This session will take agencies through the winding road of Medicare scrutiny. Don’t be caught in the position of believing that everything is just okay or that the Public Health Emergency is a shield from medical review. While billing the Medicare benefit and getting paid relatively easy, there is always a risk of things being reviewed at some point and what can you do to avoid denials. Participants will be able to define the levels of Medical Review that are currently active:  including, UPIC, SMRC, MAC ADR, RAC and the reinstated Targeted Probe & Educate.  The session will review how to respond to any level of medical review that may occur. Attendees will take away information that will assist in assuring that your home health truly is accurately documenting.  This session will discuss PEPPER reports and other data analysis that agencies will need to review to ensure that their risk from medical review is limited. This session will review some State specific PEPPER data so you can tell where you stand compared to others in the state.  

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Home Care Hospice

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