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Hospice Audit Series: CMS Program Integrity Audits Are Back!

By Former Attorney Meg Pekarske & Bryan K. Nowicki on April 26, 2021
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Hospice Insights

In this episode, Husch Blackwell’s Meg Pekarske and Bryan Nowicki discuss the new wave of CMS Center for Program Integrity (CPI) audits that have been issued during the past couple weeks. These CPI audits remain focused on long length of stay patients and typically involve hundreds of claims valued at over $1 million. As Meg and Bryan explain, these audits may signal a new approach to auditing by CMS, and it is important for hospices to refine their response and appeal strategy accordingly. Tune in here: https://bit.ly/3viR6Re

Photo of Former Attorney Meg Pekarske Former Attorney Meg Pekarske

Meg devoted her legal practice to serving the everchanging legal needs of the hospice industry. Previously with Husch Blackwell, Meg was the former chair of Husch Blackwell’s Hospice and Palliative Care Practice Group and she managed the firm’s hospice practice. 

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Photo of Bryan K. Nowicki Bryan K. Nowicki

I lead the litigation and internal investigation efforts within Husch Blackwell’s Hospice and Palliative Care Practice Group. I work with hospices and healthcare providers across the country on a range of litigation, regulatory, compliance, and business matters. I represent clients in False Claims…

I lead the litigation and internal investigation efforts within Husch Blackwell’s Hospice and Palliative Care Practice Group. I work with hospices and healthcare providers across the country on a range of litigation, regulatory, compliance, and business matters. I represent clients in False Claims Act lawsuits, state and federal government fraud investigations, and audits by Zone Program Integrity Contractors (ZPICs), Medicare Administrative Contractors (MACs), and Medicaid Integrity Contractors (MICs). I also conduct and manage internal investigations of hospices and health care providers regarding a range of compliance matters.

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  • Posted in:
    Health Care and Life Sciences
  • Blog:
    Healthcare Law Insights
  • Organization:
    Husch Blackwell LLP
  • Article: View Original Source

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