Hospice Audit Series: Insights for Winning at Administrative Law Judge (ALJ) Hearings, Part I

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: Hospice Audit Series - Insights for Winning at Administrative Law Judge (ALJ) Hearings, Part I

In this two-part series, Husch Blackwell’s Meg Pekarske unpacks strategies for winning at ALJ hearings with colleagues Bryan Nowicki, Emily Solum and Erin Burns. They explore what it means to be well-prepared and who should be on your team. They also share tips for overcoming the most common hurdles to winning, and the hidden surprises they have found in ALJ decisions. We hope you enjoy this engaging conversation!