This presentation is intended to provide the audience with an in depth understanding of the Medicare administrative appeals process. It will cover the various types of Medicare audits and the process for appealing those audits. Participants will learn the process, time frames as well as gain information on best practices for avoiding Medicare appeals and audits and if necessary, how to effectively prepare for and defend against such audits. Necessarily included will be compliance dos and don’ts and what is expected of providers in internal self-auditing and training.
Key topics to be discussed:
The types of Medicare contractors and their related audits/investigations
The Medicare administrative appeal process and timeline
Internal compliance requirements
Best practices for preparing for and defending against Medicare audits
Date: January 18, 2023
Courtney G. Tito | Nelson Mullins
Courtney G. Tito, is a Partner at Nelson Mullins in its Boca Raton, Florida office. She is Board Certified in Health Law by the Florida Bar. Courtney counsels clients in federal and commercial payor audits, disputes and investigations. She also counsel clients regarding revocations and payment suspensions and in responding to federal subpoenas and civil investigative demands. Courtney counsels clients in regulatory and compliance matters at both federal and state levels. Courtney represents a variety of provider types, including laboratories, pathologists, physicians, and physician groups. She also regularly speaks on regulatory, audit and payor disputes.
I. The types of Medicare contractors and their related audits/investigations | 2:00pm – 2:30pm
II. The Medicare administrative appeal process and timeline | 2:30pm – 3:00pm
Break | 3:00pm – 3:10pm
III. Internal compliance requirements | 3:10pm – 3:40pm
IV. Best practices for preparing for and defending against Medicare audits | 3:40pm – 4:10pm