Hospice Audit Series

Audits are a fact of life for hospices—it’s not a matter of “if” a hospice will be audited, but “when.” The alphabet soup of audits has expanded, from UPICs to SMRCs, CPIs, TPEs and more. With the hospice carve-in to Medicare Advantage, MAO audits will join the list. The recent pause in audits as a result of the COVID pandemic hints at increased activity as the pandemic wanes. In this series, Meg Pekarske and Bryan Nowicki of Husch Blackwell’s Hospice Audit team deconstruct the most recent developments in hospice audits, providing insight and guidance on the why, when and how of audits and—most importantly—what hospices can do about it.

Today’s Episode | Painting the Picture: How to Advocate for Clinical Hospice Eligibility in the Audit Appeal Process

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 about strategies for showing how a medical record supports a patient’s six-month prognosis. Tune in here: https://www.huschblackwell.com/newsandinsights/hospice-audit-series-painting-the-picture-how-to-advocate-for-clinical-hospice-eligibility-in-the-audit-appeal-process