Category Archives: Hospice Law

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Hospice Cap: Past, Present, and Future

On May 10, 2013, Brian Daucher presented “Hospice Cap: Past, Present, and Future” to the Mumms Hospice Innovation Conference (presentation) in New Orleans, Louisiana.  The presentation covers history of the hospice cap, the hospice cap litigation, the new pro-rated hospice cap calculation method, comparison of the two available methods, and tools and advice for hospices … Continue Reading

ZPIC/RAC/ADR Appeals Deadline Desk Calendar

The attached table identifies each level of appeal available to providers facing either pre- or post-payment claims denials, whether through ADR edits, probe edits, Zone Program Integrity Contractors, or RAC auditors.  The table identifies deadlines to file appeals of initial or revised determinations at each level and also provides tips to help ensure that appeals are … Continue Reading

ZPIC/RAC Audits – What You Need To Know

On February 26, 2013, Brian Daucher and Dolly Curley (Simione Healthcare Consultants) presented “ZPIC / RAC Audits – What You Need To Know” to the American Health Lawyers Association Annual Meeting for Long Term Care and the Law Conference (presentation) in Austin, Texas.  The presentation covers the structure and operational characteristics of Zone Program Integrity … Continue Reading
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