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Survey Woes: CMS Ramps Up Hospice Survey Program and Consequences [Audio]

Hospices have been the target of increased government scrutiny in 2023, and the Centers for Medicare and Medicaid Services (CMS) is planning to take further aim in 2024 through surveys. Join Husch Blackwell’s Meg Pekarske,...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

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

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

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 Audit Series: Insights for Winning at Administrative Law Judge (ALJ) Hearings, Part II [Audio]

In Part II of our two-part series on ALJ hearings, Husch Blackwell’s Meg Pekarske unpacks strategies for winning with colleagues Bryan Nowicki, Emily Solum and Erin Burns. They explore what it means to be well-prepared and...more

Hospice Audit Series: Insights for Winning at Administrative Law Judge (ALJ) Hearings, Part I [Audio]

In this two-part series, Husch Blackwell’s Meg Pekarske unpacks strategies for winning at ALJ hearings with colleagues Bryan Nowicki, Emily Solum and Erin Burns. They explore what it means to be well-prepared and who should...more

Hospice Audit Series: A Beginning and an End from CMS - TPE Resumes While QIC Demonstration Ends [Audio]

In today’s episode, Husch Blackwell’s Meg Pekarske talks with team members Bryan Nowicki and Erin Burns about two recent developments in the hospice audit arena. First, the Centers for Medicare & Medicaid Services (CMS)...more

Privacy Series: HIPAA Breaches - When It Is, and When It Is Not a Breach [Audio]

In today’s episode of our Hospice Privacy Series, Husch Blackwell’s Meg Pekarske is joined by colleagues Wakaba Tessier and Erin Burns, who share insights on the ins and outs of HIPAA breaches. They break down what a HIPAA...more

Hospice Audit Series: The Second Guessing of Billed Hospice Physician Visits [Audio]

In today's episode of Hospice Insights: The Law & Beyond, Husch Blackwell’s Meg Pekarske is joined by colleagues Bryan Nowicki and Erin Burns to discuss the recent denial of physician visits. Over the last several months, a...more

Hospice Audit Series: Spring Audit Bloom—Medicaid UPICs and MAC ADRs [Audio]

Today's Episode: Spring Audit Bloom—Medicaid UPICs and MAC ADRs Today, Husch Blackwell's Meg Pekarske is joined by colleagues Bryan Nowicki and Erin Burns to discuss the recent flurry of audit activity, specifically the...more

3/31/2021  /  Audits , Hospice , Medicaid

COVID-19 Hasn't Interrupted Everything: Certain Hospice Audit Activity Continues Despite Public Health Emergency [Audio]

COVID-19 threw a wrench into certain hospice audit activity, but the machine rumbles on. In today’s podcast episode, Husch Blackwell's Meg Pekarske, Erin Burns and Bryan Nowicki discuss the current state of hospice audits,...more

COVID-19 Hospice How-To Series: Application Of The FFCRA “Health Care Provider” Exemption To Hospices

The Families First Coronavirus Response Act (“FFCRA”) goes into effect today, April 1, 2020, and applies to leave taken between April 1, 2020 and December 31, 2020. The FFCRA expands certain medical leave rights previously...more

COVID-19 and Hospice: Navigating and Troubleshooting Coronavirus Challenges [Audio]

These are extraordinary times. COVID-19, or the novel coronavirus, has disrupted the life of every American and every business. Hospices are no exception. In fact, they are on the frontlines, responsible for providing care to...more

Breaking Down TPEs: Facts and Strategies [Audio]

In this episode, the hospice team shares insights on how to manage and succeed in responding to additional documentation requests (“ADR”) stemming from Targeted Probe and Educate (“TPEs”) projects. We discuss the unique...more

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