Audit Mastery: Strategies for Navigating Medicare and Medicaid Provider Audits

$249.00 – $255.00

 Original price was: $349.00.Current price is: $249.00.
 Original price was: $399.00.Current price is: $251.00.
 Original price was: $349.00.Current price is: $255.00.
 Original price was: $349.00.Current price is: $254.00.

Every health care provider who accepts Medicare and/or Medicaid will be audited and most likely will receive a Tentative Notice of Overpayment due to alleged billing errors or other accusations, when extrapolated, the alleged overpayment can be in the millions. Healthcare Regulatory and Litigation Experts Knicole Emanuel, JD & Melissa Scott, JD will demonstrate the errors within the audit results and ways to defend yourself in a Medicare or Medicaid audit situation. This webinar will review and explain the Medicare and Medicaid provider appeal process and analyze the framework of Medicare and Medicaid regulatory audits of healthcare providers by shedding light on the relationship between the Medicare and Medicaid Integrity Programs and the types of contractors driving the force of compliance investigations. This webinar also provides an overview of the audit process and strategies for providers to manage compliance-related risks and defend against unfavorable audit decisions.

Learning Outcomes:
  • Learn the effective appeal processes
  • Be aware of audits & the different types
  • Understand who the players are in Medicare & Medicaid
  • Review example of a success
  • Breakdown the legal defenses
  • Know common errors on the auditor’s side
  • Know your pertinent Medicare/Medicaid policies
  • Learn how Chevron May change the appeals process
  • Understand the Potential future changes going forward
Areas Covered in the Session:
  • Appeal Process
  • Knowing what an audit entail
  • Medicare and Medicaid Audits and It’s type
  • Current Medicare and Medicaid Policies
  • Key Player in Medicare and Medicaid
  • Clinical Vs. Statistical
  • Common Errors
  • Proven defend tactics against an alleged overpayment
  • The Importance of Chevron case and how the future could be impacted
  • Live Q&A Session
Recommended participants:
  • Healthcare CEOs, CFOS, COOs
  • Healthcare Providers
  • Physicians and Doctors
  • All Specialties Doctors
  • Dentists
  • Chief Compliance Officers
  • Hospitals and Medical Practices
  • Long-Term Care
  • Home Health
  • CEO of Wealth Care Facilities
  • Compliance Officers who Bill Medicaid / Medicare
  • Regulatory Officers
  • Healthcare Attorney
Presenter Biography:

Knicole Emanuel, JD, has devoted more than 23 years to a health care litigation practice, with a focus on Medicare and Medicaid litigation, health care regulatory compliance, administrative law, and regulatory law. She possesses a deep understanding of the complex Medicare and Medicaid payment system, the distinctive business of health care providers, the interplay of federal and state Medicare and Medicaid regulations, and the actions of state agencies that impact the operations of health care entities.

Knicole has considerable experience trying administrative cases, having argued over 2,000 cases in more than 30 states, and has also appeared before multiple states’ medical boards. In numerous states, she has successfully obtained federal injunctions that enabled health care providers to continue operating despite accusations of health care fraud, inappropriate billing, and data mining. Throughout the United States, Knicole frequently delivers presentations on health care law, the ramifications of the Affordable Care Act, and regulatory compliance for providers, such as physicians, home health and hospice providers, dentists, chiropractors, hospitals, and durable medical equipment providers. She is also a weekly panelist on RAC Monitor, where she serves as a resource and commentator on Medicare and Medicaid audits.

Melissa Scott, JD, focuses her practice on employment, healthcare, and commercial litigation. She has experience defending employers in cases involving discrimination and retaliation brought under Title VII of the Civil Rights Act, the Florida Civil Rights Act, the Family Medical Leave Act (FMLA), Americans with Disabilities Act (ADA), and the Age Discrimination in Employment Act (ADEA), as well as wage-and-hour issues and class/collective actions brought under the Florida Minimum Wage Act (FMWA) and the Fair Labor Standards Act (FLSA), federal and state whistleblower claims, and various breach of contract issues in both state and federal court. Melissa also litigates complex commercial and consumer claims, including those involving misappropriation of trade secrets, unfair competition, breach of restrictive covenants (non-compete and non-solicitation), defamation, tortious interference, and claims asserted under Florida’s Deceptive and Unfair Trade Practices Act (FDUTPA).

Additional Information:

After registration, You will receive an email with login information and handouts (presentation slides) that you can print and share with all participants at your location.

System Requirement:
  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to talk and hear clearly
Can’t Listen Live?

No problem. You can get access to an On-Demand webinar. Use it as a training tool at your convenience. For more information, you can reach out to the below contact:
Toll-Free No: +1 800-757-9502
Email: cs@waymoreeducation.com