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Hospice Audit Series | Welcome to the Party: Contractor Participation at ALJ Hearings [Audio]

Recently, there has been an uptick in contractor participation at the ALJ stage of hospice audit appeals. This development poses unique challenges and new advocacy opportunities for providers. In this episode, Husch...more

UPIC Report Card: The OIG’s Evaluation of the UPICs Provides Insight Into the Future of Hospice Audits [Audio]

The Department of Health and Human Services Office of the Inspector General (OIG) recently released a report detailing its evaluation of CMS’s primary fraud, abuse and waste investigators—the Unified Program Integrity...more

Is the Doctor In? Legal Considerations for Hospice Physician Contracting [Audio]

The hospice physician plays an enormously critical role in hospice operations, from certifying patients as terminally ill to being the hospice’s representative in the community. Just as the physician’s role is critical, so...more

Do You Have a Backup? Building Redundancies Into Your Written Certification Process [Audio]

The hospice certification of terminal illness is one of the documents most scrutinized by Medicare contractors, and it is of critical importance since an invalid certification can impact Medicare payment for the patient’s...more

11/30/2022  /  Certifications , Contractors , Hospice , Medicare

A Zero Percent Error Rate: An Inspiring Story on How to Get There [Audio]

Husch Blackwell’s Meg Pekarske is joined today by Mary Kay Tyler, Chief Quality and Compliance Officer of Hospice of the Western Reserve, who shares strategies for achieving the elusive goal of improved clinical...more

Strategic Restructuring for the Future | Not Just an Org Chart: Corporate and Regulatory Considerations for Hospice Transactions [Audio]

Hospices are increasingly looking to buy, consolidate or merge to achieve administrative efficiencies and expand growth opportunities. Transactions between hospices present unique regulatory challenges that shape corporate...more

COVID-19 Hospice How-To Series | The Results Are In: More Wins for Hospices in HIS Appeals [Audio]

COVID-19 remained a substantial obstacle to hospices’ efforts to comply with quality data reporting obligations in 2021. Those challenges resulted in a number of hospices receiving notices of a 2% Medicare payment reduction...more

Focus on What Matters: The Importance of the Hospice Election Statement [Audio]

The hospice election may be the single most important document for hospices since an invalid form can impact payment for a patient’s entire stay. Especially in light of a recent rise in Medicare claim denials related to the...more

COVID-19 Hospice How-To Series | Pulling the Strings: New OIG Audits Scrutinize How Hospices Used Provider Relief Funds [Audio]

For the last two-and-a-half years, hospices and other providers have been using billions in Provider Relief Fund (PRF) payments to prepare for, respond to and recover from the COVID-19 pandemic. The Office of Inspector...more

Hospice Innovators: A Conversation with Jaysen Roa, President and CEO of Avow Hospice [Audio]

Husch Blackwell’s Meg Pekarske is very excited to be joined by Jaysen Roa, President and CEO of Avow Hospice in Naples, Florida. Jaysen is a leader of action who is finding new ways to approach and solve the challenges facing...more

Beyond Hospice: Home Health Agencies Plagued by UPICs and SMRCs [Audio]

In this episode, we continue our discussion of home health enforcement trends, focusing on other audits currently troubling agencies. These include audits from Unified Program Integrity Contractors (UPIC), Supplemental...more

Beyond Hospice: And They’re Off! The OIG’s Nationwide Review of Hospice Eligibility Has Begun [Audio]

In a prior podcast, we alerted you to the Office of Inspector General’s (OIG) nationwide review of hospice beneficiary eligibility. The OIG has begun sending out requests for records to hospices across the country. In this...more

Hospice Audit Series | It's That Time of Year Again: Quality Data Reporting Determinations Raise New and Recurring Issues [Audio]

Each July, the Medicare Administrative Contractors issue notices of a 2% Medicare payment reduction to those providers who did not meet quality data reporting requirements. Those notices have been sent. In this episode, Husch...more

Beyond Hospice: The OIG Renews Its Scrutiny of Home Health Agencies [Audio]

As many hospices continue to diversify into new business lines, staying abreast of enforcement trends outside of hospice is more important than ever. Home health in particular, is receiving significant government scrutiny. In...more

Nuts and Bolts of a Repayment Investigation: Keys to Conducting Investigations Under the 60-Day Repayment Rule [Audio]

When confronted with a complaint, allegation or event that implicates a potential Medicare overpayment, hospices have an affirmative duty under the federal 60-day repayment rule to conduct an investigation and refund any...more

Hospice Audit Series | Painting the Picture: How to Advocate for Clinical Hospice Eligibility in the Audit Appeal Process [Audio]

The core of most hospice audits has been, and continues to be, whether the medical record supports the patient’s hospice eligibility. In this episode, Husch Blackwell’s Meg Pekarske talks with Bryan Nowicki and Zaina Niles...more

You’ve Got Mail: CMS Physician Outreach and How to Respond to It [Audio]

The Centers for Medicare & Medicaid Services (CMS) has recently started mailing letters inviting physicians to one-on-one training sessions about the Medicare hospice benefit. In this episode, Husch Blackwell’s Meg Pekarske,...more

Hospice Audit Series | Turning the Screws: UPIC Enforcement Tactics and What They Mean for Your Hospice [Audio]

Unified Program Integrity Contractor (UPIC) audits are on the rise, and the UPICs are embracing the full array of enforcement tools at their disposal. In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki discuss...more

Strategic Restructuring for the Future: Exploring Upstream Revenue Opportunities for Hospices [Audio]

In this era of disruption and market consolidation, the talk of the town is how hospices can make strategic pivots to expand their geography, diversify the scope of their services to get further upstream, and otherwise be...more

Hospice Audit Series | Audit Overlap: Connections and Contradictions Among Audits, Auditors and What to Do About Them [Audio]

As audit activity escalates, hospices are getting increasingly familiar with the alphabet soup of audits and auditors, including OIG, UPIC, CMS, CPI, SMRC, MAC, TPE and more. Unfortunately, there are times when hospices are...more

Strategic Restructuring for the Future, Insights on Building a Hospice Network From the Ground Up: A Conversation With Mike... [Audio]

As we explored in our podcast on June 30, 2021, there is no one way for hospices to collaborate and position themselves for value-based care. In today’s episode, Husch Blackwell’s Meg Pekarske has the great pleasure to be...more

Hospice Audit Series: Beyond Part D, OIG Scrutinizes the Hospice Industry to the Tune of $6.6 Billion [Audio]

In a follow-up to its recent reports on billing outside the hospice benefit for drugs and durable medical equipment (DME), the Office of Inspector General’s (OIG) new data report identifies billions being billed to Medicare...more

Hospice Leadership Strategy: Re-engaging Staff and Communities With Story [Audio]

Today, Husch Blackwell’s Meg Pekarske has the great pleasure to be joined by two of the founders of the Institute for Story, Jamey Espina and Dr. Berry, who is also a best-selling author and top change management speaker,...more

The OIG's Impending Review of Nationwide Hospice Eligibility Demands a Robust Response From Hospices [Audio]

The Office of Inspector General (OIG) recently announced that its 2022 work plan for hospices will include a nationwide review of hospice beneficiary eligibility. In this episode, Husch Blackwell’s Meg Pekarske and Bryan...more

COVID-19 Hospice How-To Series: Exploring Answers to Hospices' Top Vaccination Questions [Audio]

Our hospice team has been fielding questions from hospices across the country on administering COVID-19 vaccination requirements. In this episode, Husch Blackwell’s Meg Pekarske is joined by colleague Jessica Brown, where...more

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