This compliance program is hosted in Albany, NY on October 17, 2018 and focuses on compliance matters affecting both the home care and hospice industries; from MAC initiatives like face-to-face audits (and targeted probe-and-educate audits) to cybersecurity, to the ongoing work areas of OMIG, OIG and other regulatory agencies.

Rachel’s presentation is titled “What Hospices and Home Care Need to Know about NGS Audits, Including Probe & Educate." Rachel will address the recent change in Medicare Administrative Contractor (MAC) auditing where MACs are selecting providers who have a high claim or payment error rate and/or unusual billing practices. Presently, MACs will audit providers for items and services that are a financial risk for Medicare or that nationally have a high error rate. Rachel will also examine how these processes impact your home care’s or hospice’s claims cycle, how to respond to TPE notices, strategies, and what your appeal rights are, among other MAC audit and compliance issues.