False Claims Act: Fraud & Abuse Update

Posted on June 20, 2019

Date/Time: 06/20/2019, 9:00 am - 4:30 pm

Provider: FHPCA

Map Unavailable

9:00 am – 10:30 am HST
11:00 am – 12:30 pm AKT
12:00 pm – 1:30 pm PT
1:00 pm – 2:30 pm MT
2:00 pm – 3:30 pm CT
3:00 pm – 4:30 pm ET

Increased hospice enforcement has continued for several years. This enforcement trend results from continuing growth in the hospice industry and related increases in Medicare hospice reimbursement. Initially, this focus was a surprise to hospice providers. Despite increased enforcement, many have not taken notice. This is problematic because increased scrutiny also increases audit activity and other analysis. Between significant takebacks from Medicare audits and crippling judgments from False Claims Act litigation, hospice providers have to operate differently in this era of heightened scrutiny.

With increased enforcement continuing for the foreseeable future, hospice providers must commit more time and resources to compliance. Agencies need to be aware of OIG and CMS areas of concern related to fraud and common audit findings. To ensure compliance, providers need to actively audit and monitor operations, educate personnel, and be able to respond to ADR requests, recoupment demands, and more. This webinar will review scrutinized areas, OIG-identified issues about fraud and abuse, common hospice audit issues, recent developments in False Claims Act litigation, strategies to identify and remedy noncompliance, and how to respond to ADRs, fraud investigations, and related matters.

Attendance certificate provided to self-report CE credits.

HIGHLIGHTS

Why hospice is on the hot seat
Hospice and nursing home relationships, including compliance concerns
Are your marketing materials safe?
Common mistakes on hospice claims
Hospice documentation and terminal illness – can we avoid being second guessed?
Hospice average length of stay and other key data points – are you on the radar?