2025 HHAC ANNUAL CONFERENCE

Home health and hospice scrutiny continues at a high level. Providers are subjected to a myriad of audits – TPE, RAC, MAC, UPIC and more.  Providers need to be prepared to respond to audits and the results of those audits.  Provider’s need to be prepared to respond to ADRs to ensure claims are not denie merely for lack of a response.  More importantly, providers need to be prepared to appeal demands from Auditors.  This is crucial, as the provider’s response to the first and second leves can significantly impact litigation in front of the ALJ.  This session will review the audit and appeals process.  We will then address processes and considerations for responding to recoupment demands, including the use of consultans, when to involve counsel, and addressing extrapolations.  We will also addresss some compliance efforts designed to identify and prevent issues prior to an audit.