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Thought Leadership

Hospice Audit Series: Spring Audit Bloom—Medicaid UPICs and MAC ADRs



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Hospice Audit Series

Audits are a fact of life for hospices—it’s not a matter of “if” a hospice will be audited, but “when.” The alphabet soup of audits has expanded, from UPICs to SMRCs, CPIs, TPEs and more. With the hospice carve-in to Medicare Advantage, MAO audits will join the list. The recent pause in audits as a result of the COVID pandemic hints at increased activity as the pandemic wanes. In this series, Meg Pekarske and Bryan Nowicki of Husch Blackwell’s Hospice Audit team deconstruct the most recent developments in hospice audits, providing insight and guidance on the why, when and how of audits and—most importantly—what hospices can do about it.

Today's Episode: Spring Audit Bloom—Medicaid UPICs and MAC ADRs

Today, Husch Blackwell's Meg Pekarske is joined by colleagues Bryan Nowicki and Erin Burns to discuss the recent flurry of audit activity, specifically the re-emergence of UPIC Medicaid audits and MAC post-pay ADRs. We will talk about what these requests look like, what we think it means and strategies for how hospices should respond.

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Erin E. Burns

Senior Associate