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Discharge Codes: Impact on the Post-Acute Care Transfer Policy - Risks and Rewards

 

Gain an understanding of the post-acute care transfer policy in order to maintain compliance.

As the inescapable expansion in oversight and investigation of health care claims continues, the Post-Acute Care Transfer Policy introduces obscure risks for providers that could result in Medicare program recoupments if not monitored. The HHS Office of Inspector General (OIG) has issued a series of reports which highlight what it believes to be improper payments to acute care hospitals for claims subject to the Post-Acute Care Transfer Policy. This topic helps clarify the Post-Acute Care Transfer Policy to facilitate hospitals' proactive identification of potential issues and avoid surprising retrospective paybacks. Specifically, it will address approaches to monitoring and auditing intended to identify potential issues as well as address their root causes. This information is critical for hospitals to eliminate a potential blind spot in their compliance strategy.

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Discharge Codes:  Impact on the Post-Acute Care Transfer Policy - Risks and Rewards

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Discharge Codes:  Impact on the Post-Acute Care Transfer Policy - Risks and Rewards

Faculty

Peter Dressel

Peter Dressel

FTI Consulting, Inc.

  • Senior managing director at FTI Consulting, Inc. and is based in Washington, D.C.
  • Is in the health solutions practice in the forensic and litigation consulting segment and has been assisting legal counsel to conduct special investigations and defend clients within the health care and life sciences industries since 2001
  • Has been responsible for identifying, obtaining, and using relevant data sets to build highly detailed models for evaluating health care billing issues; leading the design of complex data models; designing statistical samples and extrapolations; and analyzing various client and CMS-provided financial and accounting structured data
  • His clients have included hospital systems, inpatient rehabilitation facilities, skilled nursing facilities, home health companies, hospice companies, durable medical equipment suppliers, pharmaceutical companies, device manufacturers, dialysis providers, behavioral health providers, autism services providers, and others
  • Can be contacted at 202-589-2328 or [email protected]
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Discharge Codes:  Impact on the Post-Acute Care Transfer Policy - Risks and Rewards

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