Armory Hill Advocates

Presentation Overview:

• Medicare has a focus on OTP providers / behavioral health, home health, and hospice facilities. Hot spot states for UPIC audits are FL, MI, TX, and OH.
• UPICs can initiate pre-payment reviews, payment suspensions, exclusions, overpayment recoveries, and referrals to law enforcement. Click here to see the UPIC Contractors where these letters come from.
• Often these audits result in major fines and a 5-step appeals process to challenge CMS findings.
• When you get audited, you only have 30 days to start the appeal process. It’s important to submit thorough, complete, and pristine medical records.
• Have an experienced counsel and lobbyist to navigate through the Medicare Appeals Process.

Have you been audited by CMS before? Do you know someone that has? Ensure you and your organization are prepared.  Feel free to reach out to me and I can help you with being proactive to ensure you expect the unexpected!