Gregory Piche’, partner Holland & Hart in Denver, has undertaken a wide variety of healthcare legal representation since 1973 in both counseling and litigation for and on behalf of hospitals, physicians, physician networks, limited license providers, nursing homes, durable medical equipment providers and home health agencies, healthcare service providers and an occasional managed care company.
Joan Ditges, RN, of Holland & Hart, has seven years of experience working as a legal nurse consultant, 1 ½ years in a staff position with a nationally recognized law firm, and four years with the Rocky Mountain region's largest and most well respected firm. Joan is an active Registered Nurse/Critical Care Practitioner with over 20 years medical industry experience including Flight Nursing, Surgical, Medical and Coronary Intensive Care and Emergency Room. She also has 90 hours of CEUs credits in Legal Nurse Consulting.
After Recovery Audit Contractors (RACs) took back $1 billion – roughly $1,800 per claim determined to have an overpayment – from Medicare providers in just six states, CMS quickly decided to expand the RAC program nationwide. Every practice is now eligible for RAC audits and experts say these auditors will go after the easiest targets first.
Attorney Gregory Piche’ and Joan Ditges, RN will take you inside the minds of the auditors to tell you what they’ll look for in your practice. You can’t afford to not be prepared when RAC demand letters arrive at your front door. If the RAC audit is successful against your practice, you’ll pay thousands of dollars in repayments.
After this session, you’ll be able to:
- Defend your practice against government auditors with 12 best practices to follow.
- Know the vital information on who will be auditing your practice’s medical records and demand recoupment of overpayments.
- Understand how RAC auditors use data to make you a target.
- Implement specific programs in preparation for a RAC demand and records request letters.
- Stop the recoupment process cold before they take one penny from you.
- Get valuable insight on lessons learned from RAC demonstration projects that recouped millions from practices.
To find out about upcoming conferences and for a complete listing
of audio CDs, please visit www.decisionhealth.com.