned Hospice Regulatory Boot Camps.

-- Speaker 2 Name ---
--- Speaker 2 Title ---
--- Speaker 2 Org ---

--- Speaker 2 Bio --- Lorem ipsum dolor sit amet, consectetur adipiscing elit. Phasellus mollis justo vel lacus ornare consectetur ac sit amet eros.

Carrie Cooley
Principal / Chief Executive Officer
Weatherbee Resources

Carrie Cooley is the Principal / Chief Executive Officer (CEO) with Weatherbee Resources. On July 1, 2018, Carrie and her business partner, Lynn Stange, purchased Weatherbee Resources from the company's founders. Under Carrie’s leadership, Weatherbee has assisted hundreds of clients under payment-related scrutiny by various Medicare contractors including: Targeted Probe and Educate (TPE), Zone Program Integrity Contractors (ZPIC), Unified Program Integrity Contractors (UPIC), Recovery Auditors (RA), the Office of Inspector General (OIG), and the Department of Justice (DOJ). As a member of Weatherbee’s Speaker’s Bureau, Carrie teaches a broad range of hospice, regulatory, and leadership-related topics nationally and is a member of the faculty for Weatherbee’s renowned Hospice Regulatory Boot Camps.

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