“I don’t know why I’m getting audited.”
This is all too common a response a home health provider gives after the surveyor walks in the agency door. CMS believes that home health is a hotbed for fraud, waste and abuse. Home health agencies believe that they have done absolutely nothing wrong, and that they are being unfairly targeted by the government – ultimately to suspend payments and lead to insolvency.
Here’s the truth: you are not being randomly targeted. CMS uses a distinct set of data points from the same OASIS data that you submit to determine if you are going to be audited. So as an agency, you believe that you are running your business in compliance with Medicare’s requirements, not based on data but based on what ‘feels right’. But at the same time, your data is being pushed through computers and identifying you as wasting the money being given to provide care. It is truly man versus the machine.
Course Instructors - Kristi Bajer and Michael McGowan
- How do the CoPs compare to the Conditions of Payment?
- How to become compliant with VBP and ensure you are receiving the bonus – not the penalty.
- How Service Utilization Review will lead to eliminating nurse burnout, and keeping your nurses employed happy.
By completing/passing this course, you will attain the certificate HCAF Course Certificate
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