Wednesday
Sep 22
2021

Medical Review & the Targeted Probe & Educate (ADR) Process: FAQs & Tips to Successfully Maneuver Audits

Registration Options & Pricing

Please select your membership status.


Live Webinar Access Includes:

  • Unlimited Connections to Virtually Attend the Live Webinar
  • Handout &Take-Away Toolkit
  • Available on Desktop, Mobile & Tablet
  • Presenter’s Contact Info for Follow-Up

On-Demand Access Includes:

  • Unlimited Access to Webinar Recording
  • Can be viewed anytime 24/7, beginning 2 business days after the webinar
  • Handout and Take-Away Toolkit
  • Available on Desktop, Mobile & Tablet
  • Free Digital Download, yours to keep
  • Share link with anyone at your agency
  • Presenter’s contact info for follow-up
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This is a 90-minute webinar.

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

OIG reports in 2018 and 2019 identified payment and quality-related problems in hospices. As a result, audits and medical reviews increased, impacting many hospice agencies. As we transition from a Public Health Emergency, it is anticipated that this trend of increased audits will rise even more for both hospice and home health.

AFTER THIS WEBINAR YOU’LL BE ABLE TO:

  • Define fraud and abuse and the different types of government audits
  • Explain agency responsibilities, critical timelines, and the ADR process, also known as Targeted Probe and Educate (TPE)
  • Identify critical compliance areas to minimize audits and ADRs (TPE)
  • Identify when an agency should appeal a denial

WEBINAR DETAILS

This webinar will review the FAQs related to audits and the medical review process. It will explain the process, agency responsibilities, and where agencies should focus. Discover how to minimize denials and partial denials to targets, probes, and audits. Learn the proper way to submit documentation and the timeline to follow. Participants will also review sample cover letters and the presenter will address when to appeal, when not to appeal, and when to utilize outside resources to increase your agency’s opportunity for a favorable outcome.

Attendance certificate provided, however there are no pre-approved CEs associated with this webinar.

THIS WEBINAR WILL BENEFIT THE FOLLOWING AGENCIES:

  • Hospice

WHO SHOULD ATTEND?

This informative session will contain excellent information for all agency personnel. Administration, finance, clinical management, supervisors, QAPI staff, medical directors, board members, liaisons, and intake staff will all benefit from attending.

TAKE-AWAY TOOLKIT

  • ADR post-payment review letter example
  • Guide for Responding to ADRs
  • Medicare Program Integrity Manual
  • NGS Hospice Documentation Checklist/CMS Hospice Documentation Checklist
  • Links to:
    • Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Guide
    • Postpayment Medical Review Additional Development Request (MR ADR)
    • Prepayment Medical Review Additional Development Request (MR ADR)
    • User Manual Medical Review Tab Jurisdiction 15
    • Additional weblinks to resources and tools
  • PDF of slides and speaker’s contact info for follow-up questions

PLEASE NOTE: Webinar content is subject to copyright and intended for your individual organization's use only.

This webinar is available exclusively through the Hospice & Home Care Webinar Network.

MEET THE PRESENTER

Ahearn Advisement Partners
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