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Administrative Law Judge (ALJ) › Long Term Care Facilities › Audits

Husch Blackwell LLP

Hospice Insights Podcast - Controlling the Narrative: A New Tactic for Auditors and ALJs

Husch Blackwell LLP on

Hospices that have gone through audits are familiar with certain recurring reasons why auditors deny claims. Two common reasons are the lack of support for a six-month prognosis and the insufficiency of the physician...more

Bond Schoeneck & King PLLC

Health Law Wire: OMIG Standards for PRI Audits Held Arbitrary and Capricious (7/15)

Bond Schoeneck & King PLLC on

The Office of the Medicaid Inspector General (OMIG) was recently given a set-back in its on-going audits of nursing home case mix submissions. These audits focus on “Patient Review Instruments” (PRIs) which form the basis of...more

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